Rare Lytic Lesions of the Talus: A Diagnostic Challenge

ABSTRACT Patients presenting with prolonged ankle pain following trivial trauma should be clinically and radiologically investigated. We present two young adults with incidentally diagnosed lytic lesion of talus. They underwent extended curettage and biopsy. Histopathological examination proved as aneurysmal and simple bone cyst and went for a secondary procedure of bone grafting. We want to emphasize the importance of differential diagnosis in the management of lytic lesions and complete removal of tumor. How to cite this article Senthil V, Pandey V, Acharya K. Rare Lytic Lesions of the Talus: A Diagnostic Challenge. J Foot Ankle Surg (Asia-Pacific) 2017;4(1):49-52.

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AN UNUSUAL PRESENTATION OF LANGERHANS CELL HISTIOCYTOSIS

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703620 ◽

2012 ◽

Vol 02 (04) ◽

pp. 77-79

Author(s):

Jayaprakash Shetty K. ◽

Ajith Kumar ◽

Shantharam Shetty ◽

Kishan Prasad H. L. ◽

Chandrika Rao

Keyword(s):

Langerhans Cell Histiocytosis ◽

Malignant Tumors ◽

Histopathological Examination ◽

Eosinophilic Granuloma ◽

Langerhans Cell ◽

Lytic Lesion ◽

Unknown Aetiology ◽

Diagnostic Challenge ◽

Osseous Involvement ◽

Common Manifestation

AbstractLangerhans cell histiocytosis most commonly occurring in children, demonstrates a broad spectrum of clinical and radiologic features that may mimic those of infection as well as benign and malignant tumors. Osseous involvement is the most common manifestation. Recognition of the skeletal alterations is important so that the disease is considered as differential diagnosis. This disease is of unknown aetiology, non-specific clinical and imaging findings with diagnosis possible only on histopathological examination, will always pose a diagnostic challenge to the orthopaedic surgeon. Here by we are reporting two cases of eosinophilic granuloma that has presented with lytic lesion in the tibia and scapula. The clinico-radiological suspicion was either infection or tumour of the affected bones. Hence, core biopsy was done confirmed as eosinophilic granuloma on histopathology and immunohistochemistry.

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A Lytic Lesion in Proximal Phalanx of Hand: A Case Report and Diagnostic Approach

Case Reports in Orthopedic Research ◽

10.1159/000516253 ◽

2021 ◽

pp. 145-151

Author(s):

Kalyan Deepak Sreenivas ◽

Sathyanarayanan Parthasarathy ◽

Akashdeep Ambikakumari Ajayakumar

Keyword(s):

Iliac Crest ◽

Bone Cyst ◽

Proximal Phalanx ◽

Percutaneous Biopsy ◽

Diagnostic Approach ◽

Lytic Lesion ◽

The Past ◽

Lytic Lesions ◽

Magnetic Resonance Imaging Mri ◽

Fluid Levels

Lytic lesions arising in the hand can be confused with an enchondroma. Enchondroma is the most common tumor of the hand and can present with varied features. It often requires only observation. A dilemma arises when surgically treatable lesions like aneurysmal bone cyst (ABC) present in uncommon locations like the hand. To diagnose a lytic lesion in the hand, percutaneous biopsy is commonly done. But, percutaneous biopsy is unnecessary in enchondroma and may not be useful in conditions like simple bone cyst and ABC. In such situations, magnetic resonance imaging (MRI) can differentiate between the most frequent benign lesions of the hand thereby reducing the need for invasive procedures. We present a 25-year-old lady who presented with a painless right index finger swelling for the past 6 months. Radiographs revealed a lytic expansile lesion in the proximal phalanx of the hand. MRI showed multiple fluid-fluid levels. Curettage and autologous iliac crest bone grafting was done. Histopathology confirmed the diagnosis of an ABC. The patient was followed up for 12 months without any recurrence. We briefly review the paucity of literature on the diagnostic approach to benign lytic lesions of the hand.

