Aggressive development of an aneurysmal bone cyst of the proximal femur in a paediatric patient: a case report

Ulici, Alexandru; Sterian, Alin Gabriel; Tevanov, Iulia; Carp, Madalina; Dusca, Andrei; Cosma, Dan

doi:10.1177/0300060517722244

Cited by 10 publications

(20 citation statements)

References 26 publications

(39 reference statements)

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“…The most appropriate techniques for some of these tumors are curettage surgery and allograft implantation. However, the living quality of the recurred patients signi cantly reduced [10] .…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Aneurysmal Bone Cysts with Titanium Elastic Nails in Children

Wang¹,

Xing²,

Shen³

et al. 2020

Preprint

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Abstract Background: The main treatment method of the primary aneurysmal bone cyst (ABC) is to curettage and bone grafts with high-speed burring, radiotherapy, sclerotherapy, arterial embolism and hormone therapy can be used for the lesions whose location cannot be easily exposed by the surgery. Regardless of the method, high recurrence rates are a common problem. The purpose of this study was to evaluate retrospectively the use of titanium elastic nails as a internal fixation in the treatment of aneurysmal bone cysts in children.Methods: Children with histological primary aneurysmal bone cyst were evaluated between 2010 to 2017. The patients were divided into 2 groups according to the treatment plan. Patients in the study group operated with curettage and bone grafts with high-speed burring + internal fixation of titanium elastic nails (TEN), and patients in the control group operated with curettage and bone grafts with high-speed burring. The curative effect of the children in the 2 groups were analyzed statistically according to the imaging results (Neer grading) and MSTS functional evaluation.Results: A total of 26 ABC patients (mean 6.5 years at surgery; 21 males;5 female) met the inclusion criteria and were evaluated between 2010 to 2017 after a mean follow-up of 5.2 years (range, 2.5-8.4 years), 16 of which in the study group and 10 in the control group. 9 of the 26 patients recurred (3 cases study group；6 in the control group；). According to the imaging results (Neer grading) and MSTS function evaluation, there was statistically significant difference in the curative effect between the 2 groups (P＜0.05). The recurrence cases in the study group had a better MSTS functioncal recovery.Conclusion: The use of TEN can significantly improve the cure rate, reduce the recurrence rate and improve the quality of life for children with primary aneurysmal bone cyst.

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“…The most appropriate techniques for some of these tumors are curettage surgery and allograft implantation. However, the living quality of the recurred patients signi cantly reduced [10] .…”

Section: Discussionmentioning

confidence: 99%

“…Table 1 showed the speci c focus distribution. The content includes 16 cases of the study group and 10 cases of control group; the mean age for the patients of the 2 groups were 5.94 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) years old and 7.20…”

Section: General Datamentioning

confidence: 99%

Treatment of Aneurysmal Bone Cysts with Titanium Elastic Nails in Children

Wang¹,

Xing²,

Shen³

et al. 2020

Preprint

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“…13 Aneurysmal bone cysts do not have a specific predilection to the hip and pelvic region (7-9% in the proximal femur, 6% in the ilium, and 2% in the sacrum, pubis, and ischium). 1,4,[13][14][15][16][17][18][19][20][21][22][23][24][25] The imaging presentation is the same as elsewhere in the peripheral skeleton. The best diagnostic clue is the patient's age as well as the presence of an eccentric lytic lesion composed nearly entirely of fluid-fluid levels (notably, fluid-fluid levels are not pathognomic or obligatory; the neocortex can be extremely thin and hardly visible, and progression of this tumor can be very fast) (►Table 6).…”

Section: Aneurysmal Bone Cystmentioning

confidence: 99%

“…The differential diagnosis includes osteomyelitis, ES, neuroblastoma, metastasis, and lymphoma. 18,25,26 Miscellaneous Bone Islands (enostosis) are common incidental and asymptomatic findings, usually up to 2 cm in size (if larger, they are called giant enostosis). The pelvis and sacrum are common sites.…”

Section: Langerhans Cell Histiocytosismentioning

confidence: 99%

Hip and Pelvis Bone Tumors: Can You Make It Simple?

Afonso

Weber

Isaac

et al. 2019

Semin Musculoskelet Radiol

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Although it is possible for any osseous tumor or tumorlike lesion to occur in and around the hip and pelvis, there are preferential lesions. Most tumors share many imaging features with those arising elsewhere in the skeletal system, but some may show specific morphological and imaging features. Furthermore, specific criteria and rules of thumb are related to this anatomical area that radiologists should know, which together with the imaging findings and clinical context will lead to a more confident diagnosis.In this article we review the basic anatomical and imaging principles in the hip and pelvis and their diagnostic criteria, describe the most common regional benign and malignant bone tumors and pseudotumors, and highlight their main imaging features and common differential diagnosis while keep this article as relatively simple and straightforward as possible. Soft tissue tumors are beyond the scope of this article.

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“…[1][2][3] Although considered benign, radiologically it can be locally aggressive. 2,4 ABC can be either primary or secondary to other underlying pathologies which adds to the challenge in ABC diagnosis. [1][2][3] Several ABC treatment modalities had been utilized with variable risk of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Aggressive lytic lesion of lesser trochanter proximal femur in an eighteen year old male - A case report

Tomar¹,

Govil²,

Dhawan³

2020

IJOS

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Aneurysmal bone cyst (ABC) is an osteolytic benign tumour, which is usually situated in the metaphysis of long bones and mostly encountered in patients younger than 20 years old. Common treatment modalities include arterial embolization, curettage, intralesional injections and en-bloc resection with instrumentation. We present a case of an eighteen-year old male with an ABC involving lesser trochanter of left femur with impending pathological proximal femur fracture. We discuss treatment modalities and clinical outcome in our case.

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Aggressive development of an aneurysmal bone cyst of the proximal femur in a paediatric patient: a case report

Cited by 10 publications

References 26 publications

Treatment of Aneurysmal Bone Cysts with Titanium Elastic Nails in Children

Treatment of Aneurysmal Bone Cysts with Titanium Elastic Nails in Children

Hip and Pelvis Bone Tumors: Can You Make It Simple?

Aggressive lytic lesion of lesser trochanter proximal femur in an eighteen year old male - A case report

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