A Rare Case of Nasal-Orbital-Cranial Aneurysmal Bone Cyst

Otolaryngology Case Reports, 2019

Introduction: Aneurysmal bone cyst (ABC) is an expansible bone lesion that occurs usually in long bones. Rarely, it involves the head and neck regions. Case report: A 31-year-old woman who presented with epistaxis and right side nasal cavity mass. Radiologically, there was an expansible lytic anterior ethmoid lesion, which extended to right maxillary, frontal sinuses, and nasal cavity causing nasal septum deviation to the left side. Several biopsies were taken during functional endoscopic sinus surgery (FESS) and showed fibrous proliferation with new bone formation, giant cells, and hemorrhagic cysts, which are the characteristics of the aneurysmal bone cyst. Then, the patient underwent surgical excision of the mass. Conclusion: ABC is a rare disease in the head and neck and can be confused with other diagnoses on imaging. Therefore, the histopathological diagnosis is required. Regular follow up after the surgical excision using imaging is necessary considering previously reported recurrence rate.

Polish journal of radiology / Polish Medical Society of Radiology, 2010

Aneurysmal bone cyst is an expansile bone lesion, non-neoplastic in nature, occurring most commonly in long bones. It is uncommon in facial bones and exceptionally rare in ethmoid bone. Ten cases of aneurysmal bone cysts of ethmoid bone have been reported so far. A young adolescent presented with decreased vision and pain in the right eye. MRI revealed an expansile lesion having conspicuous fluid levels with a multiloculated appearance in the right ethmoid bone extending to the right orbit. CT was done to characterize better bone details. Both biopsy of the lesion and histopathology of resected specimen confirmed aneurysmal bone cyst. A characteristic appearance on MRI and CT examinations helped to confidently diagnose a relatively common lesion in an exceedingly rare location.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2002

Aneurysmal hone cyst is rare in paranasal sinuses. It may be uni or multilocutar It occurs alone or with other benign bone lesions. The exact pathogenesis of it is still unknown. The aggressiveness of the disease needs early diagnosis and proper management to prevent recurrence. This report describes a case of aneurysmal bone cyst involving the ethmoid and maxillary sinuses which was successfully managed.

Skull Base-an Interdisciplinary Approach, 1999

Aneurysmal bone cyst is a benign, non-neoplastic lesion that present most frequently under the age of 20 years. The metaphysis of long bones is the usual site of origin. The involvement of the skull is rare. In the 2.5 to 6% of such cases reported in the literature, the skull vault is more often the site than the skull base. Three cases of aneurysmal bone cyst involving the skull base have been managed at King Faisal Specialist Hospital and Research Center. Two females and one male, all 10 years of age and younger, presented with a painless, progressive swelling. The preoperative radiological studies showed characteristic findings and were highly suggestive of the diagnosis. Angiography also gave characteristic findings. Preoperative endovascular embolization of the arterial feeders to the tumor was performed in two patients who had a significant decrease in intraoperative bleeding from the tumor. All cases underwent surgical excision with a good outcome.

Journal of Neurosurgery, 1977

The case of a 6 year old girl with aneurysmal bone cyst (ABC) presenting as a subperiosteal hematoma is reported. Postoperative computerized tomography revealed a new multicystic lesion suggestive of ABC which disappeared spontaneously about 1 month after the operation. The slowly progressing process and spontaneous disappearance of ABC in this case may be noteworthy when considering the surgical indication of this pathology.

Journal of Surgical Case Reports

Aneurysmal bone cysts (ABCs) are expansile cystic lesions that can affect any bone of the body. Whilst these lesions are histologically benign, the lesions are locally aggressive and can affect the integrity of the affected bone as well as surrounding structures. ABCs arising in the head and neck region, particularly the paranasal sinuses are rare and they are limited to case reports in the literature. Due to the proximity of critical anatomical structures and the visual apparatus, the potential complications can be devastating. The present article discusses both the clinical and radiological findings of an ABC arising from the ethmoid sinuses in a 6-year-old child and the potentially challenging diagnosis with its complex ensuing surgical management. The identification of an ABC arising in the paranasal sinuses is both a diagnostic and surgical challenge and ideally requires complex management in a joint paediatric ENT and craniofacial unit.

Plastic and Aesthetic Research, 2015

The incidence of aneurysmal bone cyst in the maxillofacial region is rare and may remain undiagnosed for a long period prior to becoming symptomatic. This may cause associated issues secondary to compression by extending to the surrounding vital anatomical areas. An aggressive course can lead to bony destruction with intracranial extension. We present a case of a 23-year-old man who presented with bilateral exorbitism with nasal obstruction.

