Secondary aneurysmal bone cyst with benign fibro-osseous lesions: Case report

Swed, Sarya; Kremesh, Mahmood Islam; Alshareef, Lamees; Katnaji, Jamal; Abd, Waleed; Ayoub, Kusay

doi:10.1016/j.amsu.2021.103024

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…Over the last years, a growing interest in percutaneous treatment for ABCs has been seen, ranging from percutaneous curettage techniques [ 21 ] to the wide array of injectable agents and embolizations [ 22 ]. The less invasive nature of percutaneous procedures combined with faster return to full weight bearing as described by van Geloven et al and the possibility for use in difficult to reach locations, explain its increasing popularity [ 23 ].…”

Section: Percutaneous Proceduresmentioning

confidence: 99%

“…Alisi et al discussed a percutaneous technique for curettage through a 1 cm incision [ 21 ]. With two size-16 jamshidi needles, all intracystic fluid was drained, after which surrounding metaphyseal bone was curetted with an angled curette or bent tip for an 5 mm Steinmann pin/5 mm drill bit, followed by cancellous bone cyst filling.…”

Section: Percutaneous Proceduresmentioning

confidence: 99%

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The treatment of aneurysmal bone cysts

Geloven

Sande²,

Heijden³

2022

Current Opinion in Pediatrics

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Purpose of reviewAneurysmal bone cysts are rare, locally aggressive bone tumors. Optimal treatment of ABCs is still matter of debate as therapies including sclerotherapy, selective arterial embolization and systemic treatment with denosumab are increasingly utilized, in addition to or instead of traditional curettage. The purpose of this review is to discuss current concepts and difficulties in diagnosing and treating primary ABCs, based on latest available literature.Recent findingsIn diagnostics, multiple new fusion partners of USP-6 have been described on next-generation sequencing specifically for primary ABCs. In a recent systematic review, failure rates of percutaneous injections and surgery were comparable. In a literature review, the use of denosumab seemed effective but resulted in multiple cases of severe hypercalcemia in children.SummaryAccurately diagnosing primary ABC is crucial for treatment decisions. Curettage remains a valid treatment option, especially with adjuvant burring, autogenous bone grafting and phenolization. Percutaneous sclerotherapy represents a solid alternative to surgery, with polidocanol showing good results in larger studies. Systematic therapy with denosumab exhibits favorable results but should be reserved in the pediatric population for unresectable lesions, as it may result in severe hypercalcemia in children. When selecting a treatment option, localization, stability and safety should be considered.

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Section: Percutaneous Proceduresmentioning

confidence: 99%

Section: Percutaneous Proceduresmentioning

confidence: 99%

The treatment of aneurysmal bone cysts

Geloven

Sande²,

Heijden³

2022

Current Opinion in Pediatrics

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“…ABC-like areas can be seen in benign and malignant bone tumors that have undergone hemorrhagic cystic change. 6 They were previously referred to as “secondary ABC.” They are formed by disruptions in the osseous circulation caused by the associated lesion. The most common lesions are giant cell tumor, chondroblastoma, osteoblastoma, osteosarcoma, chondromyxoid fibroma, and fibrous dysplasia.…”

mentioning

confidence: 99%

“…ABC-like areas can be seen in benign and malignant bone tumors that have undergone hemorrhagic cystic change. 6 They were previously referred to as "secondary ABC." They are formed by disruptions in the osseous circulation caused by the associated lesion.…”

mentioning

confidence: 99%

Solitary fibrous tumor with aneurysmal bone cyst–like change in the middle cranial fossa: illustrative case

Matsuhashi¹,

Yoshimoto

Yoshikawa³

2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Solitary fibrous tumor (SFT) is a rare mesenchymal tumor known for its propensity for recurrence and metastasis. Furthermore, aneurysmal bone cyst (ABC) is a benign osteolytic lesion. ABC-like areas can be seen in bone tumors that have undergone hemorrhagic cystic change. They are formed by disruptions in the osseous circulation caused by the associated lesion. The most common associated lesions are giant cell tumor, chondroblastoma, osteoblastoma, osteosarcoma, chondromyxoid fibroma, and fibrous dysplasia. There has been no reported case of SFT being the associated lesion. OBSERVATIONS A 42-year-old woman presented with a 6-month history of headache and impaired memory. Radiological examinations revealed a 50-mm cystic lesion with multiple fluid levels arising from the left temporal bone. Total resection of the tumor was conducted, and postoperative course was uneventful. Histopathological examination was consistent with SFT with ABC-like change. LESSONS This is the first documented case of SFT with ABC-like change in the cranial fossa. This should be considered a differential diagnosis when treating a lesion in the cranial fossa, such as in this case, to achieve complete resection of the tumor and have close follow-up postoperatively.

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Secondary aneurysmal bone cyst with benign fibro-osseous lesions: Case report

Cited by 2 publications

References 7 publications

The treatment of aneurysmal bone cysts

The treatment of aneurysmal bone cysts

Solitary fibrous tumor with aneurysmal bone cyst–like change in the middle cranial fossa: illustrative case

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