Kerimoğlu Servet, Citlak Atilla, Kerimoğlu Gökçen, Turgutalp Havvanur
Departments of aOrthopaedics and Traumatology bHistology and Embryology cPathology, School of Medicine, Karadeniz Technical University, Trabzon dDepartment of Orthopaedics and Traumatology, School of Medicine, Giresun University, Giresun, Turkey.
J Pediatr Orthop B. 2014 May;23(3):266-9. doi: 10.1097/BPB.0000000000000014.
Aneurysmal bone cyst (ABC) is a benign lesion that commonly involves the metaphysis or metadiaphyseal region of long bones in children. The WHO defined ABC as an expansile osteolytic lesion consisting of blood-filled spaces and channels that are divided by connective tissue septa that may contain osteoid tissue and osteoclast-like giant cells. ABCs are usually treated with intralesional procedures, and variables including surgeon technique, young patient, juxtaphyseal tumors, and tumor location have been associated with recurrence. Juxtaphyseal lesions breaching the physis have been described. There is only one case of primary ABC of the epiphysis in the literature. We present a second case in a 13-year-old boy who presented with a primary ABC of the distal tibial epiphysis, including diagnostic evaluation and treatment.
动脉瘤样骨囊肿（ABC）是一种良性病变，常见于儿童长骨的干骺端或干骺-骨干区域。世界卫生组织将ABC定义为一种膨胀性溶骨性病变，由充满血液的腔隙和通道组成，这些腔隙和通道被结缔组织间隔分隔，结缔组织间隔可能含有类骨质组织和破骨细胞样巨细胞。ABC通常采用病损内治疗方法，包括外科医生技术、年轻患者、骨骺旁肿瘤和肿瘤位置等变量与复发相关。已描述了侵犯骨骺的骨骺旁病变。文献中仅有1例骨骺原发性ABC病例。我们报告1例13岁男孩的第二例病例，该男孩患有胫骨远端骨骺原发性ABC，包括诊断评估和治疗。
