Radiology of Aneurysmal Bone Cyst at Uncommon Locations: Report of Two Cases

2016 ◽  
Vol 1 (2) ◽  
pp. 72-74
Author(s):  
Sagar Tyagi ◽  
Parveen Hans ◽  
Virinder Mohan
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Cystic Lesion ◽  
Bone Cyst ◽  
Transverse Process ◽  
Long Bones ◽  
Resonance Imaging ◽  
Benign Lesions ◽  
X Ray ◽  
The Subject

ABSTRACT Aneurysmal bone cyst is a cystic lesion that mimics a true neoplasm clinically and radiologically. They are most commonly located in the metaphysis of the long bones, and their occurrence in the calcaneum and transverse process of vertebra has rarely been reported. Aneurysmal bone cyst has various differential diagnoses and histopathology is needed to confirm the diagnosis. Although aggressive, these benign lesions require simple curettage and bone grafting. However, a recurrence rate of up to 59% is reported and needs continuous follow-up. Two cases of aneurysmal bone cyst diagnosed based on X-ray and magnetic resonance imaging in one of the cases and subsequent correlation with histopathology are reported in this communication. The literature on the subject is scanty and hence the report. How to cite this article Tyagi S, Hans P, Kumar H, Mohan V. Radiology of Aneurysmal Bone Cyst at Uncommon Locations: Report of Two Cases. Int J Adv Integ Med Sci 2016;1(2):72-74.

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 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.

scholarly journals Unicameral bone cyst in the pelvis: report of a case treated by placement of screws made from a composite of unsintered hydroxyapatite particles and poly-l-lactide

Rare Tumors ◽  
2019 ◽  
Vol 11 ◽  
pp. 203636131989507
Author(s):  
Akio Sakamoto ◽  
Takeshi Okamoto ◽  
Shuichi Matsuda
Keyword(s):  
Hip Joint ◽  
Bone Cyst ◽  
Adolescent Male ◽  
Unicameral Bone Cyst ◽  
Long Bones ◽  
Bone Cysts ◽  
Benign Lesions ◽  
Continuous Drainage ◽  
Recent Treatment

Unicameral bone cysts are fluid-filled benign lesions that occur mostly in the long bones. Unicameral bone cysts in the pelvis are extremely rare. Continuous decompression using titanium or hydroxyapatite screws has been reported as a treatment. Screws made from a composite of unsintered hydroxyapatite particles and poly-l-lactide can be used for the treatment. An adolescent male patient presented with a unicameral bone cyst in the ilium extending to a region adjacent to the hip joint. As initial treatment, the cortex was fenestrated when the patient was 13 years old and β-tricalcium phosphate implanted. The cyst first reoccurred when the patient was 15 years old and again when he was 17 years old. During the most recent treatment, unsintered hydroxyapatite particles and poly-l-lactide composite screws were placed, and no recurrence was observed during 2 years of follow-up. The slow biodegradability and absorbability of the screws may allow continuous drainage of unicameral bone cysts.

Aneurysmal Bone Cyst of the Odontoid Process: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 592-594 ◽  
Author(s):  
Bruce J. Andersen ◽  
Goldhagen Paul ◽  
David W. Cahill
Keyword(s):  
Case Report ◽  
Aneurysmal Bone Cyst ◽  
Vertebral Column ◽  
Bone Cyst ◽  
Odontoid Process ◽  
Long Bones ◽  
Bone Cysts ◽  
Benign Lesions ◽  
First Case ◽  
Aneurysmal Bone Cysts

Abstract Aneurysmal bone cysts (ABCs); are relatively uncommon, benign lesions. Fully 50% occur in long bones and 20% in the vertebral column, mostly in patients under 20 years of age. We report a case of an ABC in the odontoid process of a 74-year-old who sought treatment for pain and myelopathy. This is the first case reported of an ABC of the odontoid process.

scholarly journals Subperiosteal Aneurysmal Bone Cyst with Florid Ossification: A Rare Subtype

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Talal Ahmad ◽  
Rana Naous
Keyword(s):  
Soft Tissue ◽  
Literature Review ◽  
Aneurysmal Bone Cyst ◽  
Rare Case ◽  
Cystic Lesion ◽  
Bone Cyst ◽  
Malignant Neoplasms ◽  
Long Bones ◽  
Soft Tissue Involvement

Aneurysmal bone cyst (ABC) is a well-characterized benign cystic lesion of the bone with common localization to the medulla of the long bones. Rarely, ABCs may arise within the subperiosteal region, which can be diagnostically challenging for both the radiologist and pathologist due to their aggressive radiologic appearance thus mimicking other malignant neoplasms. Herein, we present a rare case of subperiosteal ABC with prominent soft tissue involvement and florid reactive periosteal ossification and provide a short literature review on subperiosteal ABCs.

