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Case report: calcification within aneurysmal bone cyst

P Sharma1, S Elangovan, C Ratnakar

  • 1Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

The British Journal of Radiology
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

Aneurysmal bone cyst (ABC) is rare in young children. This case highlights an unusual presentation of ABC in a 5-year-old, mimicking enchondroma due to internal calcification.

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Area of Science:

  • Pediatric Orthopedics
  • Skeletal Radiology
  • Pediatric Pathology

Background:

  • Aneurysmal bone cyst (ABC) typically presents as an expansile, osteolytic metaphyseal lesion in older children and young adults.
  • Radiological features usually include a thinned cortex and internal septations, without significant calcification.

Observation:

  • A 5-year-old girl presented with a bone lesion initially suspected to be an enchondroma.
  • The lesion exhibited internal calcification, an atypical feature for a standard Aneurysmal bone cyst.

Findings:

  • Pathological examination confirmed the diagnosis of Aneurysmal bone cyst (ABC).
  • The Aneurysmal bone cyst (ABC) demonstrated a large area of dystrophic calcification, contributing to the initial misdiagnosis.

Implications:

  • This case underscores the importance of considering Aneurysmal bone cyst (ABC) in the differential diagnosis of pediatric bone lesions, even with atypical radiological findings.
  • Internal calcification can complicate the radiological diagnosis of Aneurysmal bone cyst (ABC), necessitating thorough pathological evaluation.