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颞骨动脉瘤样骨囊肿1例罕见病例

A Rare Case of an Aneurysmal Bone Cyst of the Temporal Bone.

作者信息

Gotecha Sarang, Punia Prashant, Chugh Ashish, Patil Anil, Kashyap Dushyant, Raghu Vybhav, Chhabra Shobhit, Patel Ankit, Kotecha Megha

机构信息

Department of Neurosurgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.

出版信息

Asian J Neurosurg. 2020 Aug 28;15(3):699-702. doi: 10.4103/ajns.AJNS_125_19. eCollection 2020 Jul-Sep.

Abstract

Aneurysmal bone cysts (ABCs) are benign bone lesions mainly occurring at the metaphyseal end of long bones and are a rarity in the calvarium. The reported incidence of this lesion in the skull is 1% of all the ABC. It is a benign condition that may extend intracranially. We report here a case of a 3½-year-old male child who presented with a bony hard, painless, and gradually enlarging swelling over his right temporal region. Radiological investigations and histology revealed that the lesion was an ABC. A total surgical excision was achieved despite its intracranial extension along with the involvement of dura. Prognosis is excellent with total removal as a total surgical removal of the lesion is considered curative. The rarity of the lesion along with a good surgical result despite an intracranial extension with dural involvement prompted this report.

摘要

动脉瘤样骨囊肿(ABCs)是主要发生于长骨干骺端的良性骨病变,在颅骨中较为罕见。据报道,该病变在颅骨中的发生率占所有ABC的1%。这是一种可能向颅内扩展的良性疾病。我们在此报告一例3岁半男性儿童,其右颞部出现一个质地硬、无痛且逐渐增大的肿块。影像学检查和组织学检查显示该病变为ABC。尽管病变向颅内扩展并累及硬脑膜,但仍实现了完全手术切除。由于完全切除病变被认为可治愈,故预后良好。该病变的罕见性以及尽管病变向颅内扩展并累及硬脑膜但手术效果良好,促使了本报告的发表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a58f/7591219/c3808bad5340/AJNS-15-699-g001.jpg

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