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Aneurysmal bone cyst of the pubis: a case report
Ashok Nayak1, Shreepad Kulkarni, Avinash Kulkarni
1Professor and Unit Chief, Department of Orthopaedics, BLDEU's, Shri B M Patil Medical College , Bijapur, Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|October 3, 2013
Summary
Aneurysmal bone cysts (ABCs) are benign tumors. Intra-lesional curettage is an effective treatment for ABCs, even in challenging pelvic locations, with low recurrence rates.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- An aneurysmal bone cyst (ABC) is a locally aggressive benign bone tumor.
- Treatment typically involves intra-lesional curettage and bone grafting, especially when mechanical bone strength is compromised.
- Large, highly vascular ABCs with deep extensions pose surgical challenges.
Purpose of the Study:
- To present a case of a large aneurysmal bone cyst in the superior ramus of the pubis.
- To evaluate the efficacy of intra-lesional curettage for such challenging cases.
Main Methods:
- A 15-year-old male presented with a right inguinal swelling.
- X-ray revealed a lytic lesion of the right pubic ramus.
- Complete tumor excision was performed via intra-lesional curettage and biopsy.
Main Results:
- Intra-lesional curettage yielded satisfactory results.
- The procedure was associated with low complications.
- Low recurrence of the aneurysmal bone cyst was observed.
Conclusions:
- Intra-lesional curettage is a viable and effective treatment for aneurysmal bone cysts in challenging locations.
- This approach offers a low complication and recurrence rate for pelvic ABCs.
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