Vertebral Aneurysmal Bone Cyst Mimicking Osteosarcoma: Case Report and Review of the Literature.
| Autor: | Lechtholz-Zey E; Orthopaedic Surgery, Keck School of Medicine of University of South California, Los Angeles, USA., Matti NY; Pathology, Southwest Healthcare System, Los Angeles, USA., Fredrickson VL; Neurosurgery, Billings Clinic, Billings, USA., Buchanan I; Neurosurgery, Mayo Clinic, Jacksonville, USA., Donoho DA; Neurological Surgery, Children's National Hospital, Washington, DC, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Feb 15; Vol. 15 (2), pp. e35033. Date of Electronic Publication: 2023 Feb 15 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.35033 |
| Abstrakt: | Aneurysmal bone cysts are benign osseous lesions containing blood-filled cavities separated by walls of connective tissue. They can be difficult to identify clinically due to similarities in presentation, imaging, and histology with other pathologies. Specifically, it is important to distinguish these benign lesions from malignant processes, as both surgical and medical management differ. We present the case of a 21-year-old patient who presented with impaired motor and sensory function in his lower extremities. Radiologic findings were concerning for an invasive neoplasm, and the intraoperative frozen section supported this conclusion. However, an additional histological investigation was confirmatory for a diagnosis of an aneurysmal bone cyst. The patient underwent corpectomy, laminectomy, and a posterior spinal fusion, and regained motor and sensory function shortly thereafter. This report details the importance of considering aneurysmal bone cysts in the differential of infiltrative bone lesions, despite their benign nature, as medical and surgical management can vary greatly. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Lechtholz-Zey et al.) |
| Databáze: | MEDLINE |
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