eMedicine Specialties > Orthopedic Surgery > Neoplasms

Aneurysmal Bone Cyst: Multimedia

Author: Bart Eastwood, DO, Orthopedic Surgeon, Avera St Anthony's Hospital
Contributor Information and Disclosures

Updated: May 2, 2008

Multimedia

Aneurysmal bone cyst of the upper arm. Courtesy ...
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Media file 1: Aneurysmal bone cyst of the upper arm. Courtesy of Johannes Stahl, The Virtual Radiological Case Collection.
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Aneurysmal bone cyst of the upper arm. Courtesy ...

Aneurysmal bone cyst of the upper arm. Courtesy of Johannes Stahl, The Virtual Radiological Case Collection.

Aneurysmal bone cyst of the upper arm. Courtesy ...
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Media file 2: Aneurysmal bone cyst of the upper arm. Courtesy of Johannes Stahl, The Virtual Radiological Case Collection.
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Aneurysmal bone cyst of the upper arm. Courtesy ...

Aneurysmal bone cyst of the upper arm. Courtesy of Johannes Stahl, The Virtual Radiological Case Collection.

Aneurysmal bone cyst affecting the lumbar spine. ...
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Media file 3: Aneurysmal bone cyst affecting the lumbar spine. Courtesy of Nick Oldnall, Index: Spine.
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Aneurysmal bone cyst affecting the lumbar spine. ...

Aneurysmal bone cyst affecting the lumbar spine. Courtesy of Nick Oldnall, Index: Spine.

Aneurysmal bone cyst of the upper arm in a 13-yea...
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Media file 4: Aneurysmal bone cyst of the upper arm in a 13-year-old female adolescent. Left to right, the radiographs were obtained over a period of approximately 2 months. Courtesy of Armed Forces Institute of Pathology.
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Aneurysmal bone cyst of the upper arm in a 13-yea...

Aneurysmal bone cyst of the upper arm in a 13-year-old female adolescent. Left to right, the radiographs were obtained over a period of approximately 2 months. Courtesy of Armed Forces Institute of Pathology.

Aneurysmal bone cyst of the upper arm in an 18-ye...
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Media file 5: Aneurysmal bone cyst of the upper arm in an 18-year-old woman. Note the cortical erosion and slight expansion. Courtesy of Armed Forces Institute of Pathology.
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Aneurysmal bone cyst of the upper arm in an 18-ye...

Aneurysmal bone cyst of the upper arm in an 18-year-old woman. Note the cortical erosion and slight expansion. Courtesy of Armed Forces Institute of Pathology.

Aneurysmal bone cyst of the upper arm. Used with ...
(Enlarge Image)
Media file 6: Aneurysmal bone cyst of the upper arm. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.
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Aneurysmal bone cyst of the upper arm. Used with ...

Aneurysmal bone cyst of the upper arm. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.

Aneurysmal bone cyst of the upper arm. Used with ...
(Enlarge Image)
Media file 7: Aneurysmal bone cyst of the upper arm. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.
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Aneurysmal bone cyst of the upper arm. Used with ...

Aneurysmal bone cyst of the upper arm. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.

In this histologic image, the vascular spaces var...
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Media file 8: In this histologic image, the vascular spaces vary widely in size and shape, and the septa range from thin to broad. Well-formed bone is focally present. Courtesy of Armed Forces Institute of Pathology.
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In this histologic image, the vascular spaces var...

In this histologic image, the vascular spaces vary widely in size and shape, and the septa range from thin to broad. Well-formed bone is focally present. Courtesy of Armed Forces Institute of Pathology.

In this histologic image, the septum contains fib...
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Media file 9: In this histologic image, the septum contains fibroblasts, mononuclear histiocytelike cells, multinucleated giant cells, and capillaries. The lining of the large vascular spaces may be indistinct or consist of a single layer of attenuated stromal cells, as seen here. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.
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In this histologic image, the septum contains fib...

In this histologic image, the septum contains fibroblasts, mononuclear histiocytelike cells, multinucleated giant cells, and capillaries. The lining of the large vascular spaces may be indistinct or consist of a single layer of attenuated stromal cells, as seen here. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.

