PDF(Pubmed)
Abstract：
UNASSIGNED: Aneurysmal bone cyst is a benign, most often non-neoplastic lesion affecting the bone. Malignant transformation is reported in certain cases, although rare. It commonly occurs in young adults with around 75% of the cases occurring in the first two decades and 95% occurring in the first 3 decades. The management depends on the individual case parameters with ABC occurring in a weight-bearing area of a bone warranting an aggressive treatment plan with the consideration of preventing a pathological fracture.
UNASSIGNED: A 20-year-old male patient with no other comorbidities presented to us with complaints of atraumatic right hip pain of 9-month duration. On preliminary clinical examination and imaging studies with X-rays, CT scan, and MRI, the patient was diagnosed to have an aneurysmal bone cyst (ABC) of the right proximal femur. The patient was operated with intra-lesional excision with extended curettage and prophylactic fixation with DHS plating and kept on yearly follow-up. 10-year follow-up showed complete resolution of the lesion and implant removal was done after that.
UNASSIGNED: As is clear from this case, the treatment of an aneurysmal bone cyst needs to individualized based on the patient\'s age, complaints, and tumor behavior in terms of its aggressiveness, size, and its extent. Often, en bloc excision with extensive curettage is required along with bone grafting and prophylactic fixation to support the bone graft and to prevent a pathological fracture and further recurrence. Implant removal if indicated should be done after complete resolution of the lesion, patient willingness, and any other medical indication.
UNASSIGNED: A 20-year-old male patient with no other comorbidities presented to us with complaints of atraumatic right hip pain of 9-month duration. On preliminary clinical examination and imaging studies with X-rays, CT scan, and MRI, the patient was diagnosed to have an aneurysmal bone cyst (ABC) of the right proximal femur. The patient was operated with intra-lesional excision with extended curettage and prophylactic fixation with DHS plating and kept on yearly follow-up. 10-year follow-up showed complete resolution of the lesion and implant removal was done after that.
UNASSIGNED: As is clear from this case, the treatment of an aneurysmal bone cyst needs to individualized based on the patient\'s age, complaints, and tumor behavior in terms of its aggressiveness, size, and its extent. Often, en bloc excision with extensive curettage is required along with bone grafting and prophylactic fixation to support the bone graft and to prevent a pathological fracture and further recurrence. Implant removal if indicated should be done after complete resolution of the lesion, patient willingness, and any other medical indication.
摘要：
■动脉瘤样骨囊肿是良性的，最常见的非肿瘤性病变影响骨。在某些情况下报告了恶性转化，虽然罕见。它通常发生在年轻人中，大约75％的病例发生在前二十年，95％发生在前三十年。管理取决于个体病例参数，ABC发生在骨骼的负重区域，保证积极的治疗计划，同时考虑预防病理性骨折。
■一名20岁男性患者，没有其他合并症，向我们介绍了9个月的非创伤性右髋部疼痛。在X射线的初步临床检查和影像学研究中，CT扫描,MRI,患者被诊断为右股骨近端动脉瘤样骨囊肿（ABC）。该患者接受了病灶内切除术，并进行了长期刮治和DHS钢板预防性固定，并每年进行一次随访。10年的随访显示病变完全消退，然后进行植入物移除。
■从这种情况可以清楚地看出，动脉瘤样骨囊肿的治疗需要根据患者的年龄进行个体化,投诉,和肿瘤的侵袭性，尺寸,和它的程度。通常,需要进行全面刮除的整块切除以及植骨和预防性固定，以支持植骨并防止病理性骨折和进一步复发。如果需要，应在病变完全消退后进行植入物切除，患者意愿,和任何其他医学适应症。
■一名20岁男性患者，没有其他合并症，向我们介绍了9个月的非创伤性右髋部疼痛。在X射线的初步临床检查和影像学研究中，CT扫描,MRI,患者被诊断为右股骨近端动脉瘤样骨囊肿（ABC）。该患者接受了病灶内切除术，并进行了长期刮治和DHS钢板预防性固定，并每年进行一次随访。10年的随访显示病变完全消退，然后进行植入物移除。
■从这种情况可以清楚地看出，动脉瘤样骨囊肿的治疗需要根据患者的年龄进行个体化,投诉,和肿瘤的侵袭性，尺寸,和它的程度。通常,需要进行全面刮除的整块切除以及植骨和预防性固定，以支持植骨并防止病理性骨折和进一步复发。如果需要，应在病变完全消退后进行植入物切除，患者意愿,和任何其他医学适应症。
