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Multiple Primary Aneurysmal Bone Cysts: A Case Report and Literature Review
Ali H AlYami1,2,3, Bandar N AlMaeen4,5, Majed AlMuraee1
1Department of Surgery, Ministry of the National Guard - Health Affairs, Jeddah, SAU.
Cureus
|August 4, 2022
Summary
This case study details a 12-year-old boy with multiple aneurysmal bone cysts (ABCs). He developed a new lesion after prior surgeries for this rare bone condition.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Skeletal Pathology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions.
- Multiple ABCs are exceptionally uncommon, posing diagnostic and management challenges.
- Surgical intervention is a primary treatment modality for symptomatic ABCs.
Observation:
- A 12-year-old male presented with a history of multiple ABCs.
- The patient had undergone prior surgical treatment for lesions on the proximal left tibia, proximal left femur, and distal tibia.
- A new lesion developed on the proximal left humerus during post-operative follow-up.
Findings:
- The pathological diagnosis confirmed multiple aneurysmal bone cysts.
- The development of new lesions after surgery highlights the potential for recurrence or multifocal disease.
- This case underscores the aggressive nature and unpredictable behavior of multiple ABCs.
Implications:
- Early detection and vigilant monitoring are crucial for patients with multiple ABCs.
- Multidisciplinary management involving orthopedic surgeons and oncologists may be necessary.
- Further research into the etiology and optimal treatment strategies for multifocal ABCs is warranted.
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