Skip to main content

Abstract

Aneurysmal bone cyst is an intramedullary eccentric metaphyseal and rapid expansible benign lytic lesion with multiloculated blood-filled cystic cavities, lined by membranes of different thickness and composed of spindle cells, osteoid trabeculae, and osteoclastic-type giant cells. Primary ABC: When ABC arises “de novo” in bone − 70 % of cases. In these cases, a definite preexisting lesion cannot be demonstrated. Secondary ABC: Areas similar to primary ABC are found in various benign and malignant conditions. Male/female ratio is equal. The second followed by the first decade of life accounts for 80 % of cases. Roentgenographically, it is an area of lucency situated eccentrically in the medullary cavity in the metaphysis of a long bone. MRI confirms the entirely cystic nature, the internal septations, and its fluid-fluid levels. Treatment includes excision or curettage and bone grafting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Recommended Reading

  • Bertoni F, Bacchini P, Capanna R, Ruggieri P, Biagini R, Ferruzi A, Bertelli G, Picci P, Campanacci M. Solid variant of aneurysmal bone cyst. Cancer. 1993;71:729–34.

    Article  CAS  PubMed  Google Scholar 

  • Jaffe HL. Aneurysmal bone cyst. Bull Hosp Joint Dis. 1950;11:3–13.

    CAS  PubMed  Google Scholar 

  • Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst. Arch Surg. 1942;44:1004–25.

    Article  Google Scholar 

  • Kransdorf MJ, Sweet DE. Aneurysmal bone cyst: concept, controversy, clinical presentation and imaging. AJR Am J Roentgenol. 1995;164:573–80.

    Article  CAS  PubMed  Google Scholar 

  • Lichtenstein L. Aneurysmal bone cyst. A pathological entity commonly mistaken for giant cell tumor and occasionally for hemangioma and osteogenic sarcoma. Cancer. 1950;3:279–89.

    Article  Google Scholar 

  • Martinez V, Sissons HA. Aneurysmal bone cyst. A review of 123 cases including primary lesions and those secondary to other bone pathology. Cancer. 1988;61:2291–304.

    Article  CAS  PubMed  Google Scholar 

  • Oliveira AM, Hsi BL, Weremowicz S, Rosenberg AE, Dal Cin P, Nora J, Bridge JA, Perez-Atayde AR, Fletcher JA. USP6 (Tre2) fusion oncogenes in aneurysmal bone cyst. Cancer Res. 2004;64:192–202.

    Article  Google Scholar 

  • Pan S, Bridge J, Siiegal, et al. Hum Pathol. 2012;43:952–7.

    Article  CAS  PubMed  Google Scholar 

  • Sukov WRD, Franco MF, Erickson-Johnson M, Chou MM, Unni KK, Wenger DE, Wang X, Oliveira AM. Frequency of USP6 rearrangements in myositis ossificans, brown tumor, and cherubism: molecular cytogenetic evidence that a subset of “myositis ossificans-like lesions” are the early phases in the formation of soft-tissue aneurysmal cyst. Skeletal Radiol. 2008;37(4):321–7.

    Article  PubMed  Google Scholar 

  • Vergel DeDios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer. 1992;69:2921–31.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eduardo Santini-Araujo MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag London

About this chapter

Cite this chapter

Olvi, L.G., Lembo, G.M., Velan, O., Santini-Araujo, E. (2015). Aneurysmal Bone Cyst. In: Santini-Araujo, E., Kalil, R., Bertoni, F., Park, YK. (eds) Tumors and Tumor-Like Lesions of Bone. Springer, London. https://doi.org/10.1007/978-1-4471-6578-1_48

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-6578-1_48

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6577-4

  • Online ISBN: 978-1-4471-6578-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics