Features of the course of an active aneurysmal bone cyst in childhood (case report)

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Abstract

Aneurysmal bone cyst refers to tumor-like lesions with an etiology not fully elucidated [10, 13, 14]. Until recently, bone cysts in children were classified as tumor processes [4]. A.P. Berezhny [1], based on a clinical and radiological study and analysis of a large number of observations, came to the conclusion that primary cysts in children, including aneurysmal ones, are a dystrophic process, usually affecting one bone without damaging the growth zone and adjacent bones. The same opinion is shared by some foreign authors [6]. However, at present, the point of view is more widespread, according to which an aneurysmal bone cyst is a reactive process that develops in response to bone damage [3, 5, 9, 10, 14].

About the authors

A. I. Snetkov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

Z. G. Natsvlishvili

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

A. K. Morozov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

T. N. Berchenko

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

A. R. Frantov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

G. I. Khokhrikov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

References

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  3. Берченко Г.Н. //Патология: Руководство /Под ред. М.А. Пальцева, В.С. Паукова, Э.Г. Улумбекова. — М., 2002. — С. 565-597.
  4. Волков М.В. Костная патология детского возраста. — М., 1968. — С. 112-157.
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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. X-ray of the pelvis (a) and computed tomography (b) upon admission of the patient: osteolytic focus of destruction with damage to the pubic and ischial bones on the right.

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3. Fig. 2. X-ray of the pelvis (a) and computed tomography (b) 1 month later: progression of the pathological process is noted.

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4. Fig. 3. Preoperative angiogram: blood supply of the focus from the basin of the internal iliac artery.

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5. Fig. 4. Intracystic pressure before (a) and after (b) occlusion of the internal iliac artery.

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6. Fig. 5. Occlusion of the internal iliac artery with a balloon catheter.

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7. Fig. 6. Contrasting focus: the bladder is intact.

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8. Fig. 7. The balloon catheter was deflated, the blood flow through the internal iliac artery was preserved.

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9. Fig. 8. Histological picture: actively growing aneurysmal bone cyst. Cavities with blood elements, delimited by connective tissue septa, in which polymorphic fibroblasts, histiocytes, individual osteoclast-like cells, and osteoid trabeculae are visible. Stained with hematoxylin and eosin, SW. one hundred.

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10. Fig. 9. 6 months after the operation. a — function of the right hip joint; b — X-ray of the pelvis, c — computed tomography: no recurrence, organotypic reorganization of grafts; d — angiogram: no pathological vascular network.

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