scholarly journals Foreign Body Granuloma: A Diagnosis Not to Forget

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
I. El Bouchti ◽  
F. Ait Essi ◽  
I. Abkari ◽  
M. Latifi ◽  
S. El Hassani
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Osteoid Osteoma ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Foreign Body Granuloma ◽  
Lytic Lesion ◽  
Acute Osteomyelitis ◽  
Penetrating Wounds

Penetrating wounds of the foot are not uncommon. Many are caused by thorns or by fragments of wood that are retained in the foot, creating a foreign-body granuloma. The differential diagnosis for bony reaction to an unrecognised organic foreign body includes osteoid osteoma, chronic and acute osteomyelitis, tuberculosis granuloma, bone cyst, aneurysmal bone cyst, cortical fibrous defect, and neoplasm. We report the case of a boy suffering from a thorn inducing a lytic lesion of the fifth metatarsal that demonstrates the diagnosis difficulties of foreign body granuloma.

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.

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 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.

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.

Aneurysmal bone cyst of the spine

2005 ◽  
Vol 119 (6) ◽  
pp. 495-497 ◽  
Author(s):  
C E B Giddings ◽  
D Bray ◽  
S Stapleton ◽  
H Daya
Keyword(s):  
Differential Diagnosis ◽  
Aneurysmal Bone Cyst ◽  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Treatment Modalities ◽  
Open Resection ◽  
Cervical Trauma ◽  
Radiographic Appearance ◽  
Posterior Triangle ◽  
History Of

The authors present the case of an 11-year-old boy with a painful, rapidly expanding lesion in the posterior triangle of the neck. There was no history of cervical trauma. Computerized tomography of the neck revealed a unicameral (single-chambered) aneurysmal bone cyst involving the C3 vertebra. Treatment was by open resection and curettage; no recurrence was seen at six months. We discuss the natural history, differential diagnosis, radiographic appearance and treatment modalities for this unusual, benign, expanding, osteolytic lesion containing blood-filled cystic cavities.

Mandibular aneurysmal bone cyst in a child misdiagnosed as acute osteomyelitis: a case report and a review of the literature

2010 ◽  
Vol 169 (8) ◽  
pp. 1037-1040 ◽  
Author(s):  
Christian Breuer ◽  
Hanna Paul ◽  
André Zimmermann ◽  
Stefan Braunstein ◽  
Jörg Schaper ◽  
...  
Keyword(s):  
Case Report ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Acute Osteomyelitis ◽  
Review Of The Literature

scholarly journals The transformation of aneurysmal bone cyst into telangiectatic osteosarcoma: the development of a second tumour or a wrong initial diagnosis?

2020 ◽  
Vol 19 (4) ◽  
pp. 150-157
Author(s):  
N. V. Zhukov ◽  
L. L. Kazakova
Keyword(s):  
Differential Diagnosis ◽  
Aneurysmal Bone Cyst ◽  
Clinical Case ◽  
Clinical Presentation ◽  
Bone Cyst ◽  
Initial Diagnosis ◽  
Modern Concept ◽  
Morphological Pattern ◽  
Treatment Approaches ◽  
Telangiectatic Osteosarcoma

Aneurysmal bone cyst (ABC) and telangiectatic osteosarcoma (TOS) share a lot of similarities in terms of the initial clinical presentation, the radiological semiotics and even the morphological pattern, however, they are completely different nosological entities requiring absolutely different treatment approaches. This article reports a clinical case of TOS of the femur which developed 1.5 years after the treatment of ABC of the same location and presents an analysis of literature on the differential diagnosis of these diseases, the modern concept of the pathogenesis of ABC and the possibility of the transformation of ABC into TOS. The patient's parents gave consent to the use of their child's data, including photographs, for research purposes and in publications.

scholarly journals A rare case report of aneurysmal bone cyst involving the roof of the orbit

2013 ◽  
Vol 02 (02) ◽  
pp. 203-206
Author(s):  
Chugh Ashish ◽  
Chaudhari Priyanka ◽  
Gandhi Bhooshan ◽  
Charandeep Gandhoke
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Visual Disturbance ◽  
Vascular Lesion ◽  
Lytic Lesion ◽  
Histopathological Diagnosis ◽  
Orbital Roof ◽  
Rare Case Report ◽  
The Right ◽  
Enhanced Computed Tomography

Abstract Aneurysmal bone cyst (ABC) is a benign, tumor like, multi-cystic vascular lesion that causes destruction of the cortical bone. It usually involves the metaphysis of long bones and spine (posterior elements). ABC arising in the orbit constitutes less than 0.25% of all reported cases. We report a 5-year-old girl who presented with painless right sided proptosis without any visual disturbance, which was gradual in onset. Contrast enhanced computed tomography and magnetic resonance imaging scans of the orbit were suggestive of an expansile bony lytic lesion in the roof of the right orbit. Frontal craniotomy followed by the supra-orbital osteotomy was carried out. The entire tumor-like mass was removed piece-meal. Histopathological diagnosis was “a solid variant of ABC of the orbital roof.” Post-operative course was satisfactory and the patients eye symptoms improved.

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