Sclerotherapy treatment of an assumed aneurysmal bone cyst in a dog

2020 ◽  
Vol 8 (1) ◽  
pp. e000975
Author(s):  
Agustina Anson ◽  
Marta Soler ◽  
Miryam Martinez ◽  
Jose Murciano ◽  
Amalia Agut
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Ultrasound Guidance ◽  
Ultrasound Examination ◽  
Bone Cyst ◽  
Lytic Lesion ◽  
Conventional Surgery ◽  
Presumptive Diagnosis ◽  
Safe Alternative ◽  
Percutaneous Sclerotherapy

A 3-month-old, 18 kg, female St Bernard breed dog was presented with recurrent left forelimb lameness and painful swelling of the antebrachium. A large expansile lytic lesion within the left ulna was observed on radiographs. Ultrasound examination revealed a cyst-like structure. Sanguineous fluid was obtained in association with ultrasound guidance. A presumptive diagnosis of aneurysmal bone cyst (ABC) was made. Percutaneous sclerotherapy (PS) with ethanol 95 per cent was performed. Follow-up radiographic examinations showed progressive remodelling. Limb function was normal after 9 months. PS with ethanol was a safe alternative to conventional surgery for the treatment of an ABC in this case.

Medial malleolar osteotomy for intralesional curettage and bone grafting of primary aneurysmal bone cyst of the talus

2021 ◽  
Vol 14 (5) ◽  
pp. e242452
Author(s):  
Sujit Tripathy ◽  
Paulson Varghese ◽  
Sibasish Panigrahi ◽  
Lubaib Karaniveed Puthiyapura
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Cystic Lesion ◽  
Articular Surface ◽  
Weight Bearing ◽  
Bone Cyst ◽  
Lytic Lesion ◽  
Intralesional Curettage ◽  
Medial Malleolar Osteotomy ◽  
Fluid Levels

Access to the cystic lesion of the talar body without damage to the articular surface is difficult. This case report is about a 23-year-old man who had a symptomatic huge cystic lesion in the left-sided talus bone. Radiograph and CT scan showed an expansile lytic lesion within the talar body. The MRI revealed a well-defined lesion with fluid-fluid levels. The needle biopsy aspirate was haemorrhagic, and hence a diagnosis of the aneurysmal bone cyst was made. As the lesion was beneath the talar dome with an intact neck and head, a medial approach with medial malleolar osteotomy was performed. The lesion was curetted out, and the cavity was filled up with a morselised bone graft. The limb was splinted for 6 weeks, and complete weight bearing was started after 3 months. At 1-year follow-up, the lesion was found to be healed up, and the patient was pain-free with no recurrence.

scholarly journals Chondroblastoma: An Update

2017 ◽  
Vol 141 (6) ◽  
pp. 867-871 ◽  
Author(s):  
Wenqian Chen ◽  
Lisa M. DiFrancesco
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Cyst Formation ◽  
Giant Cells ◽  
Lytic Lesion ◽  
Primary Bone Tumor ◽  
Hemosiderin Deposition ◽  
Secondary Aneurysmal Bone Cyst ◽  
Primary Bone ◽  
Chondroblastic Osteosarcoma

Chondroblastoma is a rare primary bone tumor of young people that typically arises in the ends of the long bones. Radiologic investigations show a small, circumscribed, lytic lesion. The tumor is characterized histologically by the proliferation of chondroblasts along with areas of mature cartilage, giant cells, and occasionally, secondary aneurysmal bone cyst formation. Chondroblastoma, however, may also present with atypical features, such as prominent hemosiderin deposition, numerous giant cells, or the presence of a large aneurysmal bone cyst component. Malignant entities such as clear cell chondrosarcoma and chondroblastic osteosarcoma must also be considered. Recently, immunohistochemical stains such as DOG1 and SOX9 have been described in chondroblastoma, and K36M mutations in either the H3F3A or H3F3B genes have also been identified. While generally regarded as a benign entity, chondroblastoma manifests an intermediate type of behavior, given its ability to recur locally, and rarely, metastasize.

scholarly journals Pelvic Girdle Reconstruction Based on Spinal Fusion and Ischial Screw Fixation in a Case of Aneurysmal Bone Cyst

Sarcoma ◽  
2003 ◽  
Vol 7 (3-4) ◽  
pp. 177-182 ◽  
Author(s):  
Matthias Honl ◽  
Florian Westphal ◽  
Volker Carrero ◽  
Michael Morlock ◽  
Karsten Schwieger ◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Iliac Crest ◽  
Screw Fixation ◽  
Pelvic Ring ◽  
Bone Cyst ◽  
Pedicle Screws ◽  
Lytic Lesion ◽  
Titanium Plate ◽  
Lower Lumbar Spine ◽  
Lower Lumbar

