Department of Orthopedics, Chacha Nehru Bal Chikitsalaya, Geeta colony, Delhi, India.
J Orthop Surg Res. 2010 Apr 7;5:24. doi: 10.1186/1749-799X-5-24.
Symptomatic aneurysmal bone cysts in pediatric age group with an expansile lesion in ilium is a rare occurrence.
An 11-year-old female presented with a swelling over her right iliac region and numbness along the medial aspect of thigh. Clinicoradiological diagnosis was aneurysmal bone cyst confirmed on fine needle aspiration cytology. Excision curettage (wide margin excision of the soft tissue tumor and intralesional curettage in the region of acetabulum) of the tumor was performed in view of proximity to acetabular roof and endangered hip stability.
At follow up of 18 months, the child has full painless range of movements in the hip joint with no recurrence.
Pelvic aneurysmal bone cysts are distinctly rare in pediatric age. The lesion was associated with an atypical symptom of numbness along the femoral nerve distribution. Hip stability and range of movements were major concern in this patient. Although many treatment options are described, surgical excision still remains the mainstay. In our case, we performed excision curettage, with good outcome.
儿童期出现症状性骨囊肿，病变位于髂骨且呈膨胀性，较为罕见。
一名 11 岁女性，出现右侧髂区肿胀，大腿内侧麻木。临床和影像学诊断为骨囊肿，经细针抽吸细胞学检查证实。由于靠近髋臼顶，且髋关节稳定性受到威胁，故采用肿瘤切除术（软组织肿瘤广泛切除和髋臼内病灶刮除术）。
18 个月随访时，患儿髋关节活动范围完全无痛，无复发。
儿童期的骨盆骨囊肿非常罕见。病变与股神经分布区的非典型麻木症状相关。在该患者中，髋关节稳定性和活动范围是主要关注点。尽管有许多治疗选择，但手术切除仍然是主要方法。在我们的病例中，我们采用了切除刮除术，取得了良好的效果。
