1,632 results match your criteria: "Aneurysmal Bone Cyst Imaging"

A boy in middle childhood presented with complaints of swelling and pain in his right forearm for 4 months. He had previously undergone left above-elbow amputation due to a suspected malignant tumour in that arm. Radiological imaging revealed a locally aggressive bone tumour of the right distal radius.

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  • * After surgery, the cyst came back aggressively, prompting further intervention.
  • * The recurrence was effectively treated using percutaneous doxycycline sclerotherapy, which is considered a low-risk option for such cases.
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  • The study examines the clinical and surgical management of aneurysmal bone cysts (ABCs) in the temporal bone, analyzing six case studies treated between 2017 and 2024 at a tertiary care institution.
  • Key findings indicate that the average patient age was 27.5 years, with symptoms like scalp swelling and hearing impairment, and successful surgeries resulted in no recurrences during a follow-up period.
  • The research concludes that complete surgical removal is the best treatment for temporal bone ABCs, stressing the importance of the tumor's stage and the extent of resection in determining patient outcomes.
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Background: Aneurysmal bone cysts (ABCs) are rare, benign, yet locally aggressive lesions that contain blood-filled channels that rarely occur in the thoracic spine of adults. The literature on the treatment of spinal ABCs is sparse, but the consensus is to achieve gross-total resection (GTR) due to these lesions being locally aggressive and to prevent recurrence.

Observations: This report describes a 35-year-old female admitted with back pain and right T5 dermatome radiculopathy without any inciting events.

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  • Chondroblastoma is a rare, benign tumor that originates from immature chondrocytes, often found in long bone epiphyses, but its occurrence in the skull is very uncommon.
  • A 10-year-old girl experienced dizziness, occipital pain, and a notable mass, leading to the discovery of an osteolytic lesion in her occipital bone, which was combined with a secondary aneurysmal bone cyst.
  • After surgery to remove the tumor, the patient had no neurological issues or complications, and follow-up MRI scans showed no signs of recurrence, highlighting the need for prompt surgical treatment in similar pediatric cases.
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  • * A thorough review analyzed 390 studies, ultimately focusing on 29 involving 67 patients, revealing that denosumab was primarily used for ABC treatment with positive clinical and radiological results, although some patients experienced tumor recurrences.
  • * Adverse effects were noted, particularly in children, including hypocalcemia and hypercalcemia, highlighting the need for careful patient monitoring and longer follow-up periods; further clinical trials are recommended to solidify these findings.
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Osseous metastatic disease is commonly encountered in breast carcinoma, which typically presents as either osteolytic, osteoblastic, or mixed lesions on imaging. Osseous metastasis presenting as a multiloculated cystic lesion with fluid-fluid levels resembling that of an aneurysmal bone cyst (ABC) is sparsely described in the literature, and even less so in the case of breast carcinoma. We report an unusual case of fluid-fluid levels in a bone metastasis to the spine in a 66-year-old female with a prior history of breast carcinoma.

