Primary Aneurysmal Bone Cyst in the Iliac Bone: A Case Report
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Symptomatic aneurysmal bone cysts with expansible lesions in the pelvis are rare in children. The managementof an aggressive vascular lesion in a female child is challenging. The standard treatment for aneurysmal bonecysts is accompanied by a high risk of local recurrence. A 12-year-old female presented with a history of pelvicpain for 5 months. Plain radiographs and magnetic resonance imaging showed a very large expansile lytic lesionarising from the right iliac bone. Intralesional curettage, electric cauterization, chemical sclerotherapy andallogeneic bone graft were performed through the window of the iliac crest. At a follow-up consultation 3.5years post-surgery, the child had painless full-range movement in the hip joint with no recurrence. Althoughmany treatment options are described, our patient was treated successfully using curettage and allogeneic bonegraft without recurrence.
Abstract
Symptomatic aneurysmal bone cysts with expansible lesions in the pelvis are rare in children. The managementof an aggressive vascular lesion in a female child is challenging. The standard treatment for aneurysmal bonecysts is accompanied by a high risk of local recurrence. A 12-year-old female presented with a history of pelvicpain for 5 months. Plain radiographs and magnetic resonance imaging showed a very large expansile lytic lesionarising from the right iliac bone. Intralesional curettage, electric cauterization, chemical sclerotherapy andallogeneic bone graft were performed through the window of the iliac crest. At a follow-up consultation 3.5years post-surgery, the child had painless full-range movement in the hip joint with no recurrence. Althoughmany treatment options are described, our patient was treated successfully using curettage and allogeneic bonegraft without recurrence.
참고문헌 (10)
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