Solitary Bone Cyst of the Radius Containing Liesegang’s Rings

Kragel, Peter J.; Williams, J. Leon; Garvin, David F.; Goral, Antoni B.

doi:10.1093/ajcp/92.6.831

Cited by 5 publications

(5 citation statements)

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“…[2][3][4]9,12,[27][28][29]32,33,36 On immunohistochemistry there is no reliable marker for diagnosis of LR, but in some cases LR have contained calcium, hemosiderin, glycogen, acid mucopolysaccharide, and amyloid. 2,5,9,12,28,29,32,34,35 In conclusion, the present study describes a unique and previously unrecognized lesion showing the occurrence of LR deposition in the hepatobiliary tracts, which further formed a grossly visible mass resembling a hepatic tumor. To our knowledge this is the first report of LR affecting the biliary tracts.…”

Section: Discussionmentioning

confidence: 58%

“…To study the organs in which LR can be formed, we reviewed the English‐language literature regarding LR in a PubMed search encompassing the years 1987–2008. The results are summarized in Table 1 2–19,27–36 . As described here, LR were frequently seen in the kidney ( n = 25) and breast ( n = 22), followed by synovium ( n = 8), female genital tract ( n = 8), and eyelid and conjunctiva ( n = 4).…”

Section: Discussionmentioning

confidence: 69%

“…Occasionally, LR present as a tumor‐like mass, and in these instances clinical suspicion of malignancy can arise, as occurred in the present case 2–4,9,12,27–29,32,33,36 . On immunohistochemistry there is no reliable marker for diagnosis of LR, but in some cases LR have contained calcium, hemosiderin, glycogen, acid mucopolysaccharide, and amyloid 2,5,9,12,28,29,32,34,35 …”

Section: Discussionmentioning

confidence: 69%

“…The results are summarized in Table 1. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][27][28][29][30][31][32][33][34][35][36] As described here, LR were frequently seen in the kidney (n = 25) and breast (n = 22), followed by synovium (n = 8), female genital tract (n = 8), and eyelid and conjunctiva (n = 4). Notably, there was no report of LR in the hepatobiliary system.…”

Section: Discussionmentioning

confidence: 99%

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Biliary deposition of Liesegang rings presenting as a polypoid mass in the liver: Previously unrecognized lesion

Onodera

Sato²,

Ikeda³

et al. 2009

Pathology International

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Liesegang rings (LR) are acellular, laminated structures that may be deposited within and around cysts and inflamed or necrotic tissue. Previous reports have shown that the kidney and breast are commonly affected organs of LR. Herein is reported a rare case of biliary deposition of LR presenting as a tumor-like polypoid mass in the liver. A 70-year-old man was found to have a cystic lesion, measuring 3.0 cm in diameter, in the lateral segment of the liver. The lesion was accompanied by a solid mass, 1.8 cm in diameter, within the cystic cavity. Lateral segmentectomy of the liver was performed because clinical examinations could not exclude the possibility of hepatobiliary cystadenoma or cystadenocarcinoma. Pathology of the resected specimen indicated a soft polypoid mass, connecting to the cystically dilated bile duct with elongated stalk-like structures. Histologically the surface of the mass was covered by non-neoplastic biliary-type epithelium. Beneath the epithelium, extensive deposition of numerous ring-like laminated structures, which exhibited an identical appearance to LR, was observed. This is a unique and previously unrecognized lesion involving the occurrence of LR deposition in the hepatobiliary tracts, which further formed a grossly visible mass resembling a hepatic tumor.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Biliary deposition of Liesegang rings presenting as a polypoid mass in the liver: Previously unrecognized lesion

Onodera

Sato²,

Ikeda³

et al. 2009

Pathology International

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“…2,9 The reported case of Liesegang rings in a solitary bone cyst demonstrated positive staining for calcium with alizarin red. 4 One case also contained nonbirefringent calcium oxalate-like crystals. 1 In 3 cases, the structures were slightly birefringent (kidney, conjunctiva, and pleura).…”

Section: Discussionmentioning

confidence: 97%

Liesegang rings in a submental mass: Fine‐needle aspiration with histologic correlation

Pavot

Atkins

Powers

2001

Diagnostic Cytopathology

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Treatment of unicameral bone cyst: Systematic review and meta analysis

Kadhim

Thacker

Kadhim³

et al. 2014

Journal of Children's Orthopaedics

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PurposeDifferent treatment modalities have been utilized to treat unicameral bone cyst (UBC), but evidence has not been fully described to support one treatment over another and the optimal treatment is controversial. The aim of this quantitative systematic review was to assess the effectiveness of different UBC treatment modalities.MethodsWe utilized Pubmed to isolate retrospective studies on patients with UBC who received any kind of treatment. The included studies needed to have a minimum sample size of 15 patients, and have provided data on radiographic healing outcome.ResultsSixty-two articles were selected for the meta-analysis from a total of 463 articles. The cumulative sample size was 3,211 patients with 3,217 UBC, and male to female ratio was 2.2:1. The summary or pool estimate of methylprednisolone acetate (MPA) injection resulted in a healing rate of (77.4 %) that was comparable to bone marrow injection (77.9 %). A higher healing rate was observed with MPA injection when inner wall disruption was performed. The pool estimate of bone marrow with demineralized bone matrix injection was high (98.7 %). UBC healing rate after surgical curettage was comparable whether autograft or allograft was utilized (90 %). UBC treatment with flexible intramedullary nails without curettage provided almost 100% healing rate, while continuous decompression with cannulated screws provided 89 % healing rate. Conservative treatment indicated a healing rate of 64.2, 95 % CI (26.7–101.8).ConclusionsActive treatment for UBC provided variable healing rates and the outcomes were favorable relative to conservative treatment. Due to the heterogeneity of the studies and reporting bias, the interpretation of these findings should be handled with caution.

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Solitary Bone Cyst of the Radius Containing Liesegang’s Rings

Cited by 5 publications

References 1 publication

Biliary deposition of Liesegang rings presenting as a polypoid mass in the liver: Previously unrecognized lesion

Biliary deposition of Liesegang rings presenting as a polypoid mass in the liver: Previously unrecognized lesion

Liesegang rings in a submental mass: Fine‐needle aspiration with histologic correlation

Treatment of unicameral bone cyst: Systematic review and meta analysis

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