Aggressive Giant Extraskeletal Aneurysmal Bone Cyst of the Thigh: Overcoming Challenges with a Multidisciplinary Approach

Authors

  • António Proença Caetano Interventional Radiology Unit. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa; NOVA Medical School. Faculdade de Ciências Médicas. Universidade Nova de Lisboa. Lisboa.
  • Teresa Neves Interventional Radiology Unit. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.
  • Carlos Pedrosa Department of Orthopedic Surgery and Traumatology. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.
  • José Portela Department of Orthopedic Surgery and Traumatology. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.
  • Filipe Veloso Gomes Interventional Radiology Unit. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.
  • Élia Coimbra Interventional Radiology Unit. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.
  • Tiago Bilhim Interventional Radiology Unit. Hospital de Curry Cabral. Unidade Local de Saúde São José. Lisboa.

DOI:

https://doi.org/10.20344/amp.19801

Keywords:

Bone Cysts, Aneurysmal, Embolization, Therapeutic, Radiology, Interventional, Sclerotherapy

Abstract

Aneurysmal bone cysts are vascular benign fibroblastic lesions usually found in bone that are locally destructive, with a greater incidence in the first and second decades of life. Patients usually undergo curettage or, less frequently, surgical resection, which may lead to growth disturbances and deformities in cases of large or complex lesions. Minimally invasive techniques such as sclerotherapy and endovascular embolization have been developed as an alternative or complement to surgery, with promising results. The authors present a rare case of an extraskeletal aneurysmal bone cyst successfully treated with minimally invasive techniques followed by surgical resection and provide a literature review of the current treatment options.

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References

REFERENCES

Restrepo R, Zahrah D, Pelaez L, Temple HT, Murakami JW. Update on aneurysmal bone cyst: pathophysiology, histology, imaging and treatment. Pediatr Radiol. 2022;52:1601-14.

Bavan L, Wijendra A, Kothari A. Efficacy of treatment interventions for primary aneurysmal bone cysts: a systematic review. Bone Jt Open. 2021;2:125-33.

Doring K, Puchner S, Vertesich K, Funovics PT, Hobusch G, Sulzbacher I, et al. Results in the surgical treatment of aneurysmal bone cysts - a retrospective data analysis. Orthop Traumatol Surg Res. 2022;108:103095.

Cruz GS, Cuevas-Suarez CE, Saavedra JP, Giorgis R, Teixeira MR, Muniz F. Percutaneous treatments of primary aneurysmal bone cysts: systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2021;31:1287-95.

Meohas W, Lopes AC, Moller JV, Barbosa LD, Oliveira MB. Cisto ósseo aneurismático parosteal. Rev Bras Ortop. 2015;50:601-6.

Mascard E, Gomez-Brouchet A, Lambot K. Bone cysts: unicameral and aneurysmal bone cyst. Orthop Traumatol Surg Res. 2015;101:S119-27.

Teixeira-Vaz A, Santiago M, Oliveira M, Silva AI. Aneurysmal bone cyst presenting as fragility fracture: a case report focused on the rehabilitation approach. Cureus. 2022;14:e21145.

Lopez LV, Rodriguez MG, Siegal GP, Wei S. Extraskeletal aneurysmal bone cyst: Report of a case and review of the literature. Pathol Res Pract. 2017;213:1445-9.

Bih ES, Dao K, Padua H, Shaikh R. Qualitative evaluation of MRI features in aneurysmal bone cysts after percutaneous sclerotherapy. Skeletal Radiol. 2021;50:585-90.

Masthoff M, Gerwing M, Schneider KN, Kohler M, Deventer N, Schindler P, et al. Combined transarterial embolization and percutaneous sclerotherapy as treatment for refractory and nonresectable aneurysmal bone cysts. J Vasc Interv Radiol. 2021;32:1425-34 e2.

Dawod MS, Alisi MS, Rabab’a H, Abdulelah AA, Almaaitah HW, Haddad B. Surgical management of aneurysmal bone cyst of the pubis: a case report and review of literature. Int Med Case Rep J. 2022;15:287-92.

Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res. 2010;468:1649-59.

Henrichs MP, Beck L, Gosheger G, Streitbuerger A, Koehler M, Heindel W, et al. Selective arterial embolisation of aneurysmal bone cysts of the sacrum: a promising alternative to surgery. Rofo. 2016;188:53-9.

Shaikh R, Munoz FG. Endovascular approaches in pediatric interventional oncology. CVIR Endovasc. 2021;4:2.

Boyce AM. Denosumab: an emerging therapy in pediatric bone disorders. Curr Osteoporos Rep. 2017;15:283-92.

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Published

2024-08-16

How to Cite

1.
Proença Caetano A, Neves T, Pedrosa C, Portela J, Gomes FV, Coimbra Élia, Bilhim T. Aggressive Giant Extraskeletal Aneurysmal Bone Cyst of the Thigh: Overcoming Challenges with a Multidisciplinary Approach. Acta Med Port [Internet]. 2024 Aug. 16 [cited 2024 Sep. 27];. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/19801

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Section

Case Report