Clinicoradiological spectrum of primary aneurysmal bone cysts of the maxillofacial region: A series of 31 cases

Smit, Chané; Robinson, Liam; Tager, Elena Roman; Roza, Ana Luiza Oliveira Corrêa; Rocha, André Caroli; Santos‐Silva, Alan Roger; Vargas, Pablo Austin; Romañach, Mário José; Fonseca, Felipe Paiva; Carlos, Román; Heerden, W F van

doi:10.1259/dmfr.20220071

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…The cortical expansion was observed in 91% of cases, with loss of cortical integrity being common (78%). Therefore, primary ABC involving the maxillofacial region are extremely rare [19].…”

Section: Resultsmentioning

confidence: 99%

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

Vasconcelos¹,

Bannak²,

Naves³

et al. 2022

MedNEXT

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Introduction: Aneurysmal bone cysts (ABC) are pseudocysts expansive lesions. The World Health Organization (WHO) categorizes primary ABCs as cystic neoplasms that contain fibrous septa separating numerous blood-filled spaces. Approximately 70% of ABC cases are primary, while 30% are secondary. Objective: The present study aimed to carry out a concise systematic review of the main clinical findings of aneurysmal bone cysts, highlighting the incidence and prevalence, as well as the main forms of treatment. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The research was carried out from May 2022 to July 2022 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 143 articles were found. In total, 73 articles were evaluated and 10 were included and evaluated in the systematic review. The symmetric funnel plot does not suggest a risk of bias. After prospecting the main literary findings, it was generally evidenced that the aneurysmal bone cyst (ABC) is a rare lesion that is more frequently found in young adults and children. It may have unpredictable behavior, with a high recurrence rate after treatment. Standard treatment consists of curettage plus local adjuvants and bone grafting to fill the void. In anatomic sites with difficult surgical access, percutaneous procedures are used (injection of sclerosing agents, radiofrequency thermal ablation, or selective arterial embolization. Medical management with bisphosphonates or denosumab has also been advocated. Conclusion: Primary ABCs involving the maxillofacial region are extremely rare and even more in patients with advanced age. Next-generation sequencing confirmed the presence of a USP6-CDH11 fusion gene, consistent with classification as a primary aneurysmal bone cyst. Sclerotherapy provided an effective and minimally invasive treatment for aneurysmal bone cysts and is particularly useful for deep injuries, challenging surgical access, and potentially injurious vital structures.

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“…The cortical expansion was observed in 91% of cases, with loss of cortical integrity being common (78%). Therefore, primary ABC involving the maxillofacial region are extremely rare [19].…”

Section: Resultsmentioning

confidence: 99%

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

Vasconcelos¹,

Bannak²,

Naves³

et al. 2022

MedNEXT

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“…Aneurysmal bone cysts are extremely uncommon, having a frequency of about 1.4% (7) . The lengthy bones of the lower extremities are where they often develop.…”

Section: Discussionmentioning

confidence: 99%

Can Extended Curettage Alone Be Sufficient for Treating An Aneurysmal Bone Cyst in The Upper Extremity?

Ali¹,

Ellatif²,

Nagar³

2023

The Egyptian Journal of Hospital Medicine

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Background: Different treatment options for aneurysmal bone cysts (ABCs), which have a high risk of recurrence, are discussed. The choice of the treatment approach for patients with ABCs is based on the likelihood of recurrence and any potential side effects. Objective: This study aims to evaluate the outcome of extended curettage alone as a method of treatment for patients with ABCs of the upper extremity. Patients and Methods: From April 2013 to June 2021, 15 primary ABCs in the upper extremity (15 patients) were diagnosed and managed at the Orthopedic Oncology Unit, Zagazig University Hospital. The patients were 9 males and 6 females. The mean age was 13.2 ± 1.6 years (range, 7 years 5 months to 18 years 2 months). ABCs were present in the proximal humerus in 7 cases, distal humerus in 3 cases, radius in 3 cases, glenoid in one case, and distal phalanx of the thumb in one case. All patients were managed by extended curettage and followed up for at least one year. Results: All lesions healed after a mean period of 16 weeks (range 10-21 weeks). The time to healing was related to the age of patients, size, and behavior of the lesion. Superficial infection was seen in one patient and was managed conservatively. Recurrence developed in one patient at 9 months postoperatively and was managed by repeated extended curettage. There was only one patient who developed a shortening of the humerus of about 1.5 cm due to premature fusion of the proximal humeral epiphysis but without angular deformity. Conclusion: Extended curettage with high-speed burr is considered an effective technique in the management of ABCs in the upper extremity.

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Clinicoradiological spectrum of primary aneurysmal bone cysts of the maxillofacial region: A series of 31 cases

Cited by 2 publications

References 23 publications

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

Incidence and major clinical approaches of aneurismatic bone cysts: a concise systematic review

Can Extended Curettage Alone Be Sufficient for Treating An Aneurysmal Bone Cyst in The Upper Extremity?

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