Nayak Ashok, Kulkarni Shreepad, Kulkarni Avinash, Natesh K, Bami Monish
Professor and Unit Chief, Department of Orthopaedics, BLDEU's, Shri B M Patil Medical College , Bijapur, Karnataka, India .
J Clin Diagn Res. 2013 Aug;7(8):1740-2. doi: 10.7860/JCDR/2013/5514.3254. Epub 2013 Aug 1.
An aneurysmal bone cyst is considered as a locally aggressive benign tumour. Intra-lesional extended curettage and bone-grafting is the mainstay of the treatment for aneurysmal bone cysts. Grafting is used usually in cases where the lesion compromises the mechanical strength of the bone. However, the massive size of the highly vascular tumour and the relative inaccessibility of its deeper extensions into the femoral vessels and the intra-abdominal structures, especially the urinary bladder, make it a relatively challenging case to perform excision and curettage.Presenting a case of a 15 years old male patient with the complaint of a right inguinal swelling since the past eight months. The swelling had started growing since the past two months and it was associated with pain. X-ray showed a lytic blowout legion of the entire right pubic ramus. An intra-lesional curettage was done. Complete tumour excision which was done by intra-lesional curettage and biopsy yielded satisfactory results with low complications and low recurrence of aneurysmal bone cyst of the superior ramus of the pubis.
动脉瘤样骨囊肿被认为是一种具有局部侵袭性的良性肿瘤。病灶内扩大刮除术和植骨术是动脉瘤样骨囊肿治疗的主要方法。通常在病变损害骨的机械强度的情况下使用植骨术。然而，这种高度血管化肿瘤的巨大尺寸及其向股血管和腹腔内结构（尤其是膀胱）深部延伸的相对难以接近性，使得进行切除和刮除术成为一个相对具有挑战性的病例。本文介绍了一名15岁男性患者的病例，该患者自八个月前开始出现右腹股沟肿胀。自两个月前起，肿胀开始增大，并伴有疼痛。X线显示整个右侧耻骨支有溶骨性爆裂性病灶。进行了病灶内刮除术。通过病灶内刮除术和活检完成的完整肿瘤切除取得了满意的结果，耻骨上支动脉瘤样骨囊肿的并发症少且复发率低。