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Intraosseous lipoma - A rare cause of ‘cystic’ lesion of calcaneum

Journal of Pathology of Nepal ◽

10.3126/jpn.v6i12.16261 ◽

2016 ◽

Vol 6 (12) ◽

pp. 1040-1042

Author(s):

P Vijayan ◽

AM Babitha ◽

LM Ilias ◽

A Ponniah

Keyword(s):

Cystic Lesion ◽

Histopathological Examination ◽

Multimodality Imaging ◽

Bone Cyst ◽

Bone Lesions ◽

Diagnostic Challenge ◽

Recurrence Rates ◽

Intraosseous Lipoma ◽

Asymptomatic Patients ◽

Mri Features

Intraosseous lipoma is an uncommon benign bone neoplasm with most of them detected incidentally on multimodality imaging while being evaluated for an unrelated pathology. Long and cancellous bones are commonly involved. This lesion can present a diagnostic challenge to those uninitiated in its appearence because they can be often mistaken for other benign or malignant bone lesions such as enchondroma, fibrous dysplasia, osteoblastoma, bone infarct, bone cyst and chondrosarcoma. Here we report a case of symptomatic calcaneal lipoma in a 50 year old lady who presented with heel pain. Plain X-ray suggested cystic lesion of calcaneum. MRI revealed the presence of intralesional fat and histopathological examination confirmed the diagnosis. We present this report for its rarity and the clinching MRI features of this lesion, the excellent prognosis and near negligible recurrence rates, so that misdiagnosis leading to unnecessary workup, biopsy and treatment may be avoided, especially in asymptomatic patients.

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A large aneurysmal bone cyst of the rib

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492319834455 ◽

2019 ◽

Vol 27 (4) ◽

pp. 313-315

Author(s):

Vikas Kumar ◽

Rana Sandip Singh ◽

Sanjib Rawat ◽

Kirti Gupta ◽

Mayur Parikh

Keyword(s):

Aneurysmal Bone Cyst ◽

Benign Tumor ◽

Histopathological Examination ◽

Bone Cyst ◽

Young Patients ◽

Definitive Diagnosis ◽

Lytic Lesion ◽

Excellent Outcome ◽

Complete Surgical Resection ◽

Rare Benign Tumor

An aneurysmal bone cyst is a very rare benign tumor of the ribs. It mainly involves the long bones and vertebrae, and requires histopathological examination for definitive diagnosis. We present a case of large aneurysmal bone cyst of the left 6th rib in young adult male. The diagnosis of aneurysmal bone cyst should be kept in mind in young patients presenting with an expansile lytic lesion of the rib, because it has an excellent outcome after complete surgical resection.

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Primary telangiectatic osteosarcoma of the cervical spine

Journal of Neurosurgery Spine ◽

10.3171/2011.12.spine111037 ◽

2012 ◽

Vol 16 (4) ◽

pp. 373-378 ◽

Cited By ~ 4

Author(s):

Mazda K. Turel ◽

Vivek Joseph ◽

Vandita Singh ◽

Vinu Moses ◽

Vedantam Rajshekhar

Keyword(s):

Cervical Spine ◽

Aneurysmal Bone Cyst ◽

Histopathological Examination ◽

Bone Cyst ◽

Biological Behavior ◽

Adjuvant Radiation ◽

Diagnostic Challenge ◽

Telangiectatic Osteosarcoma ◽

History Of ◽

Glue Embolization

Telangiectatic osteosarcoma (TOS) is one of the 8 subtypes of osteosarcoma that infrequently affects the spine. The radiopathological features of TOS overlap with those of more benign entities, most commonly the aneurysmal bone cyst), and therefore is a significant diagnostic challenge. It is a rare but well-described entity in the thoracolumbar and sacral spine, and to the authors' knowledge has not been previously reported in the cervical spine. The authors report the case of a 15-year-old boy who presented with a 6-month history of neck pain and torticollis. He underwent preoperative glue embolization followed by a staged subtotal C-5 spondylectomy and posterior fusion for a C-5 vertebral body lytic expansile lesion. Histopathological examination showed the lesion to be TOS. The surgery was followed by adjuvant radiation and chemotherapy with a favorable outcome at the 1-year follow-up. This report reiterates that TOS is an important differential diagnosis for aneurysmal bone cyst and giant-cell tumor of the spine, as its biological behavior and clinical outcome differ from those of these more benign lesions, which it mimics.