This histologic image demonstrates lesional tissu...
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Media file 10: This histologic image demonstrates lesional tissue that abuts the striated tissue where the cortex has been completely destroyed. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.
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This histologic image demonstrates lesional tissu...

This histologic image demonstrates lesional tissue that abuts the striated tissue where the cortex has been completely destroyed. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.

This histologic image shows a fibrous septum that...
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Media file 11: This histologic image shows a fibrous septum that contains a long strand of osteoid that appears to have buckled in the center. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.
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This histologic image shows a fibrous septum that...

This histologic image shows a fibrous septum that contains a long strand of osteoid that appears to have buckled in the center. Used with permission from the American Registry of Pathology. Courtesy of Armed Forces Institute of Pathology.

More on Aneurysmal Bone Cyst

Overview: Aneurysmal Bone Cyst
Workup: Aneurysmal Bone Cyst
Treatment: Aneurysmal Bone Cyst
Follow-up: Aneurysmal Bone Cyst
Multimedia: Aneurysmal Bone Cyst
References
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References

  1. Clayer M. Injectable form of calcium sulphate as treatment of aneurysmal bone cysts. ANZ J Surg. May 2008;78(5):366-70. [Medline].

  2. Segall L, Cohen-Kerem R, Ngan BY, Forte V. Aneurysmal bone cysts of the head and neck in pediatric patients: A case series. Int J Pediatr Otorhinolaryngol. Apr 21 2008;epub ahead of print. [Medline].

  3. Burch S, Hu S, Berven S. Aneurysmal bone cysts of the spine. Neurosurg Clin N Am. Jan 2008;19(1):41-7. [Medline].

  4. Schajowicz F. Aneurysmal bone cyst. Histologic Typing of Bone Tumours. Berlin, Germany: Springer-Verlag; 1992:37.

  5. McCarthy EF, Frassica FJ. Aneurysmal bone cyst. Pathology of Bone and Joint Disorders: With Clinical and Radiographic Correlation. Philadelphia, Pa: W.B. Saunders Co; 1998:279-84.

  6. Vigorita VJ, Ghelman B. Aneurysmal bone cysts. Orthopaedic Pathology. Philadelphia, Pa: Lippincott-Williams and Wilkins; 1999:262-74.

  7. Canale ST. Aneurysmal bone cyst within benign tumors of bone. Campbell's Operative Orthopaedics. Vol 1. 9th ed. St. Louis, Mo: Mosby Year-Book; 1998:690.

  8. Bullough PG, Vigorita VJ. Aneurysmal bone cyst within benign non-matrix-producing bone tumors. Orthopaedic Pathology. 3rd ed. Baltimore, Md: Mosby-Wolfe; 1997:402-4.

  9. Cottalorda J, Bourelle S. Modern concepts of primary aneurysmal bone cyst. Arch Orthop Trauma Surg. Feb 2007;127(2):105-14. [Medline].

  10. Sakamoto A, Tanaka K, Matsuda S, et al. Aneurysmal bone cyst of the capitate: case report and a review emphasizing local recurrence. Fukuoka Igaku Zasshi. Oct 2006;97(10):302-7. [Medline].

  11. Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst with emphasis on the roentgen picture, the pathologic appearance and the pathogenesis. Arch Surg. 1942;44:1004-25.

  12. Leithner A, Windhager R, Lang S, et al. Aneurysmal bone cyst. A population based epidemiologic study and literature review. Clin Orthop Relat Res. Jun 1999;(363):176-9. [Medline].

  13. van den Berg H, Kroon HM, Slaar A, Hogendoorn P. Incidence of biopsy-proven bone tumors in children: a report based on the Dutch pathology registration "PALGA". J Pediatr Orthop. Jan-Feb 2008;28(1):29-35. [Medline].

  14. Kransdorf MJ, Sweet DE. Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. AJR Am J Roentgenol. Mar 1995;164(3):573-80. [Medline]. [Full Text].

