Department of General Pediatrics, University Hospital Düsseldorf, Heinrich-Heine-University, Moorenstr. 5, 40225 Düsseldorf, Germany.
Eur J Pediatr. 2010 Aug;169(8):1037-40. doi: 10.1007/s00431-010-1138-2. Epub 2010 Jan 27.
The aneurysmal bone cyst is a very infrequent, benign bone lesion in children which rarely can be found at the craniofacial skeleton. Here, we describe a case presenting in the mandible as an acute swelling of the cheek, which was initially misdiagnosed as osteomyelitis resulting in a delay to definitive surgical treatment. The cause of misleading diagnosis is often owing to the rapid growth of the lesion, sometimes associated with painful soft tissue swelling indicating an infectious origin or a malignant tumor. Magnetic resonance imaging revealed the classic characteristics of aneurysmal bone cyst with severe destruction of the mandible. Therefore, curative tumor embolization and complete surgical excision was successfully performed. The aneurysmal bone cyst is a curable condition by radical excision, although relapse may occur when only incomplete excision is obtained. Therefore, aneurysmal bone cyst should be considered early when children present with unusual, rapid-growing neoformations of the extremities or the facial region.
骨巨细胞瘤是一种非常罕见的良性骨病变，在儿童中很少发生于颅面骨骼。在此，我们描述了一例发生于下颌骨的病例，表现为面颊急性肿胀，最初误诊为骨髓炎，导致延迟了明确的手术治疗。导致误诊的原因通常是由于病变的快速生长，有时伴有疼痛性软组织肿胀，提示感染来源或恶性肿瘤。磁共振成像显示骨巨细胞瘤的典型特征，下颌骨严重破坏。因此，成功地进行了肿瘤栓塞的根治性治疗和完全的手术切除。骨巨细胞瘤通过根治性切除是可以治愈的疾病，尽管当仅获得不完全切除时可能会复发。因此，当儿童的四肢或面部出现异常、快速生长的新生物时，应早期考虑骨巨细胞瘤。
