Aggressive Giant Extraskeletal Aneurysmal Bone Cyst of the Thigh: Overcoming Challenges with a Multidisciplinary Approach
DOI:
https://doi.org/10.20344/amp.19801Keywords:
Bone Cysts, Aneurysmal, Embolization, Therapeutic, Radiology, Interventional, SclerotherapyAbstract
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.
Downloads
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. DOI: https://doi.org/10.1007/s00247-022-05396-6
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. DOI: https://doi.org/10.1302/2633-1462.22.BJO-2020-0168
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. DOI: https://doi.org/10.1016/j.otsr.2021.103095
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. DOI: https://doi.org/10.1007/s00590-021-02893-6
Meohas W, Lopes AC, Moller JV, Barbosa LD, Oliveira MB. Cisto ósseo aneurismático parosteal. Rev Bras Ortop. 2015;50:601-6. DOI: https://doi.org/10.1016/j.rbo.2014.10.002
Mascard E, Gomez-Brouchet A, Lambot K. Bone cysts: unicameral and aneurysmal bone cyst. Orthop Traumatol Surg Res. 2015;101:S119-27. DOI: https://doi.org/10.1016/j.otsr.2014.06.031
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. DOI: https://doi.org/10.7759/cureus.21145
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. DOI: https://doi.org/10.1016/j.prp.2017.07.001
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. DOI: https://doi.org/10.1007/s00256-020-03606-6
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. DOI: https://doi.org/10.1016/j.jvir.2021.07.008
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. DOI: https://doi.org/10.2147/IMCRJ.S369073
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. DOI: https://doi.org/10.1007/s11999-009-1144-8
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. DOI: https://doi.org/10.1055/s-0041-106069
Shaikh R, Munoz FG. Endovascular approaches in pediatric interventional oncology. CVIR Endovasc. 2021;4:2. DOI: https://doi.org/10.1186/s42155-020-00190-7
Boyce AM. Denosumab: an emerging therapy in pediatric bone disorders. Curr Osteoporos Rep. 2017;15:283-92. DOI: https://doi.org/10.1007/s11914-017-0380-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Acta Médica Portuguesa
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.
It is the author’s responsibility to obtain approval for the reproduction of figures, tables, etc. from other publications.
Upon acceptance of an article for publication, the authors will be asked to complete the ICMJE “Copyright Liability and Copyright Sharing Statement “(http://www.actamedicaportuguesa.com/info/AMP-NormasPublicacao.pdf) and the “Declaration of Potential Conflicts of Interest” (http:// www.icmje.org/conflicts-of-interest). An e-mail will be sent to the corresponding author to acknowledge receipt of the manuscript.
After publication, the authors are authorised to make their articles available in repositories of their institutions of origin, as long as they always mention where they were published and according to the Creative Commons license.
