RECURRENCE OF ANEURYSMAL BONE CYST OF THE MANDIBLE: A CASE REPORT

Аneurysmal bone cysts are benign osteolytic lesions with rapid growth, thin walls containing numerous blood-filled cavities. They occur mainly in the pediatric population but are rarely diagnosed in the facial skeleton. Although benign, the condition can be locally aggressive and cause significant weakening of the affected bone structure. This case report presents a 14-year-old boy with Burkitt's tumor (Non-Hodgkin's lymphoma), previously diagnosed with an aneurysmal bone cyst a year ago. He was admitted for treatment at the Clinic of Maxillo-Facial Surgery of the University Hospital "St. George" Plovdiv due to pain and swelling in the left molar area of the mandibula, dating from 2 days. A recurrence of an aneurysmal bone cyst measuring 55/25 mm, which does not require resection of the mandible, was found. After a decision for surgical removal of the formation, under general anesthesia, and preparation of a three-cornered mucoperiosteal flap, the mandibular bone, which is lysed and thinned by the formation, was trepanned. The roots of the affected teeth were resected, and the formation was extirpated. A gauze drain was placed in the formed cavity, and the wound was sutured. Drug therapy included Cefotaxime 2x1.0 - 10 days, starting 3 days before surgery, and Paracetamol 2x1 – 3 days, 2 days before and 1 day after surgery. Prophylactic examinations were scheduled on day 3, 7, 10, 15 after the operation, as well as 3, 6, and 12 months post-op, due to the recurrent nature of the formation.

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The Aneurysmal Bone Cyst - A Case Report

Romanian Journal of Orthopaedic Surgery and Traumatology ◽

10.2478/rojost-2018-0067 ◽

2018 ◽

Vol 1 (Supplement) ◽

pp. 56

Author(s):

I. Petrescu ◽

A.M. Oproiu ◽

C. Tudorache ◽

A. Mitcan

Keyword(s):

Case Report ◽

Aneurysmal Bone Cyst ◽

Bone Structure ◽

Articular Surface ◽

Hand Function ◽

Bone Cyst ◽

Autologous Bone Graft ◽

Metacarpal Bone ◽

Reconstruction Method ◽

Left Hand

Abstract Introduction. The aneurysmal bone cyst is a benign bone tumor with a low incidence. Its presence within the bone of the hand is quite unusual. When it comes to its evolution, it is known to be an aggressive tumor with a progressive weakening of the bone structure. Objective. This case report aimed to present the importance of keeping the hand function intact for patients who are usually in their first decades of life. As a reconstruction method, a radical surgical approach and grafting are both mandatory for the unit to have the mobility unaltered. Material and methods. It is a case of a 15-year-old male with a giant aneurysmal bone cyst of the fifth metacarpal bone of the left hand. This tumor was surgically removed and the entire bone was rebuilt with an autologous bone graft from the iliac crest. The articular surface was preserved for the distal joint (the head of the metacarpal bone was spared). Results. The surgical procedure concluding the resection and immediate grafting reestablished the function of the hand with no infirmity, and the results for the past 7 years after surgery kept being negative for relapse and the patient had great mobility within the segment. Conclusions: The proper and correct surgical treatment of giant aneurysmal bone cyst located on the fifth metacarpal bone is the mandatory resection of the entire tumor for the high risk of pathological bone fracture with a severe impact on the mobility of the hand.

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Aneurysmal Bone Cyst of the Cervical Spine

Collegium Antropologicum ◽

10.5671/ca.44.3.8 ◽

2020 ◽

Vol 44 (3) ◽

pp. 159-163

Author(s):

Irina Bagić ◽

Dario Mužević ◽

Gordan Reljac ◽

Vjenceslav Vrtarić ◽

Marko Kovačević

Keyword(s):

Cervical Spine ◽

Surgical Resection ◽

Aneurysmal Bone Cyst ◽

Pediatric Population ◽

Bone Cyst ◽

Bone Lesion ◽

Postoperative Outcome ◽

Cervical Region ◽

High Recurrence Rate ◽

Surgical Removal

Aneurysmal bone cyst (ABC) is a non-neoplastic locally destructive primary bone lesion mostly occurring within the first two decades of life with female predominance. Cervical spine ABCs are a very rare clinical entity with particularly demanding surgical resection limited by the involvement of nearby neurovascular structures and a risk for cervical spine instability. We present a case of a 17-year-old patient with a symptomatic ABC of the cervical spine who underwent surgical removal of the osseous lesion with good postoperative outcome. There are different therapeutic strategies for ABC management, but complete surgical removal of the cyst remains one of the most important predictors of favorable outcome, although it can be often limited, especially in the cervical region. Previously described lesions have a very high recurrence rate and therefore different additional methods, such as radiotherapy, embolization and sclerosation have been used in addition to surgical resection. Further studies are necessary for development of evidence-based treatment regimens for cervical spine ABCs in pediatric population.

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Recurrent juvenile psammomatoid ossifying fibroma with secondary aneurysmal bone cyst of the maxilla: a case report and review of literature

Clinics and Practice ◽

10.4081/cp.2018.1085 ◽

2018 ◽

Author(s):

Sachin C. Sarode ◽

Gargi S. Sarode ◽

Yashwant Ingale ◽

Manjusha Ingale ◽

Barnali Majumdar ◽

...

Keyword(s):

Case Report ◽

Aneurysmal Bone Cyst ◽

English Literature ◽

Bone Cyst ◽

Growth Potential ◽

Ossifying Fibroma ◽

Surgical Removal ◽

Juvenile Ossifying Fibroma ◽

Secondary Aneurysmal Bone Cyst ◽

Psammomatoid Ossifying Fibroma

Juvenile ossifying fibroma is a benign fibro-osseous lesion commonly affecting the extra-gnathic craniofacial skeleton of the young individuals. The psammomatoid and trabecular variants are its two histopathological subtypes having distinctive clinico-pathological characteristics. Secondary aneurysmal bone cysts are frequently reported to arise in the pre-existing fibro-osseous lesions but rarely reported in the psammmomatoid variant of the juvenile ossifying fibroma. Such hybrid lesions, especially massive in size, tend to exhibit a greater aggressive growth potential and higher recurrence rate and mandate complete surgical removal of the lesion along with a long-term follow-up. The objective of this case report was to present a rare incident of recurrent psammomatoid ossifying fibroma associated with a secondary aneurysmal bone cyst in the maxillary jaw bone of a young patient and review the similar published reports in the English literature.

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A case report of aneurysmal bone cyst in involving occipital bone

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1974.10.2.242 ◽

1974 ◽

Vol 10 (2) ◽

pp. 242

Author(s):

HS Chang ◽

SY Yoo ◽

WH Lee ◽

MC Han

Keyword(s):

Case Report ◽

Aneurysmal Bone Cyst ◽

Bone Cyst ◽

Occipital Bone

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

BMC Oral Health ◽

10.1186/s12903-020-01264-7 ◽

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.

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