Rao Ashith, Samant Prakash D, Varshneya Ankit
Department of orthopaedics, Padmashree Dr. D. Y Patil Medical College, Navi Mumbai. India.
J Orthop Case Rep. 2013 Oct-Dec;3(4):42-5. doi: 10.13107/jocr.2250-0685.131.
Aneurysmal bone cyst is an expansile, lytic, multiloculated, fluid filled cavities which usually occurs in the metaphysis of the long bones. ABC of the pubic ramus is a rare entity..
We present a case of a 21 year old male who presented with a swelling of the right inguinal region which was gradually progressive. Radiologically, there was a lytic expansile lesion of the superior pubic ramus. A contrast computed tomography revealed multiloculated cystic cavities and histopathology confirmed the diagnosis of ABC. Surgical excision of the complete tumor by anterior approach was done. Till date (2 years since surgery) patient has no recurrence.
ABC of pubic ramus is a rare entity and other differentials should always be kept in mind with confirmation of diagnosis by histopathology. Treatment with surgical curettage and bone grafting the defect is curative in selective cases but in this case due to size and location excision is the choice of treatment.
动脉瘤样骨囊肿是一种膨胀性、溶骨性、多房性、充满液体的腔隙,通常发生于长骨的干骺端。耻骨支的动脉瘤样骨囊肿是一种罕见的病变。
我们报告一例21岁男性患者,其右腹股沟区出现逐渐增大的肿胀。影像学检查显示耻骨上支有溶骨性膨胀性病变。增强计算机断层扫描显示多房性囊腔,组织病理学确诊为动脉瘤样骨囊肿。通过前路完整切除肿瘤。截至目前(手术后2年),患者无复发。
耻骨支的动脉瘤样骨囊肿是一种罕见的病变,在组织病理学确诊之前应始终考虑其他不同的诊断。在某些选择性病例中,手术刮除并植骨修复缺损可治愈,但在本病例中,由于病变大小和位置,切除术是首选的治疗方法。