A case of lytic lesion of the pelvis in a 23-year-old woman is presented. A biopsy led to the diagnosis aneurysmal bone cyst (ABC). Due to the histologically very aggressive growth of the tumor, a low malignant osteosarcoma could not be excluded. In an initial operation the tumour, affecting the sacrum, the iliac crest and the lower lumbar spine was resected. Temporary restabilisation of the pelvic ring was achieved by a titanium plate. The histological examination of the entire tumour confirmed the diagnosis ABC. After 6 months, the MRI showed no recurrence. The observed tilt of the spine to the operated side on the sacral base prompted a second surgical procedure: a transpedicular fixation of L5 and L4 was connected via bent titanium stems to the ischium, where the fixation was achieved by two screws. This construction allowed the correction of the base angle and yielded a stable closure of the pelvic ring. The patient has now been followed for 6 years: the bone grafts have been incorporated and, in spite of radiological signs of screw loosening in the ischium, the patient is fully rehabilitated and free of symptoms. Pedicle screws in the lower spine can be recommended for fixation of a pelvic ring discontinuity.

scholarly journals All-endoscopic management of benign bone lesions; a case series of 26 cases with minimum of 2 years follow-up

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 50 ◽  
Author(s):  
Hazem A. Farouk ◽  
Mostafa Saladin ◽  
Wessam Abu Senna ◽  
Walid Ebeid
Keyword(s):  
Proximal Femur ◽  
Aneurysmal Bone Cyst ◽  
Proximal Tibia ◽  
Bone Cyst ◽  
Oncologic Outcome ◽  
Functional Scores ◽  
Bony Lesions ◽  
Anatomic Locations ◽  
Endoscopic Curettage

Purpose: Assessment of the functional and oncologic outcomes regarding endoscopic curettage of different benign bone tumor types within variable anatomic locations. Patients and methods: During the period between February 2012 and December 2016, 26 patients with symptomatic intra-osseous benign bony lesions were included. The age ranged from 3 up to 49 years (mean 20), of 14 females and 12 males. The follow-up duration ranged from 26 up to 58 months (mean 41). Functional scoring was done according to the Revised Musculoskeletal Tumour Society Rating Scale. Anatomic locations of the lesions included: 6 cases in the proximal tibia, 6 cases in the distal femur, 4 cases in the calcaneus, 3 cases in the proximal humerus, 3 cases in the distal tibia, 2 cases in the talus, 1 case in the proximal femur, and 1 case in the distal fibula. The procedure used 4 mm 30° scope for endoscopy, and high speed burrs 3.5–5 mm for extended curettage. Autogenous bone grafting was done in 5 cases, and adjuvant material (polymethylmethacrylate) was needed in 7 cases. Results: After exclusion of one case that was lost in the follow-up, the remaining 25 cases showed full functional recovery at a period of 8–12 weeks, and improved mean functional scores from 20.2 to 28.6/30 post-operatively, with p value <0.001 which was considered as a statistically significant result. The oncologic outcome showed 24 cases with adequate healing, while 1 case developed recurrence (aneurysmal bone cyst in the proximal tibia) for which, an open revision surgery was performed. Intra-operative fracture occurred in another case with aneurysmal bone cyst of the proximal femur, which was fixed by flexible nails with complete healing. Conclusion: Endoscopic curettage of different types of intra-osseous benign bony lesions proved to be an effective treatment modality with promising oncologic outcome, improved functional scores, and fast functional recovery.

scholarly journals Reconstruction of Chest Wall by Cryopreserved Sternal Allograft after Resection of Aneurysmal Bone Cyst of Sternum

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Kambiz Sheikhy ◽  
Azizollah Abbasi Dezfouli ◽  
Farahnaz Sadegh Beigee
Keyword(s):  
Chest Wall ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Large Mass ◽  
Good Cosmetic Result ◽  
X Ray ◽  
Anterior Aspect ◽  
Good Cosmetic ◽  
Chest X Ray

A 20-year-old female was referred to our hospital due to deformity and bulging in anterior aspect of chest wall in sternal area. Chest X-ray and CT scan confirmed a large mass with destruction of sternum. Pathologic diagnosis after incisional biopsy was compatible with aneurysmal bone cyst. We resected sternum completely and reconstructed large anterior defect by a cryopreserved sternal allograft. In follow-up of patient there was no unstability of chest wall with good cosmetic result.

