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伴有良性纤维-骨病变的继发性动脉瘤样骨囊肿:病例报告

Secondary aneurysmal bone cyst with benign fibro-osseous lesions: Case report.

作者信息

Swed Sarya, Kremesh Mahmood Islam, Alshareef Lamees, Katnaji Jamal, Abd Waleed, Ayoub Kusay

机构信息

Faculty of Human Medicine, University Aleppo Hospital, Aleppo, Syria.

Department of Orthopedic Surgery, University Aleppo Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2021 Nov 14;72:103024. doi: 10.1016/j.amsu.2021.103024. eCollection 2021 Dec.

Abstract

INTRODUCTION

Aneurysmal bone cyst is a controversial osteolytic benign expansive lesions which occur more frequently in the metaphysis of long bones and spine. They are classified as primary or secondary lesions depending on the presence or absence of an associated bone pathology.

CASE PRESENTATION

An uncommon case has proven histological of benign fibro-osseous lesions (fibrous dysplasia and juvenile psammomatoid ossifying fibroma) with secondary aneurysmal bone cyst formation inferior and lateral to the knee for a 7-year-old female patient. The lesion was surgically removed and the patient was followed up for 6 months with excellent results without any complications.

DISCUSSION

There are many cases that have previously documented a bone aneurysm cyst, but what distinguishes this case is that it is a secondary type and its association with a benign bony fibrosis.

CONCLUSION

The combination of the two lesions constitutes a unique and rare case that can add to the medical literature within the orthopedic department.

摘要

引言

动脉瘤样骨囊肿是一种有争议的溶骨性良性膨胀性病变,多见于长骨骨干和脊柱的干骺端。根据是否存在相关骨病变,它们被分为原发性或继发性病变。

病例介绍

一名7岁女性患者,经组织学证实为罕见的良性纤维-骨病变(骨纤维异常增殖症和青少年砂粒样骨化性纤维瘤),并在膝关节下方和外侧形成继发性动脉瘤样骨囊肿。病变通过手术切除,患者接受了6个月的随访,结果良好,无任何并发症。

讨论

以前有许多记录骨动脉瘤样囊肿的病例,但该病例的独特之处在于它是继发性类型,且与良性骨纤维化有关。

结论

这两种病变的组合构成了一个独特而罕见的病例,可为骨科医学文献增添内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98e0/8605284/f4cec2d5583a/gr1.jpg

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