scholarly journals Aneurysmal Bone Cyst Involving the Pisiform: A Case Report

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP55-NP57
Author(s):  
Eduardo P. Zancolli ◽  
John M. Ranson ◽  
Sunil M. Thirkannad
Keyword(s):  
Bone Cyst ◽  
Pathologic Fracture ◽  
Surgical Excision ◽  
Subsequent Treatment ◽  
Uneventful Recovery ◽  
Bone Cysts ◽  
Primary Bone Tumors ◽  
Ulnar Nerve Compression ◽  
Left Hand ◽  
Aneurysmal Bone Cysts

Background: Aneurysmal bone cysts are an uncommon form of benign primary bone tumors; affection of the hand is very rare. Methods: A rigorous review of the literature showed that this type of tumor has not previously been described in the pisiform. In this article, we report the occurrence of an aneurysmal bone tumor in the pisiform of the left hand of a 19-year-old male. Results: This tumor was successfully treated through surgical excision with an uneventful recovery. We describe the process behind the diagnosis of the lesion and the subsequent treatment in an attempt to highlight the rare but possible occurrence of aneurysmal bone cysts in the pisiform. Conclusion: Appropriate treatment of aneurysmal bone cysts in this location is required, due to the anatomical nature of the pisiform itself with the risks of pathologic fracture and ulnar nerve compression.

Reconstruction of C-1 lateral mass with titanium mesh cage after resection of an aneurysmal bone cyst of the atlas

2009 ◽  
Vol 10 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Vincent Y. Wang ◽  
Vedat Deviren ◽  
Christopher P. Ames
Keyword(s):  
Bone Cyst ◽  
Benign Tumors ◽  
Bone Cysts ◽  
Lateral Mass ◽  
Titanium Mesh ◽  
Titanium Mesh Cage ◽  
Primary Bone Tumors ◽  
Aneurysmal Bone Cysts ◽  
Mesh Cage ◽  
Primary Bone

Aneurysmal bone cysts (ABCs) are rare benign tumors with a prevalence of 0.14 cases per 100,000 people. A majority of cases arise during adolescence, and there is a female predominance. This lesion accounts for 1.4% of all primary bone tumors. Aneurysmal bone cysts occur mainly in the long bones, with spinal involvement in 10–30% of cases. Cervical spine ABCs account for about one-third of spinal ABCs, and atlas involvement occurs in 1% of cases. Resection of ABCs at the atlas is difficult because of the location and the lack of proper instrumentation for reconstruction of C-1. The authors present a case of an ABC at C-1 in a child who underwent resection of the lesion and reconstruction of the lateral mass with a titanium mesh cage.

scholarly journals Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report

2021 ◽  
Vol 5 (2) ◽  
pp. 10-14
Author(s):  
João Soares do Vale ◽  
◽  
Sara Diniz ◽  
Filipe Rodrigues ◽  
◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Tumors ◽  
Bone Cyst ◽  
Bone Cysts ◽  
Chondromyxoid Fibroma ◽  
Primary Bone Tumors ◽  
Rare Association ◽  
Cartilaginous Tumor ◽  
Aneurysmal Bone Cysts ◽  
Primary Bone

Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus

Pediatric aneurysmal bone cyst of the distal tibia

1997 ◽  
Vol 87 (3) ◽  
pp. 136-140 ◽  
Author(s):  
LR Goss ◽  
JH Walter
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Distal Tibia ◽  
Pathologic Fracture ◽  
Bone Cysts ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Aneurysmal Bone Cysts

A rare, large pediatric aneurysmal bone cyst with pathologic fracture of the distal tibia of a 4-year-old female was presented. Classic radiographic and magnetic resonance imaging findings have been discussed. In a comprehensive review of the literature, aneurysmal bone cysts are an infrequently reported neoplasm of the foot and ankle bones. Lesions are characteristically seen in patients younger than 20 years of age, but rarely younger than 5 years. The benign cyst has a 2:1 female-to male predilection. In long bones, the lesion is typically metaphyseal in nature. Although the pathogenesis is still unknown, there exists the possibility of two types of aneurysmal bone cysts: a primary type without preexisting lesion and a secondary form associated with some other lesion. The diagnosis of aneurysmal bone cyst can be strongly suspected by correlating the radiographic and magnetic resonance imaging findings. For definitive diagnosis, accurate histologic evaluation is imperative to rule out any confusion or possibility with a malignant tumor.

scholarly journals Treatment of Aneurysmal Bone Cysts with Bioactive Glass in Children

2017 ◽  
Vol 107 (1) ◽  
pp. 76-81 ◽  
Author(s):  
J. Syvänen ◽  
Y. Nietosvaara ◽  
I. Kohonen ◽  
E. Koskimies ◽  
M. Haara ◽  
...  
Keyword(s):  
Bioactive Glass ◽  
Aneurysmal Bone Cyst ◽  
Bone Growth ◽  
Bone Cyst ◽  
High Recurrence Rate ◽  
Filling Material ◽  
Bone Cysts ◽  
Primary Bone Tumors ◽  
Primary Surgery ◽  
Aneurysmal Bone Cysts