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  • Aneurysmal bone cysts (ABCs) are benign but locally aggressive tumors commonly found in the metaphysis of long bones, particularly in children.
  • A 10-year-old girl with recurring shoulder discomfort was diagnosed with an ABC in her proximal humerus and treated with polidocanol sclerotherapy, resulting in significant symptom improvement without complications.
  • After two years of follow-up, the patient showed continued improvement with no signs of cyst recurrence, indicating that percutaneous sclerotherapy can effectively treat ABCs.
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  • - Aneurysmal bone cysts are non-cancerous bone lesions that are highly vascular and can be destructive and expanding.
  • - They primarily occur in young individuals, especially during their teenage years, with a slight increase in frequency among females.
  • - These cysts make up about 1% of all bone tumors, most commonly appearing in long bones, while the spine is less frequently involved.
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  • Primary leiomyosarcoma of the bone (LMSB) is a rare and aggressive cancer with limited treatment options, often leading to diagnostic challenges due to its similar features to more common tumors.
  • A 20-year-old female was diagnosed with LMSB after an initial biopsy mistakenly identified it as a giant cell tumor with aneurysmal bone cyst-like changes. Further examination confirmed the correct diagnosis.
  • The patient underwent wide excision of the tumor and received chemoradiation therapy, resulting in complete removal of the mass and improvement of symptoms without any relapses, highlighting the importance of accurate diagnosis.
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  • * This report discusses three pediatric cases where mandibular ABCs were effectively treated with image-guided doxycycline sclerotherapy, highlighting varying presentations and previous treatment experiences among the patients.
  • * All patients showed resolution of symptoms and demonstrated successful bone healing without any functional or aesthetic complications, indicating that doxycycline sclerotherapy is a safe and effective treatment option for both new and recurring mandibular ABCs.
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  • This study aimed to assess the safety, effectiveness, and patient satisfaction of doxycycline sclerotherapy for treating aneurysmal bone cysts (ABCs) and unicameral bone cysts (UBCs).
  • A total of 77 lesions were analyzed, with a 99% success rate in treatment and a low recurrence rate, as most patients reported significant pain relief and improved function after treatment.
  • Overall, doxycycline sclerotherapy was found to be a safe and effective option for these conditions, with high patient satisfaction, indicating that most patients would choose the treatment again if necessary.
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Giant cell tumor of bone of temporal bone and skull base: report of 6 cases.

Skeletal Radiol

September 2024

Department of Ultrasound, Army Medical Center of PLA, Army Medical University, Chongqing, 400024, China.

Objective: Five cases of giant cell tumor of bone (GCTB) in the head and neck region were reported, with a main focus on the radiological findings to identify common characteristics for the diagnosis of GCTB in these sites.

Materials And Methods: Five consecutive patients diagnosed with GCTB were retrospectively selected. Radiological features on conventional and advanced MR sequences and CT were analyzed.

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Giant cell tumor (GCT) is a common benign aggressive tumor that mostly occurs in the proximal tibia, distal radius, and distal femur but is rarely seen in the distal region of the humerus. It originally presents between the ages of 30 and 50 with suddenly occurring pain. Treatment is generally curettage adjuvant treatment if necessary and reconstruction if required.

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  • * Larger or complex lesions can lead to potential growth issues and deformities after surgery, prompting the exploration of less invasive treatment options.
  • * The authors share a unique case of an extraskeletal aneurysmal bone cyst treated effectively with minimally invasive techniques before surgical intervention and review existing treatment methods in the field.
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Technical Feasibility and Outcome of Cryoablation of Aneurysmal Bone Cysts in Pediatric Patients.

J Vasc Interv Radiol

November 2024

Department of Diagnostic Imaging, University Children's Hospital Zurich, Zurich, Switzerland; University Children's Hospital Zurich, Children's Research Centre, Zurich, Switzerland.

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Soft tissue aneurysmal bone cysts (STABCs) are rare neoplasms histopathologically identical to aneurysmal bone cysts. These benign lesions are characterized by thin, peripheral ossification and no skeletal continuity. STABC may be difficult to distinguish from myositis ossificans (MO) and malignant entities from imaging and fine needle aspiration, due to rarity and overlapping features.

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The Role of Denosumab Treatment in Recurrent Giant Cell Bone Tumor of the Orbit.

Ophthalmic Plast Reconstr Surg

September 2024

Department of Ophthalmology & Vision Science, Dalhousie University, Halifax, Nova Scotia, Canada.

Giant cell tumor of the bone (GCTB) is a rare primary bone neoplasm, representing about 5% of all primary bone tumors. Most GCTBs are found in the epiphysis of long bones, with only 2% of GCTBs involving the skull. In recent years, the receptor activator of nuclear factor Kappa ligand monoclonal antibody denosumab has been demonstrated as a promising therapeutic option for GCTB; however, this is an evolving field.

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Case: We describe 2 case studies, involving a 10-year-old girl with an aneurysmal bone cyst and a 12-year-old adolescent boy with Ewing sarcoma. The patient with Ewing sarcoma was previously managed with wide surgical excision and fibular graft reconstruction and subsequently experienced significant graft resorption, hardware failure, and fracture 24 months after operation. A revision limb salvage attempt was undertaken.

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