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Related Experiment Videos

Aneurysmal cyst, bone type, primary in an artery

P K Petrik1, J M Findlay, R A Sherlock

  • 1Department of Laboratory Medicine, Grey Nuns Hospital, Edmonton, Alberta, Canada.

The American Journal of Surgical Pathology
|October 1, 1993
PubMed
Summary
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A rare aneurysmal bone cyst-like reaction occurred in a child's carotid artery bifurcation. Surgical excision with a vein graft successfully treated this unique vascular lesion.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Pathology

Background:

  • Aneurysmal bone cysts (ABCs) are typically benign, locally destructive, and expansile bone lesions.
  • Vascular involvement by ABCs is exceptionally rare, with most cases reported in bone, not major arteries.

Observation:

  • A 7-year-old boy presented with a rapidly enlarging, pulsatile neck mass over 6 weeks.
  • Imaging revealed a lesion at the left common carotid artery bifurcation.
  • The patient had no history of trauma, intracranial aneurysms, or skeletal abnormalities.

Findings:

  • The lesion was surgically excised, and the common carotid artery bifurcation was reconstructed using a saphenous vein graft.
  • Histopathological examination confirmed an aneurysmal bone cyst-like reaction.

Related Experiment Videos

  • This represents the first reported case of an aneurysmal bone cyst-like lesion involving a major artery like the carotid bifurcation.

    • Implications:

    • This case expands the known spectrum of aneurysmal bone cyst-like reactions to include large blood vessels.
    • Highlights the importance of considering rare vascular pathologies in pediatric neck masses.
    • Successful surgical management demonstrates the feasibility of arterial reconstruction in such cases.