  15. Schreuder HW, Veth RP, Pruszczynski M, et al. Aneurysmal bone cysts treated by curettage, cryotherapy and bone grafting. J Bone Joint Surg Br. Jan 1997;79(1):20-5. [Medline]. [Full Text].

  16. Capanna R, Bettelli G, Biagini R, et al. Aneurysmal cysts of long bones. Ital J Orthop Traumatol. Dec 1985;11(4):409-17. [Medline].

  17. Tsai JC, Dalinka MK, Fallon MD, Zlatkin MB, Kressel HY. Fluid-fluid level: a nonspecific finding in tumors of bone and soft tissue. Radiology. Jun 1990;175(3):779-82. [Medline].

  18. Enneking WF. A system of staging musculoskeletal neoplasms. Clin Orthop Relat Res. Mar 1986;204:9-24. [Medline].

  19. Lodwick GS. Radiographic diagnosis and grading of bone tumors with comments on computer evaluation. Presented at the Proceedings ofthe Fifth National Cancer Conference, Philadelphia, Pa; September 17-19, 1964; pp 369-80.

  20. Lodwick GS. A systematic approach to the roentgen diagnosis of bone tumors. Tumors of bone and soft tissue. [Papers, M.D. Anderson Hospital]. Chicago, Ill: Year Book Medical Publishers; 1965:49-68.

  21. Lodwick GS. The bones and joints. In: Hodes PJ, ed. Atlas of Tumor Radiology. Chicago, Ill: Year Book Medical Publishers; 1971.

  22. Adamsbaum C, Kalifa G, Seringe R, Dubousset J. Direct Ethibloc injection in benign bone cysts: preliminary report on four patients. Skeletal Radiol. 1993;22(5):317-20. [Medline].

  23. Otsuka T, Kobayashi M, Sekiya I, et al. A new treatment of aneurysmal bone cyst by endoscopic curettage without bone grafting. Arthroscopy. Sep 2001;17(7):E28. [Medline].

  24. Rastogi S, Varshney MK, Trikha V, et al. Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long-term follow-up. J Bone Joint Surg Br. Sep 2006;88(9):1212-6. [Medline].

  25. Vergel De Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer. Jun 15 1992;69(12):2921-31. [Medline].

  26. Gibbs CP Jr, Hefele MC, Peabody TD, et al. Aneurysmal bone cyst of the extremities. Factors related to local recurrence after curettage with a high-speed burr. J Bone Joint Surg Am. Dec 1999;81(12):1671-8. [Medline].

  27. Papagelopoulos PJ, Currier BL, Shaughnessy WJ, et al. Aneurysmal bone cyst of the spine. Management and outcome. Spine. Mar 1 1998;23(5):621-8. [Medline].

  28. Marcove RC, Sheth DS, Takemoto S, Healey JH. The treatment of aneurysmal bone cyst. Clin Orthop Relat Res. Feb 1995;311:157-63. [Medline].

  29. Bertoni F, Bacchini P, Capanna R, et al. Solid variant of aneurysmal bone cyst. Cancer. Feb 1 1993;71(3):729-34. [Medline].

  30. Biesecker JL, Marcove RC, Huvos AG, Miké V. Aneurysmal bone cysts. A clinicopathologic study of 66 cases. Cancer. Sep 1970;26(3):615-25. [Medline].

  31. Bollini G, Jouve JL, Cottalorda J, et al. Aneurysmal bone cyst in children: analysis of twenty-seven patients. J Pediatr Orthop B. Oct 1998;7(4):274-85. [Medline].

  32. Boriani S, De Iure F, Campanacci L, et al. Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine. Jan 1 2001;26(1):27-35. [Medline].

  33. Buraczewski J, Dabska M. Pathogenesis of aneurysmal bone cyst. Relationship between the aneurysmal bone cyst and fibrous dysplasia of bone. Cancer. Sep 1971;28(3):597-604. [Medline].

  34. Capanna R, Albisinni U, Picci P, et al. Aneurysmal bone cyst of the spine. J Bone Joint Surg Am. Apr 1985;67(4):527-31. [Medline].

