Aneurysmal Bone Cyst of the Ethmoid Presenting with Proptosis and Epiphora

Özdamar, Yasemin; Acaroğlu, Gölge; Saka, Cem; Kazanci, Burak

doi:10.3109/01676830903407076

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…2). 3,4,9,11–85 These case reports were published from years 1969 to 2018. Therefore, a total of 89 patients (81 cases from the literature search and 8 cases from the author's institution) met inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

Aneurysmal Bone Cysts of the Paranasal Sinuses: The Mayo Clinic Experience and Review of the Literature

et al. 2021

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Objective/Hypothesis Aneurysmal bone cysts (ABCs) are benign, lytic bone lesions, which rarely present in the paranasal sinuses. There is no published consensus on the appropriate diagnostic or treatment approach. Our objective was to elucidate the clinical behavior, treatment, and outcomes for patients with ABCs of the paranasal sinuses (psABCs). Study Design Retrospective case series and system review of the literature. Methods A retrospective chart review was performed to identify patients evaluated at the authors' institution with psABC and consolidated with literature reports of psABC. Results Eighty‐nine patients met inclusion criteria. The most common presenting symptom was painless facial swelling (n = 35, 39%). The ethmoid sinuses were the most common site involved (n = 55, 62%). Surgical approach was reported in 74 cases including 20 endoscopic and 54 with an open or combined approach. Fifty‐nine patients (71%) underwent gross total resection. Follow up data was reported for 67 patients. Fifteen patients (22%) were found to have recurrence or progression at follow up; 10/15 (66%) patients within the first 12 months, 14/15 (93%) within the first 24 months, and 1/15 (7%) greater than 24 months after treatment. Patients were more likely to have recurrence/progression if they presented with nasal discharge (P = .05), proptosis (P = .01), or orbital involvement (P = .03). Conclusions psABCs typically present with painless swelling or nasal obstruction. Orbital involvement is a negative prognostic indicator with these patients more likely to have recurrence after treatment. Recurrence or progression of disease is most likely to occur within 2 years after treatment. Therefore, patients should be monitored closely during this time. Level of Evidence 4 Laryngoscope, 131:E2525–E2533, 2021

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Section: Resultsmentioning

confidence: 99%

Aneurysmal Bone Cysts of the Paranasal Sinuses: The Mayo Clinic Experience and Review of the Literature

et al. 2021

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“…Their clinical presentation is associated with the site of the tumor and local symptoms that may arise. Only 6% of documented cases of ABCs are intracranial [4], such as a recently documented unusual case of an ABC arising from the ethmoid bone, presenting with proptosis and epiphora [8]. Rarer still are the intracranial, extraosseous ABCs of which only two documented cases have been found in the literature [2,3].…”

Section: Discussionmentioning

confidence: 96%

Intracranial, intradural aneurysmal bone cyst

2015

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“…Giant cell reparative granuloma, giant cell tumor, chondroblastoma, osteoblastoma, and combination of unicameral solitary bone cyst with post fracture changes are other more benign entities in the differential diagnosis of primary ABC. 14 Overall, immunohistochemistry is not helpful in the diagnosis of ABC. Fibroblasts are positive for vimentin.…”

Section: Discussionmentioning

confidence: 99%

“… 2 Lesions involving the skull are rare, comprising only 3 to 6% of all ABCs. 3 ABCs have been reported to involve both the neurocranium (ethmoidal and/or sphenoidal, 10 11 12 13 14 15 16 17 18 temporal, 19 20 21 22 23 24 25 26 27 28 29 30 occipital, 21 31 32 33 34 35 parietal, 36 37 frontal, 12 38 39 40 41 ) and viscerocranium (mandible, 42 maxilla, 43 and zygoma 44 ).…”

Section: Discussionmentioning

confidence: 99%

“…These can include anosmia, 10 12 visual deficits, 12 13 17 46 facial numbness, 30 ocular motility deficits and diplopia, 18 40 hearing loss, 19 23 30 facial weakness, 23 24 30 jugular foramen syndrome, 47 and ataxia. 33 ABCs may also present with symptoms and signs of elevated intracranial pressure, 21 23 48 spontaneous intracranial hemorrhage, 20 49 seizure, 29 50 obstructive hydrocephalus, 34 proptosis, 10 14 16 17 40 epistaxis and nasal obstruction, 11 12 15 17 otalgia, 30 otitis media, 24 and ear mass. 27 …”

Section: Discussionmentioning

confidence: 99%

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Giant Aneurysmal Bone Cyst of the Anterior Cranial Fossa and Paranasal Sinuses Presenting in Pregnancy: Case Report and Literature Review

et al. 2015

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Background and Purpose Aneurysmal bone cysts (ABCs) rarely involve the cranium and have seldom been reported in pregnancy. Clinical Presentation We describe a case of a 28-year-old woman who presented at 37 weeks of gestation with 3 months of gradually worsening vision, 10 months of proptosis, and restricted ocular motility on the left. Brain imaging revealed a multicystic enhancing mass measuring 5.9 × 5.3 × 3.7 cm, centered on the cribriform plate on the left, extending into the anterior cranial fossa superiorly as well as the left nasal cavity, maxillary, sphenoid, and frontal sinuses. Her clinical course is described in detail; 3-month postoperative imaging demonstrated no residual mass. Conclusion A literature review revealed five previous cases of ABCs associated with pregnancy. We report a rare case of a giant ABC of fibrous dysplasia involving the paranasal sinuses and anterior cranial fossa. We postulate on the possible influence of pregnancy on the clinical course.

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Aneurysmal Bone Cyst of the Ethmoid Presenting with Proptosis and Epiphora

Cited by 9 publications

References 11 publications

Aneurysmal Bone Cysts of the Paranasal Sinuses: The Mayo Clinic Experience and Review of the Literature

Aneurysmal Bone Cysts of the Paranasal Sinuses: The Mayo Clinic Experience and Review of the Literature

Intracranial, intradural aneurysmal bone cyst

Giant Aneurysmal Bone Cyst of the Anterior Cranial Fossa and Paranasal Sinuses Presenting in Pregnancy: Case Report and Literature Review

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