Giant Intracranial Aneurysmal bone cyst: Case Report and literature Review

2020 ◽  
Vol 6 (5) ◽  
pp. 01-06
Author(s):  
Alejandro Vargas
Keyword(s):  
Visual Acuity ◽  
Aneurysmal Bone Cyst ◽  
Benign Lesion ◽  
Bone Cyst ◽  
Axial Skeleton ◽  
Long Bones ◽  
Frontal Lesion ◽  
Progressive Decrease ◽  
The Subject ◽  
Decrease In Visual Acuity

We present the case of a 13-year-old male patient with a two-month clinical picture of global headache and progressive decrease in visual acuity. Neuroimaging showed a well-defined giant left frontal lesion, hypointense in T1, with heterogenous signal in T2 and intense enhancement after gadolinium. The patient was treated with surgical resection and the lesion confirmed pathologically as Cavernous Hemangioma with focal component of aneurysmal bone cyst. The aneurysmal bone cyst is a benign lesion of rapid growth and very destructive, which commonly occurs in metaphysics of long bones or axial skeleton, requiring radical treatment. It was first described in 1942, as an injury that occurred mostly in people under 20 years of age with a peak between 12 and 13 years, but very rarely occurs in the head and neck, mostly involving the occipital bone. The case is presented below together with a review on the subject of Aneurysmal Bone Cyst, through databases such as EMBASE, PubMed and COCHRANE, selecting 70 articles that covered relevant aspects of its physiopathology, clinical and radiological manifestations and surgical approach.

scholarly journals Curettage through a wide cortical window for treatment of a primary aneurysmal bone cyst of the patella

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094791
Author(s):  
Jincai Zeng ◽  
Ming Zhou ◽  
Lihua Xu ◽  
Lifan Zhu ◽  
Zhanjun Yan ◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Grafting ◽  
Bone Cyst ◽  
Resonance Imaging ◽  
Previous Trauma ◽  
Cerclage Wiring ◽  
Grafting Through ◽  
Magnetic Resonance Imaging Mri ◽  
Fluid Levels

A 27-year-old man presented with intermittent right knee pain for 1 year with no previous trauma. Physical examination revealed only tenderness over the patella. Typical fluid–fluid levels were visible on magnetic resonance imaging (MRI), which highly suggested aneurysmal bone cyst (ABC) of the patella. After removal of a large window of thin cortical bone, curettage and bone grafting followed by cerclage wiring was performed. Histology confirmed the initial diagnosis of primary ABC of the patella. At the final follow-up visit at 71 months after surgery, the patient had normal joint activity with no pain or evidence of recurrence. Previous publications indicated patellectomy in the initial series, but curettage and bone grafting have more recently provided excellent results and good graft incorporation in most cases, even for aggressive lesions. In our patient, thorough curettage and bone grafting through a wide cortical window followed by cerclage wiring fixation and figure-eight sutures was a successful treatment option for primary ABC of the patella without articular disruption.

scholarly journals A Rare Case of Aneurysmal Bone Cyst – Navicular Bone Treated by Intralesional Sclerotherapy Agent Polidocanol

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kapil Bansal ◽  
Swarnesh Baskaran ◽  
Anshul Dahuja ◽  
Nikhil Gupta
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Surgical Excision ◽  
Navicular Bone ◽  
Rare Entity ◽  
Recurrence Rates ◽  
X Ray ◽  
Presenting Symptoms ◽  
Post Therapy

Introduction: Aneurysmal bone cyst (ABC) is an intraosseous arteriovenous malformation, usually treated by surgical excision but with higher recurrence rates. The occurrence of this lesion in navicular bone is a rare entity. Repetitive sclerotherapy using 3% polidocanol is a minimally invasive, safer method of treatment for ABCs. Methods: A patient of ABC of the navicular bone precisely diagnosed through X-ray, MRI, and biopsy was given periodic injections of 4 ml of 3% polidocanol under aseptic precautions from April 2018 to July 2018. A total of four injections given at an interval of 1 month. Results: Regular follow-up done for 1 year. At the end of all the four injections, the lesion healed completely with a relief in presenting symptoms. No complications were reported. At 3 months post-therapy, the patient was able to walk without pain. After 1 year of follow-up, the patient was symptom-free with no signs of recurrence. Conclusion: Surgical resection/curettage has higher chances of recurrence; therefore, usage of intralesional sclerotherapy agent polidocanol should be considered the treatment of choice in the lesions smaller than 5 cm. Keywords: Aneurysmal bone cyst, sclerotherapy, polidocanol.

scholarly journals Concomitant cemento-osseous dysplasia and aneurysmal bone cyst of the mandible: a rare case report with literature review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Han-Gyeol Yeom ◽  
Jung-Hoon Yoon
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Aneurysmal Bone Cyst ◽  
Cystic Lesion ◽  
Bone Cyst ◽  
Neck Region ◽  
Diagnostic Process ◽  
Simultaneous Occurrence ◽  
Head And Neck Region ◽  
Osseous Dysplasia

Abstract Background Concomitant cemento-osseous dysplasia (COD) and aneurysmal bone cyst (ABC) are rare in the head and neck region. In our search of the English language literature, we found only one case report describing the simultaneous occurrence of COD and ABC in the head and neck region. Here, we report a case of COD associated with ABC. Further, we performed a systematic search of the literature to identify studies on patients with COD associated with nonepithelial lined cysts of the jaws. Case presentation The patient was a 32-year-old woman who was referred from a private dental clinic because of a cystic lesion below the mandibular right first molar. She had no pain or significant systemic disease. After performing panoramic radiography and cone-beam computed tomography, the imaging diagnosis was COD with a cystic lesion, such as ABC or solitary bone cyst. Excisional biopsy was performed, which revealed concomitant COD and ABC. Conclusion This case of ABC associated with COD provides insight for the diagnostic process of radiographically mixed lesions with cystic changes.

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.

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