Background and Aims: Aneurysmal bone cysts represent about 1% of primary bone tumors. The standard treatment is curettage, followed by local adjuvant treatments and bone grafting. The problem is the high recurrence rate. The purpose of this study was to evaluate retrospectively the use of bioactive glass as a filling material in the treatment of aneurysmatic bone cysts in children. Material and Methods: A total of 18 consecutive children (mean 11.3 years at surgery; 10 males; 11 lower, 6 upper limb, 1 pelvis; 15 with primary surgery) with histologically proven primary aneurysmal bone cysts operated with curettage and bioactive glass filling between 2008 and 2013 were evaluated after a mean follow-up of 2.0 years (range, 0.7–5.1 years). Results: Two (11%) patients showed evidence of aneurysmal bone cyst recurrence and both have been re-operated for recurrence. Bone remodeling was noted in all patients with remaining growth and no growth plate disturbances were recorded. Two patients needed allogeneic blood transfusion. No intraoperative or postoperative complications were recorded. Conclusion: We conclude that bioactive glass is a suitable filling material for children with primary aneurysmal bone cyst. Bioactive glass did not affect bone growth and no side effects were reported.

Aneurysmal Bone Cyst: A Review of 150 Patients

2005 ◽  
Vol 23 (27) ◽  
pp. 6756-6762 ◽  
Author(s):  
Henry J. Mankin ◽  
Francis J. Hornicek ◽  
Eduardo Ortiz-Cruz ◽  
Jorge Villafuerte ◽  
Mark C. Gebhardt
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Local Recurrence Rate ◽  
Bone Cyst ◽  
Secondary Development ◽  
Bone Cysts ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Treatment Protocols ◽  
Imaging Appearance ◽  
Aneurysmal Bone Cysts

PurposeWe have reviewed a series of 150 aneurysmal bone cysts treated over the last 20 years.Patients and MethodsThe lesions were principally located in the tibia, femur, pelvis, humerus, and spine and, in most cases, presented the imaging appearance originally described by Jaffe and Lichtenstein as a blowout with thin cortices.ResultsOnly one of the patients was believed to have an osteoblastoma of the spine with secondary development of an aneurysmal bone cyst, and none of the patients developed additional lesions. The patients were treated primarily with curettage and implantation of allograft chips or polymethylmethacrylate, but some patients were treated with insertion of autografts or allografts. The local recurrence rate was 20%, which is consistent with that reported by other centers.ConclusionAneurysmal bone cysts are enigmatic lesions of unknown cause and presentation and are difficult to distinguish from other lesions. Overall, the treatment is satisfactory, but it is possible that newer approaches, such as improved magnetic resonance imaging studies, may help diagnose the lesions and allow the physicians to plan for more effective treatment protocols.

scholarly journals Scintigraphy Peculiarities of Bone Solitary Cyst in Children and Adolescents

2004 ◽  
Vol 11 (2) ◽  
pp. 69-73
Author(s):  
A P Bergaliev ◽  
A P Pozdeev ◽  
A N Bergaliev ◽  
A P Pozdeev
Keyword(s):  
Children And Adolescents ◽  
Bone Tissue ◽  
Functional Activity ◽  
Blood Circulation ◽  
Bone Cyst ◽  
Pathologic Fracture ◽  
Bone Cysts ◽  
Solitary Bone Cyst ◽  
Cyst Recurrence ◽  
Typical Picture

Study of blood circulation intensity and bone tissue functional activity was performed in 81 children bone cysts (including 10 children with cyst recurrence) using polyphasic scintigraphy. Most typical picture in presence or absence of pathologic fracture as well as in pathologic recurrence is described. Interrelation between the fracture and rate of cyst recurrence is detected. Scintigraphic criterion for prognosing of solitary bone cyst recurrence is suggested.

Recent Trends in the Management of Aneurysmal Bone Cyst

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rafeek Ahmed Sadek ◽  
Ashraf Mohamed El Seddawy ◽  
Hussein Mohamed Ahmed Gomaa
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Healing Rate ◽  
Bone Cyst ◽  
Case Series ◽  
Treatment Modalities ◽  
Thin Wall ◽  
Bone Cysts ◽  
Large Hole ◽  
Aneurysmal Bone Cysts ◽  
Complications Rate