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Analysis of the Fluid Contents of Simple Bone Cyst in the Mandible: Blood or Serum?

10.21203/rs.3.rs-763652/v1 ◽

2021 ◽

Author(s):

So-Young Choi ◽

Obida Boboeva ◽

Ji Yeon Ham ◽

Chang-Hyeon An ◽

Sung Tak Lee ◽

...

Keyword(s):

Statistical Analysis ◽

Histopathological Examination ◽

Bone Cyst ◽

Blood Components ◽

Simple Bone Cyst ◽

Laboratory Findings ◽

Paired Samples ◽

The Difference ◽

Anterior Mandible ◽

Serum Components

Abstract Description of the content of simple bone cyst (SBC) has been controversial. This study aimed to evaluate and give a clearer picture of the contents of the SBC cavity. Nineteen patients SBC confirmed by histopathological examination, between 2014 and 2016, were included in this study. The clinical, radiographic, surgical and laboratory findings of SBC cavity content was analyzed. For statistical analysis, paired samples t-test was used to evaluate the difference of components among cavity fluid, blood and serum. All 19 SBC cases radiographically and surgically revealed a fluid-filled cavity. The average age of the patients was 21.3±13.2 years. Any sex predominance was not found. SBCs were more often found in the anterior mandible site (n=12, 63.2%). All lesions were filled with clear straw-colored or low concentrated blood-colored flood. Although the laboratory analysis of the fluid showed components similar to those in blood and serum, the statistical analysis showed that the fluid components were not significantly different only for eosinophils (p = 0.43) and basophils (p = 0.06) counts as blood components, and sodium (p = 0.76), potassium (p = 0.08) and chloride (p = 0.13) concentration as serum components. Within a limitation of this study, the results shows that SBC is fluid-filled cavity and the cavity fluid is more likely similar to the serum rather than the blood regarding the internal components.

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SIMPLE BONE CYST OF THE MANDIBULAR RAMUS WITH ATYPICAL FEATURES. A CASE REPORT.

10.26226/morressier.578e3b4ed462b8029238217e ◽

2016 ◽

Author(s):

María del Carmen Navas - Aparicio

Keyword(s):

Case Report ◽

Bone Cyst ◽

Simple Bone Cyst ◽

Mandibular Ramus ◽

Atypical Features

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Simple bone cyst: Uncommon cyst of jaw

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i3.33714 ◽

2020 ◽

Vol 5 (3) ◽

pp. 1252-1254

Author(s):

Gopal Gurung ◽

Laxmi Prasad Chapagain ◽

Yagya Bahadur Rokaya

Keyword(s):

Orthodontic Treatment ◽

Bone Cyst ◽

Definitive Treatment ◽

Simple Bone Cyst ◽

Jaw Cysts ◽

Surgical Exploration ◽

X Ray ◽

Dental Examination ◽

Distal Surface ◽

Hollow Cavity

Simple bone cyst (SBC) of the jaws is uncommon, representing approximately 1% of all jaw cysts. It is often accidentally discovered on routine dental examination as it is asymptomatic in most of cases. In this report, we discuss a case of SBC in a 16 years old female who presented in our department for correction of her mal-aligned teeth. On routine x-ray for orthodontic treatment, a well defined, unilocular radiolucent area approximately 3x1cm in size with scalloped borders on the left body of mandible expanding from distal surface of 34 to distal surface of 37 was discovered. Surgical exploration was required for both diagnostic and definitive treatment. The operative finding was hollow cavity without any epithelial lining.

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