Rhinology

Aneurysmal bone cyst is a benign, vascular, variable growing and expansive lesion that can occur in any part of the skeletal system, but mainly in long bones and vertebrae. We present a case of orbitoethmoid aneurysmal bone cyst in a 62-year-old female presenting epiphora. Nasal endoscopy was normal. Sinus CTscan revealed an expansive mass in the right ethmoid sinus extending and destroying the right lamina papiracea. The tumor was completely resected through paralateral rhinotomy. Histological analysis showed fibrous septa containing multinucleated giant cells and bone tissue surrounding blood vessel lumens, bordered by endothelial cells. These findings are characteristic of aneurysmal bone cysts. After 30 months of postoperative follow-up the patient remains disease-free and asymptomatic.

Scientific Journal of Dentistry, 2015

The aneurysmatic bone cysts are uncommon bone injuries, but well-recognized occurring a more frequent in long bones and vertebrae of patients with <30 years. As a distinct entity, it was fi rst described by Lichtenstein, they rarely occur in the maxillary sinuses, which may occur concomitantly with other injuries such as brous dysplasia, and central injury of giant cells. The etiology and pathogenesis of this injury are still not completely elucidated, and there is controversy whether injuries arise anew or represent some form of vascular accident in a preexisting injury. Their clinical characteristics such as fast growth, expansion, cortical destruction and osteoid formation can easily confuse the clinician about malignant injuries. This is a case report of a pediatric patient treated of an aneurysmal bone cyst (ABC) associated with juvenile ossifying broma in Buccal

Asian Journal of Neurosurgery, 2020

Aneurysmal bone cysts (ABCs) are benign bone lesions mainly occurring at the metaphyseal end of long bones and are a rarity in the calvarium. The reported incidence of this lesion in the skull is 1% of all the ABC. It is a benign condition that may extend intracranially. We report here a case of a 3½-year-old male child who presented with a bony hard, painless, and gradually enlarging swelling over his right temporal region. Radiological investigations and histology revealed that the lesion was an ABC. A total surgical excision was achieved despite its intracranial extension along with the involvement of dura. Prognosis is excellent with total removal as a total surgical removal of the lesion is considered curative. The rarity of the lesion along with a good surgical result despite an intracranial extension with dural involvement prompted this report.

Surgical Neurology, 2003

BACKGROUND Aneurysmal bone cysts (ABCs) are uncommon lesions of the temporal bone and their occurrence in the calvarium is rare. CASE DESCRIPTION A case of a right temporal ABC is reported in a 14-year-old boy who presented swelling of the right temporal region. Magnetic resonance imaging showed a destructive and expansile bone lesion on the right anterior temporal and orbital bone. The lesion was removed in total by the right temporal craniotomy and orbitozygomatic osteotomy. ABC was diagnosed in the pathologic examination. The patient had good recovery during the postoperative course. CONCLUSIONS This report presents the diagnosis and imaging of an ABC in the temporal bone. This localization is very rare for ABC. Total excision, if feasible, is the ideal treatment.

2019

Introduction: Aneurysmal bone cyst is a vascular bone lesion, occurring most commonly in long bones. Only 2% occurs in the head and neck and it is very rare in the ethmoid sinus.

Journal of Evidence Based Medicine and Healthcare, 2014

Aneurysmal bone cysts (ABCs) are benign, vascular and cystic bony tumors which can be rapidly expanding and locally cause destruction of the surrounding tissue. ABCs in the head and neck area are usually found in patients with younger age group. ABC in the head and neck region of children may vary in presentations and severity. ABCs are commonly found in mandible, sinonasal tract and cranium in head and neck region. Imaging and histopathological examinations confirm the diagnosis. Complete surgical excision is the treatment of choice. ABC which is secondary to underlying bone pathology like osteoblastoma may refractory to treatment. ABC in the head and neck region are uncommon and should be considered as differential diagnosis of bony and vascular lesions in the locations like mandible, sinonasal area, cranium, mastoid bone and spine. The review article includes case series, case reports and original research on ABCs manifesting in the head and neck area published in the English language. All literatures identified via Scopus, Google scholar, Medline and PubMed were analyzed individually. Articles of ABCs included according to specified eligibility criteria. The total number of articles were 78 (41 case reports; 37 cases series; 8 original articles). ABCs rapidly grow with expansile manner and result in destruction of bone and surrounding tissue in the head and neck region, so clinicians must think about this clinical entity to diagnose correctly and treat appropriately. The aim of the article is providing a comprehensive review of the ABC in the head and neck region of the pediatric patients.

Aneurysmal Bone Cyst (ABC) are extremely rare in the head and neck region and even rare in sinuses. It’s a benign multicystic mass that is locally-destructive and rapidly expandable. The etiopathogenesis, even today, is not entirely clear. However, hemorragic fluid content and septated appearance are the characteristic feature of ABC. The clinical presentation produces symptoms due to the compression of adjacent structures or as a result of a pathological fracture and depends on localization. Most common location in this area are the mandible and maxillary bones. The complete surgical excision is the treatment of choice. There are limited reports in literature on these tumors at the sinonasal level. We present a complete review of the literature as well as an unusual localization of ABC in this district.