Martinez V, Sissons H A
Department of Anatomic Pathology, Hospital San Juan de Dios, Santiago, Chile.
Cancer. 1988 Jun 1;61(11):2291-304. doi: 10.1002/1097-0142(19880601)61:11<2291::aid-cncr2820611125>3.0.co;2-v.
A group of 639 bone lesions was reviewed in order to study the features of the aneurysmal bone cyst and its association with other conditions. A diagnosis of primary aneurysmal bone cyst not associated with any other bone lesion was made in 87 patients. In 36 additional patients the gross and microscopic changes of aneurysmal bone cyst were identified as part of some other solid bone lesion. Fourteen of these additional cases were associated with giant cell tumor (96 cases studied), six with chondroblastoma (41 cases studied), three with chondromyxoid fibroma (45 cases studied), two with nonossifying fibroma (68 cases studied), four with osteoblastoma (61 cases studied), one with fibrosarcoma (50 cases studied), three with fibrous histiocytoma (45 cases studied), two with osteosarcoma (100 cases studied), and one with fibrous dysplasia (42 cases studied). The age, site, and sex distribution of the cases associated with another lesion compares closely with that of the solid lesion concerned, supporting the concept that the aneurysmal bone cyst component is secondary.
回顾了一组639例骨病变，以研究动脉瘤样骨囊肿的特征及其与其他病症的关联。87例患者被诊断为原发性动脉瘤样骨囊肿，不伴有任何其他骨病变。另外36例患者中，动脉瘤样骨囊肿的大体和显微镜下改变被确定为其他某种实体骨病变的一部分。这些额外病例中，14例与骨巨细胞瘤相关（共研究96例），6例与软骨母细胞瘤相关（共研究41例），3例与软骨黏液样纤维瘤相关（共研究45例），2例与非骨化性纤维瘤相关（共研究68例），4例与成骨细胞瘤相关（共研究61例），1例与纤维肉瘤相关（共研究50例），3例与纤维组织细胞瘤相关（共研究45例），2例与骨肉瘤相关（共研究100例），1例与骨纤维异常增殖症相关（共研究42例）。与另一病变相关的病例的年龄、部位和性别分布与相关实体病变的情况密切相似，这支持了动脉瘤样骨囊肿成分是继发性的这一概念。
