Channawar Radha A, Deshpande Sanjay V, Shrivastav Sandeep, Date Swapnil V, Wamborikar Hitendra
Department of Orthopedics and Traumatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Oct 17;14(10):e30376. doi: 10.7759/cureus.30376. eCollection 2022 Oct.
Bone cysts are tumor-like lesions of bone. These are primarily of two types: simple or unicameral and aneurysmal bone cysts (ABC). An aneurysmal bone cyst (ABC) is a blood-filled cyst that usually occurs over the metaphysis of long bones, flat bones, and vertebrae. The symptoms of these cysts include pain and swelling over the area. It may consist of pathological fractures as well. The cyst is benign but may invade local tissue and erode bone. The investigations required are radiological and histopathological examinations that further confirm the diagnosis. The differential diagnosis includes giant cell tumor and telangiectatic osteosarcoma. Here, we discuss a case of an aneurysmal bone cyst of the head of the fibula, which is a rare site for ABC to occur (common sites are metaphyseal ends of the femur, humerus, tibia, scapula, and vertebrae). The treatment modalities have a wide range of options that range from en bloc resection to minimally invasive techniques such as selective artery embolization, sclerotherapy, and radiotherapy.
骨囊肿是骨的肿瘤样病变。主要有两种类型：单纯性或单房性骨囊肿和动脉瘤样骨囊肿（ABC）。动脉瘤样骨囊肿（ABC）是一种充满血液的囊肿，通常发生在长骨的干骺端、扁骨和椎骨。这些囊肿的症状包括病变部位疼痛和肿胀。也可能包括病理性骨折。囊肿是良性的，但可能侵犯局部组织并侵蚀骨质。所需的检查是放射学和组织病理学检查，以进一步确诊。鉴别诊断包括骨巨细胞瘤和毛细血管扩张性骨肉瘤。在此，我们讨论一例腓骨头动脉瘤样骨囊肿病例，这是ABC发生的罕见部位（常见部位是股骨、肱骨、胫骨、肩胛骨和椎骨的干骺端）。治疗方式有多种选择，从整块切除到微创技术，如选择性动脉栓塞、硬化疗法和放射疗法。
