Imaging Science in Dentistry

  • 제42권1호
  • /
  • Pages.35-39
  • /
  • 2012
  • /
  • 2233-7822(pISSN)
  • /
  • 2233-7830(eISSN)
대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
권호 표지
DOI QR코드

DOI QR Code

Aneurysmal bone cyst of the mandible managed by conservative surgical therapy with preoperative embolization

  • An, Seo-Young (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University)
  • 투고 : 2012.01.02
  • 심사 : 2012.01.22
  • 발행 : 2012.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 9-year-old girl visited our hospital, complaining of a rapid-growing and rigid swelling on the left posterior mandibular area. Panoramic radiograph showed a moderately defined multilocular honeycomb appearance involving the left mandibular body. CT scan revealed an expansile, multilocular osteolytic lesion and multiple fluid levels within cystic spaces. Bone scan demonstrated increased radiotracer uptake and angiography showed a highly vascularized lesion. The lesion was suspected as aneurysmal bone cyst (ABC) and preoperative embolization was performed, which minimize the extent of operation and the surgical complication. The lesion was treated by surgical curettage and lateral decortication with repositioning. No additional treatment such as a surgical reconstruction or bone graft was needed. Early diagnosis of ABC is very important and appropriate treatment should be performed considering several factors such as age, surgical complication, and possibility of recurrence.

키워드

참고문헌

  1. Breuer C, Paul H, Zimmermann A, Braunstein S, Schaper J, Mayatepek E, et al. Mandibular aneurysmal bone cyst in a child misdiagnosed as acute osteomyelitis: a case report and a review of the literature. Eur J Pediatr 2010; 169 : 1037-40. https://doi.org/10.1007/s00431-010-1138-2
  2. Cottalorda J, Kohler R, Sales de Gauzy J, Chotel F, Mazda K, Lefort G, et al. Epidemiology of aneurysmal bone cyst in children: a multicenter study and literature review. J Pediatr Orthop B 2004; 13 : 389-94. https://doi.org/10.1097/01202412-200411000-00008
  3. Sun ZJ, Sun HL, Yang RL, Zwahlen RA, Zhao YF. Aneurysmal bone cysts of the jaws. Int J Surg Pathol 2009; 17 : 311-22. https://doi.org/10.1177/1066896909332115
  4. Motamedi MH, Yazdi E. Aneurysmal bone cyst of the jaws: analysis of 11 cases. J Oral Maxillofac Surg 1994; 52 : 471-5. https://doi.org/10.1016/0278-2391(94)90343-3
  5. Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst: with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg 1942; 44 : 1004-25. https://doi.org/10.1001/archsurg.1942.01210240043003
  6. Rosenberg AE, Nielsen GP, Fletcher JA. Aneurysmal bone cyst. In: Fletcher CD, Unni KK, Mertens F. WHO classification of tumors: pathology and genetics of tumors of soft tissue and bone. 3rd ed. Lyon: IARC Press; 2005. p. 338-9.
  7. Jundt G. Aneurysmal bone cyst. In: Barnes L, Eveson JW, Reichart P, Sidransky D. WHO classification of tumors: pathology and genetics of head and neck tumors. 3rd ed. Lyon: IARC Press; 2005. p. 326.
  8. Wang K, Allen L, Fung E, Chan CC, Chan JC, Griffith JF. Bone scintigraphy in common tumors with osteolytic components. Clin Nucl Med 2005; 30 : 655-71. https://doi.org/10.1097/01.rlu.0000178027.20780.95
  9. Kalantar Motamedi MH. Aneurysmal bone cysts of the jaws: clinicopathological features, radiographic evaluation and treatment analysis of 17 cases. J Craniomaxillofac Surg 1998; 26 : 56-62. https://doi.org/10.1016/S1010-5182(98)80036-X
  10. Motamedi MH, Navi F, Eshkevari PS, Jafari SM, Shams MG, Taheri M, et al. Variable presentations of aneurysmal bone cysts of the jaws: 51 cases treated during a 30-year period. J Oral Maxillofac Surg 2008; 66 : 2098-103. https://doi.org/10.1016/j.joms.2008.05.364
  11. Sun ZJ, Zhao YF, Yang RL, Zwahlen RA. Aneurysmal bone cysts of the jaws: analysis of 17 cases. J Oral Maxillofac Surg 2010; 68 : 2122-8. https://doi.org/10.1016/j.joms.2009.07.111
  12. Motamedi MH. Destructive aneurysmal bone cyst of the mandibular condyle: report of a case and review of the literature. J Oral Maxillofac Surg 2002; 60 : 1357-61. https://doi.org/10.1053/joms.2002.35744
  13. White SC, Pharoah MJ. Oral radiology; principles and interpretation. 6th ed. St. Louis: Mosby-Year Book Inc; 2009. p. 445-6.
  14. Hudson TM. Scintigraphy of aneurysmal bone cysts. AJR Am J Roentgenol 1984; 142 : 761-5. https://doi.org/10.2214/ajr.142.4.761
  15. Seven B, Varoglu E, Alper F, Keles M, Koplay M. Aneurysmal bone cyst of the second metatarsal: three-phase bone scan findings and radiological assessment. Hell J Nucl Med 2008; 11 : 189-90.
  16. Cottalorda J, Bourelle S. Modern concepts of primary aneurysmal bone cyst. Arch Orthop Trauma Surg 2007; 127 : 105-14. https://doi.org/10.1007/s00402-006-0223-5
  17. Khambete N, Risbud M, Mehta N. Interventional radiography in management of high-flow arteriovenous malformation of maxilla: report of a case. Imaging Sci Dent 2011; 41 : 123-8. https://doi.org/10.5624/isd.2011.41.3.123
  18. Struthers PJ, Shear M. Aneurysmal bone cyst of the jaws. (I). Clinicopathological features. Int J Oral Surg 1984; 13: 85-91. https://doi.org/10.1016/S0300-9785(84)80077-0
  19. Cottalorda J, Bourelle S. Current treatments of primary aneurismal bone cysts. J Pediatr Orthop B 2006; 15 : 155-67. https://doi.org/10.1097/01.bpb.0000210588.50899.29

피인용 문헌

  1. Aneurysmal Bone Cyst in a 21-Year-Old Woman Presenting with Chronic Low Back Pain in a Chiropractic Office: A Case Report vol.19, pp.9, 2013, https://doi.org/10.1089/acm.2012.0673
  2. Primary gnathic aneurysmal bone cyst in a child patient vol.5, pp.2, 2012, https://doi.org/10.4103/ijohr.ijohr_25_19
  3. Solitary vertebral metastatic glioblastoma in the absence of primary brain tumor relapse: a case report and literature review vol.20, pp.1, 2012, https://doi.org/10.1186/s12880-020-00488-x