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.

scholarly journals New Bone Formation after Ligation of the External Carotid Artery and Resection of a Large Aneurysmal Bone Cyst of the Mandible with Reconstruction: A Case Report

2012 ◽  
Vol 5 (1) ◽  
pp. 59-63 ◽  
Author(s):  
Colin Perumal ◽  
Ashraf Mohamed ◽  
Avin Singh
Keyword(s):  
Carotid Artery ◽  
Aneurysmal Bone Cyst ◽  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Giant Cells ◽  
External Carotid Artery ◽  
Treatment Modalities ◽  
External Carotid ◽  
Immediate Reconstruction ◽  
Radiographic Findings

The aneurysmal bone cyst (ABC) is a benign cystic and expanding osteolytic lesion consisting of bone-filled spaces of variable size, separated by connective tissue containing trabeculae of bone or osteoid tissue and osteoclast giant cells. Radiographic findings may vary from unicystic or moth-eaten radiolucencies to extensive multilocular lesions with bilateral expansion and destruction of mandibular cortices. Treatment modalities include curettage (with reported recurrences) and resection with immediate reconstruction. The main arterial and feeder vessels may be embolized to prevent profuse intraoperative blood loss and achieve a bloodless surgical field. Failed embolization may necessitate ligation of the external carotid artery of the affected side.

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.

An Unusual Case of Aneurysmal Bone Cyst of Proximal Phalanx in a 2 Year Old Child

2020 ◽  
Vol 25 (01) ◽  
pp. 114-118
Author(s):  
Anoop C. Dhamangaonkar ◽  
Ashwin Sathe ◽  
Subhashis Banerjee
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Tertiary Care ◽  
Proximal Phalanx ◽  
Middle Finger ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Multiple Treatment ◽  
Aneurysmal Bone Cysts ◽  
Paediatric Age

Aneurysmal bone cysts associated with tubular bones of the hand are rare and even rarer in the paediatric age-group. They are rapidly growing, destructive benign bone tumors. Multiple treatment modalities for aneurysmal bone cyst have been reported in the literature, but controversy exists regarding optimal treatment. We report a case of aneurysmal bone cyst of proximal phalanx of middle finger in a 2 year old child treated at our tertiary care hospital. The diagnosis was confirmed with pre-operative MRI, FNAC and post-operative histopathology. Curettage of the lesion and autologous bone grafting was performed. The hand was immobilized in a short below elbow slab for 4 weeks followed by physiotherapy. Excellent radiological and functional outcomes were obtained with no recurrence at a 5 year of follow up.

scholarly journals Primary Aneurysmal Bone Cyst and Its Recent Treatment Options: A Comparative Review of 74 Cases

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2362
Author(s):  
Nils Deventer ◽  
Martin Schulze ◽  
Georg Gosheger ◽  
Marieke de Vaal ◽  
Niklas Deventer
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Treatment Modalities ◽  
En Bloc ◽  
Intralesional Curettage ◽  
Cyst Volume ◽  
Comparative Review ◽  
The Mean

(1) Background: An aneurysmal bone cyst (ABC) is a benign, locally aggressive tumor. Different treatment modalities are described in the literature i.e., en bloc resection, intralesional curettage and percutaneous sclerotherapy. (2) Methods: This single-center study is a review of 74 patients with primary ABCs who underwent a surgical treatment or polidocanol instillation. Cyst volume measurements using MRI and conventional radiographs are compared. (3) Results: The mean pre-interventional MRI-based cyst volume was 44.07 cm3 and the mean radiographic volume was 27.27 cm3. The recurrence rate after intralesional curettage with the need for further treatment was 38.2% (13/34). The instillation of polidocanol showed a significant reduction of the initial cyst volume (p < 0.001) but a persistent disease occurred in 29/32 cases (90.6%). In 10 of these 29 cases (34.5%) further treatment was necessary. After en bloc resection (eight cases) a local recurrence occurred in two cases (25%), in one case with the need for further treatment. (4) Conclusions: MRI scans are superior to biplanar radiographs in the examination of ABCs. Sequential percutaneous instillations of polidocanol are equally effective in the therapy of primary ABCs compared to intralesional curettage. However, several instillations have to be expected. In a considerable number of cases, a conversion to intralesional curettage or en bloc resection may be necessary.

ANEURYSMAL BONE CYST OF THE HAND: A REPORT OF FOUR CASES

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 35-41 ◽  
Author(s):  
Kerem Başarir ◽  
Yener Saǧlik ◽  
Yusuf Yildiz ◽  
Engyn Tezen
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Grafting ◽  
Bone Cyst ◽  
Local Therapy ◽  
Treatment Modalities ◽  
Bone Cysts ◽  
Total Excision ◽  
Benign Lesions ◽  
Recurrence Rates ◽  
Aneurysmal Bone Cysts

Aneurysmal bone cysts are benign lesions that rarely occur in the bones of the hand. Curettage and bone grafting are the most common treatment modalities performed considering the possible functional loss after total excision. Four cases of aneurysmal bone cyst of the hand were identified. Three out of four cases were treated initially with curettage and bone grafting alone without any other local therapy. One had total excision of the lesion. There were two recurrences in the curettage group. Both were treated with excision and followed up for a minimum of 12 months. Curettage alone was associated with high recurrence rates. Total excision of the lesion was the most successful procedure employed. In view of the high recurrence rates following curettage alone and non-neoplastic nature of the lesion, adjuvant treatment modalities such as cryosurgery, electric cauterisation should be considered for initial treatment of ABC. Resection should be preserved for recurrent cases.

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 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 Aneurysmal bone cyst of the frontal bone

2005 ◽  
Vol 62 (6) ◽  
pp. 491-494
Author(s):  
Predrag Peric ◽  
Branislav Antic ◽  
Olga Radic-Tasic
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Osteolytic Lesion ◽  
Bone Cyst ◽  
Bone Lesion ◽  
Frontal Bone ◽  
Skull Bone ◽  
Blunt Head Trauma ◽  
Nosological Entity ◽  
Skull Bone Defect ◽  
The Right

Background. Aneurysmal bone cyst (ABC) is a benign, expansive, osteolytic lesion that mainly occurs in young people, and involves the skull bones only exceptionally. The origin of ABC is controversial: secondary reactive bone lesion, or primary disease that represents an independent nosological entity. Blunt head trauma was suggested as a possible etiological factor. Case report. A case of a 19-year old man with primary ABC of the right frontal bone was reported. The lesion was totally excised through frontal craniotomy, and the skull bone defect primarily reconstructed with an acrilate cranioplasty. Five years after the surgery, the patient was without signs of local recurrence. Conclusion. Clinical and neuroradiological presentation of the skull ABC was not specific. Pathohistology confirmed the diagnosis. Total excision was the treatment of choice.

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