Ulici Alexandru, Sterian Alin Gabriel, Tevanov Iulia, Carp Madalina, Dusca Andrei, Cosma Dan
1 155400 Department of Paediatric Orthopaedic Surgery , Emergency Hospital for Children "Grigore Alexandrescu", Bucharest, Romania.
2 Department of Orthopaedics and Trauma, Rehabilitation Clinical Hospital Cluj-Napoca, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
J Int Med Res. 2018 Jan;46(1):538-545. doi: 10.1177/0300060517722244. Epub 2017 Aug 23.
We report development of an aneurysmal bone cyst (ABC) that was located in the proximal region of the femur in an 11-year-old girl. Over a period of 30 weeks, the ABC showed fulminant local progression, with destruction of the bone, which led to an abrupt loss of function of the left hip. The standard tumour treatment protocol was followed. We performed embolisation of the tumour followed by a biopsy, which confirmed the diagnosis of ABC. The outcome was negative with total destruction of the proximal third of the femur, despite repeating the embolisation. Because of the unfavourable local progression, a second biopsy was performed and we reconfirmed the initial diagnosis. The final decision regarding the therapeutic approach was total hip arthroplasty with femoral reconstruction with a prosthesis. Following this treatment, the patient's outcome was favourable, with complete recovery of function and no local relapse.
我们报告了一名11岁女孩股骨近端发生的动脉瘤样骨囊肿（ABC）的病例。在30周的时间里，ABC呈现出迅猛的局部进展，伴有骨质破坏，导致左髋关节功能突然丧失。遵循了标准的肿瘤治疗方案。我们先对肿瘤进行了栓塞，然后进行活检，确诊为ABC。尽管重复进行了栓塞，但结果仍不理想，股骨近端三分之一完全被破坏。由于局部进展不利，进行了第二次活检，再次证实了最初的诊断。关于治疗方法的最终决定是进行全髋关节置换术并使用假体进行股骨重建。经过这种治疗，患者的预后良好，功能完全恢复且无局部复发。