Aneurysmal Bone Cyst of the Larynx Presenting With Hypoglottic Obstruction

2001 ◽  
Vol 125 (5) ◽  
pp. 673-676
Author(s):  
Duilio Della Libera ◽  
Gillian Redlich ◽  
Lucia Bittesini ◽  
Giovanni Falconieri
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Radical Surgery ◽  
Bone Cyst ◽  
Giant Cells ◽  
Multinucleated Giant Cells ◽  
Review Of The Literature ◽  
Osteoid Tissue ◽  
Spindle Cells ◽  
Apparent Relationship

Abstract We report a new case of aneurysmal bone cyst of the larynx occurring in a 22-year-old man. The lesion manifested with progressive breathing discomfort and appeared as a polypoid pedunculated mass attached to the subglottic mucosa. Microscopically, it featured numerous mononuclear and multinucleated giant cells surrounding cavernous spaces filled with blood. Foci of proliferating spindle cells and mature osteoid tissue could be recognized. There was no apparent relationship with the cricoid perichondrium. Clinical follow-up was negative for local recurrence. Based on this report and a review of the literature, we conclude that aneurysmal bone cyst of the larynx is phenotypically comparable to its bone homologue; however, its microscopic recognition may be difficult, especially on small biopsy fragments. Since it can be confused with several lesions, including telangiectatic osteosarcoma, awareness of this rare appearance of aneurysmal bone cyst is important to avoid unnecessary radical surgery.

Solid aneurysmal bone cyst: follow-up of nine cases

2017 ◽  
Vol 52 (4) ◽  
pp. 257
Author(s):  
AwadAbdel-Moniem Rafalla ◽  
MohamedSamir Kasem
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst

scholarly journals Simple bone cyst in a 7-year-old child

2017 ◽  
Vol 65 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Heitor ALBERGONI DA SILVEIRA ◽  
Camila LOPES CARDOSO ◽  
Mariane PEXE ◽  
Rafael ZETEHAKU ARAUJO ◽  
Anthony BENITES CONDEZO ◽  
...  
Keyword(s):  
Clinical Case ◽  
Bone Cyst ◽  
Radiographic Examination ◽  
Simple Bone Cyst ◽  
Presumptive Diagnosis ◽  
Surgical Exploration ◽  
Tooth Roots ◽  
Expansive Lesion ◽  
Exploratory Surgery

ABSTRACT The simple bone cyst,or traumatic bone cyst, solitary or idiopathic bone cavity is an intraosseous pseudocyst discovered through a panoramic radiographic examination. Commonly, the SBC is presented as an asymptomatic lesion, radiolucent, unilocular, without cortical expansion, with margins adorning vital tooth roots of the affected region. The literature has recommended that clinical and radiographic aspects of simple bone cyst are quite convincing as to diagnosis, so follow-up through clinical and radiographic examination has been suggested. This case illustrates an exuberant clinical case of simple bone cyst, which was presented as multilocular and expansive lesion in a 7-year-old patient. Surgical exploration was performed because her parents were anxious about the presumptive diagnosis of other more aggressive lesions. The diagnosis of SBC was confirmed. The case was monitored and, after three years, total bone remodeling of the affected area was observed. In conclusion, asymptomatic radiolucent lesions that suggest a strong presumptive diagnosis of a simple bone cyst can be clinically and radiographically monitored. However, clinical variations, as in the present clinical case, require confirmation of the diagnosis, which is performed through exploratory surgery. The establishment of the diagnosis affords the safest approach for both the professional and the patient.

Metastatic Colon Cancer to the Hand

2006 ◽  
Vol 72 (1) ◽  
pp. 98-100 ◽  
Author(s):  
T. Clark Gamblin ◽  
Ricardo S. Santos ◽  
Mark Baratz ◽  
Rodney J. Landreneau
Keyword(s):  
Solitary Pulmonary Nodule ◽  
Index Finger ◽  
Colon Resection ◽  
Lytic Lesion ◽  
Metastatic Colon Cancer ◽  
Colonic Metastasis ◽  
Presumptive Diagnosis ◽  
Plain Films ◽  
Ray Amputation

A 72-year-old male presented with a painful index finger 18 months after sigmoid colon resection for T2 N1 adenocarcinoma. A presumptive diagnosis of gout was made but directed therapy failed to alleviate symptoms. A bone scan was positive for the index finger only and plain films demonstrated a lytic lesion of the distal phalanx. The patient underwent ray amputation of the involved digit and shortly later resection of a solitary pulmonary nodule consistent with colonic metastasis. At 18-month follow-up from these surgeries, the patient was doing well, without evidence of recurrent disease.

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