Abstract Background Aneurysmal bone cysts (ABCs), were first described by Drs. Jaffe and Lichenstein in 1942 when they described pelvic and spine lesions that when exposing the lesion and opening in to its thin wall, the surgeon was immediately confronted by a large hole containing much fluid blood. Aim of the Work To describe the efficacy of new line treatment modalities of (Aneurysmal Bone Cysts) compared to conventional lines of management regarding the: • Long term outcomes and healing rate. • Recurrence rates. • Complications after therapy. Patients and Methods Criteria for considering studies for this review: • Types of the studies: published observational analytical studies (case-control_ case-series _ RCT or cohort studies) which studied the efficiency of new lines in the management of aneurysmal bone cyst. • Types of participants: participants were children and young age (below the age of 50 yrs) with a diagnosis of aneurysmal bone cyst. • Types of interventions: drugs like (Bisphosphonate or denosumab) were administered for a time determined by the case improvement, or minimally invasive techniques like (cryosurgery or curopsy) was done. Results Through the results of our study that compared between these recent modalities according to healing, recurrence, and complications rate; we are able to say that recent strategies have a high rate of healing ranges from 78.57% with bisphosphonate to 100% with doxycycline and cryotherapy. Conclusion There are recent evolving trends in the management of ABC other than the classic ways of management, they are less invasive, have less recurrence rate reaches to 0 % like with bisphosphonate, less complications rate as well reaches to 0 % like with doxycycline and bisphosphonate, high healing rate reaches to 100 % like with doxycycline and taking in consideration how to handle cases of ABC that classic way of management can’t handle like spinal ABC.

scholarly journals Aneurysmal bone cyst in thoracolumbar spine

2020 ◽  
Vol 6 (3) ◽  
pp. 20190133
Author(s):  
Alex Kiu ◽  
Tiffany Fung ◽  
Pranav Chowdhary ◽  
Sungmi Jung ◽  
Tom Powell ◽  
...  
Keyword(s):  
Treatment Options ◽  
Bone Cyst ◽  
Thoracolumbar Spine ◽  
Cord Compression ◽  
Central Canal ◽  
Neurological Deficits ◽  
Primary Bone Tumors ◽  
Canal Stenosis ◽  
Aneurysmal Bone Cysts ◽  
Primary Bone

Aneurysmal bone cysts (ABC) are rare, benign primary bone tumors. Although benign, they can be locally aggressive resulting in erosion of bone and surrounding tissues over time. In later stages, depending on the clinical urgency, immunotherapy or surgical resection remain treatment options. This report illustrates a case of a 32-year-old female who presented with chronic worsening low back pain without neurological deficits. Radiological imaging revealed a large destructive mass arising from the thoracic spine invading into the central canal, causing critical central stenosis and cord compression. Histopathology revealed ABC. This case highlights the importance of including ABCs and other ‘benign’/locally aggressive lesions in the differential of patients with insidious musculoskeletal complaints. This case also demonstrates that one can be neurologically asymptomatic despite having critical central canal stenosis and cord compression if the causative lesion is slow growing. Understanding this allows us to arrange for most appropriate management.

scholarly journals Current strategies for the treatment of aneurysmal bone cysts

2015 ◽  
Vol 7 (4) ◽  
Author(s):  
Panagiotis Tsagozis ◽  
Otte Brosjö
Keyword(s):  
Open Surgery ◽  
Early Adulthood ◽  
Surgical Excision ◽  
Functional Results ◽  
Treatment Modalities ◽  
Bone Cysts ◽  
Invasive Treatment ◽  
Non Invasive ◽  
Aneurysmal Bone Cysts ◽  
Good Local Control

Aneurysmal bone cysts are benign bone tumors that usually present in childhood and early adulthood. They usually manifest as expansile osteolytic lesions with a varying potential to be locally aggressive. Since their first description in 1942, a variety of treatment methods has been proposed. Traditionally, these tumors were treated with open surgery. Either intralesional surgical procedures or <em>en</em> <em>bloc</em> excisions have been described. Furthermore, a variety of chemical or physical adjuvants has been utilized in order to reduce the risk for local recurrence after excision. Currently, there is a shift to more minimally invasive procedures in order to avoid the complications of open surgical excision. Good results have been reported during percutaneous surgery, or the use of embolization. Recently, sclerotherapy has emerged as a promising treatment, showing effective consolidation of the lesions and functional results that appear to be superior to the ones of open surgery. Lastly, non-invasive treatment, such as pharmaceutical intervention with denosumab or bisphosphonates has been reported to be effective in the management of the disease. Radiotherapy has also been shown to confer good local control, either alone or in conjunction to other treatment modalities, but is associated with serious adverse effects. Here, we review the current literature on the methods of treatment of aneurysmal bone cysts. The indication for each type of treatment along reported outcome of the intervention, as well as potential complications are systematically presented. Our review aims to increase awareness of the different treatment modalities and facilitate decision-making regarding each individual patient.

Aneurysmal Bone Cysts of the Jaws

1994 ◽  
Vol 103 (2) ◽  
pp. 164-165 ◽  
Author(s):  
Matthew Kershisnik ◽  
John G. Batsakis
Keyword(s):  
Surgical Excision ◽  
Bone Cysts ◽  
Recurrence Rates ◽  
Osseous Lesion ◽  
Aneurysmal Bone Cysts

Aneurysmal bone cysts of the jaws are histologically the same as those found in the more usual appendicular sites for this lesion. They may be primary or secondary (associated with another definable osseous lesion) and have a 2:1 or 3:1 predilection for the mandible over the maxilla. Curettage is associated with relatively high recurrence rates, while surgical excision, with negative margins, of primary lesions markedly reduces this incidence.

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