Abstract:
Aneurysmal bone cysts (ABCs) are non-neoplastic primary bone tumors, typically involving the long bones and vertebrae in the first 2 decades of life. ABCs require prompt diagnosis and intervention due to their rapidly expansile nature and ability to destroy the adjacent normal bone. ABCs rarely affect the rib. We report a case of a 51-year-old female presenting with chronic dry cough and right upper back pain. A chest X-ray and computed tomography scan revealed an expansile, lytic mass affecting the posterior aspect of the third right rib. The third right rib was resected using a posterolateral, Shaw-Paulson approach. Histopathology of the resected mass confirmed the diagnosis of ABC. There were no intra- or perioperative complications, and follow-up X-ray was normal.
摘要:
动脉瘤性骨囊肿(ABCs)是非肿瘤性原发性骨肿瘤,通常在生命的前20年涉及长骨和椎骨。由于ABC的快速膨胀性质和破坏相邻正常骨的能力,因此需要及时诊断和干预。ABCs很少影响肋骨。我们报告了一例51岁女性,表现为慢性干咳和右上背部疼痛。胸部X光和计算机断层扫描显示有膨胀,影响第三右肋骨后部的溶解性肿块。使用后外侧切除了第三根右肋骨,Shaw-Paulson方法.切除肿块的组织病理学证实了ABC的诊断。没有术中或围手术期并发症,随访X线片正常。