  35. Capanna R, Campanacci DA, Manfrini M. Unicameral and aneurysmal bone cysts. Orthop Clin North Am. Jul 1996;27(3):605-14. [Medline].

  36. Capanna R, Sudanese A, Baldini N, Campanacci M. Phenol as an adjuvant in the control of local recurrence of benign neoplasms of bone treated by curettage. Ital J Orthop Traumatol. Sep 1985;11(3):381-8. [Medline].

  37. Codd PJ, Riesenburger RI, Klimo P Jr, Slotkin JR, Smith ER. Vertebra plana due to an aneurysmal bone cyst of the lumbar spine. Case report and review of the literature. J Neurosurg. Dec 2006;105(6 suppl):490-5. [Medline].

  38. de Kleuver M, van der Heul RO, Veraart BE. Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B. Oct 1998;7(4):286-92. [Medline].

  39. Dwyer DM, Thorne AC, Healey JH, Bedford RF. Liquid nitrogen instillation can cause venous gas embolism. Anesthesiology. Jul 1990;73(1):179-81. [Medline].

  40. Fechner RE, Mills SE. Non-neoplastic lesions that mimic neoplasms. Atlas of Tumor Pathology: Tumors of the Bone and Joints. Vol 8. 3rd ed. Washington, DC: Armed Forces Institute of Pathology (US); 1993:253-8.

  41. Gladden ML, Gillingham BL, Hennrikus W, Vaughan LM. Aneurysmal bone cyst of the first cervical vertebrae in a child treated with percutaneous intralesional injection of calcitonin and methylprednisolone. A case report. Spine. Feb 15 2000;25(4):527-30; discussion 531. [Medline].

  42. Jackson WF, Theologis TN, Gibbons CL, Mathews S, Kambouroglou G. Early management of pathological fractures in children. Injury. Feb 2007;38(2):194-200. [Medline].

  43. Malawer MM, Marks MR, McChesney D, et al. The effect of cryosurgery and polymethylmethacrylate in dogs with experimental bone defects comparable to tumor defects. Clin Orthop Relat Res. Jan 1988;226:299-310. [Medline].

  44. Marcove RC. A 17-year review of cryosurgery in the treatment of bone tumors. Clin Orthop Relat Res. Mar 1982;163:231-4. [Medline].

  45. Martinez V, Sissons HA. Aneurysmal bone cyst. A review of 123 cases including primary lesions and those secondary to other bone pathology. Cancer. Jun 1 1988;61(11):2291-304. [Medline].

  46. McQueen MM, Chalmers J, Smith GD. Spontaneous healing of aneurysmal bone cysts. A report of two cases. J Bone Joint Surg Br. Mar 1985;67(2):310-2. [Medline]. [Full Text].

  47. Szendröi M, Cser I, Kónya A, Rényi-Vámos A. Aneurysmal bone cyst. A review of 52 primary and 16 secondary cases. Arch Orthop Trauma Surg. 1992;111(6):318-22. [Medline].

  48. Tachdjian MO. Aneurysmal bone cyst. Tachdjian's Pediatric Orthopaedics. 2nd ed. Philadelphia, Pa: W.B. Saunders Co; 1990:1251-8.

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Further Reading

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Keywords

ABC, cystic lesion, primary aneurysmal bone cyst, primary ABC, secondary aneurysmal bone cyst, secondary ABC, giant cell tumor, telangiectatic osteosarcoma

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Contributor Information and Disclosures

Author

Bart Eastwood, DO, Orthopedic Surgeon, Avera St Anthony's Hospital
Bart Eastwood, DO is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Osteopathic Academy of Orthopedics, and American Osteopathic Association
Disclosure: Nothing to disclose.

Medical Editor

Howard A Chansky, MD, Associate Professor, Department of Orthopedics and Sports Medicine, University of Washington Medical Center
Howard A Chansky, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Sean P Scully, MD, PhD, Professor, Department of Orthopedics, University of Miami
Sean P Scully, MD, PhD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, International Society on Thrombosis and Haemostasis, and Society of Surgical Oncology
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

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