Erdoğan Furkan, Cengiz Tolgahan, Aydın Şimşek Şafak, Şay Cahit Şemsi, Coşkun Hüseyin Sina, Dabak Nevzat
Orthopaedics and Traumatology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, TUR.
Cureus. 2024 Dec 14;16(12):e75708. doi: 10.7759/cureus.75708. eCollection 2024 Dec.
Aneurysmal bone cysts (ABCs) are aggressive, osteolytic lesions usually seen in childhood and young adulthood. The patient's age, location, and behavior of the lesion in the bone may cause patients to present with different clinical findings. Appropriate treatment of these rare, aggressive bone lesions is essential for recurrence. This case report aims to present the diagnosis and treatment approach in the case of an infantile aggressive ABC and to present the long-term follow-up results. A 14-month-old baby boy was admitted to the clinic with the complaint of difficulty in walking after a fall. After evaluation with advanced imaging methods, a fluid-filled cystic lesion and pathological fracture were detected in the proximal femur. After surgical treatment of the lesion, which showed an aggressive course in the follow-up, the patient was able to give a whole load six months after surgery. Although the ABC was aggressive in this case, it was controlled with surgical treatment and long-term follow-up. It should be kept in mind that ABCs in children, especially in the proximal femur, may be aggressive and may require surgical treatment.
动脉瘤样骨囊肿（ABCs）是一种侵袭性溶骨性病变，常见于儿童和青年时期。患者的年龄、病变在骨内的位置及行为可能导致患者出现不同的临床表现。恰当治疗这些罕见的侵袭性骨病变对于预防复发至关重要。本病例报告旨在介绍一例婴儿期侵袭性ABC的诊断和治疗方法，并展示长期随访结果。一名14个月大男婴因跌倒后行走困难就诊。经先进影像学方法评估后，在股骨近端发现一个充满液体的囊性病变及病理性骨折。对病变进行手术治疗后，该病变在随访中呈侵袭性进展，术后6个月患者能够完全负重。尽管该例ABC具有侵袭性，但通过手术治疗和长期随访得到了控制。应牢记，儿童的ABCs，尤其是发生在股骨近端的，可能具有侵袭性，可能需要手术治疗。
