Abstract
A series of 7 cases of aneurysmal bone cysts (ABC), all but 1 located in the pelvic bones, which were treated by transcatheter embolization is presented. Five embolizations were performed for primary treatment, while in 2 patients they were performed preoperatively. In all patients a definite histological diagnosis was established by open biopsy, and plain radiographs as well as computerized tomography (CT) were applied for evaluation of the results. The embolizing materials were tissue adhesive for permanent, and Gelfoam for preoperative vessel occlusions. Of 5 lesions treated for the purpose of definitive embolization, 3 (all located in the superior pubic ramus) showed complete ossification; in one, partial remineralization and progression occurred. In a further patient with a secondary ABC, partial reconstitution was recorded. Both preoperative embolizations resulted in successful en bloc resection with minimal blood loss. Transcatheter embolization is the treatment of choice for the highly vascular ABC in unfavorable anatomical locations.
Similar content being viewed by others
References
Brothers M, Kaufmann J, Fox A, Deveikis J (1989) n-Butyl-2-cyanoacrylate — substitute for IBCA in interventional neuroradiology. AJNR 10:777
Chuang VP, Soo CS, Wallace S, Benjamin RS (1981) Arterial occlusion: management of giant cell tumor and aneurysmal bone cyst. AJR 136:1127
Cory DA, Fritsch SA, Cohen MD, Mail JT, Holden RW, Scott JA, DeRosa GP (1989) Aneurysmal bone cysts: imaging findings and embolotherapy. AJR 153:369
Feldman F, Casarella WJ, Dick HM, Hollander BA (1975) Selective intraarterial embolization of bone tumors. A useful adjunct in the management of selected lesions. AJR 123:130
Keller FS, Rösch J, Bird CB (1983) Percutaneous embolization of bony pelvic neoplasms with tissue adhesive. Radiology 147:21
Kudo S, Chuang VP, Wallace S, Bechtel W, Mir S (1984) Middle sacral arteriography: diagnostic and therapeutic implications. Radiology 151:65
Misasi N, Cigala F, Iaccarino V, Cozzolino F, Sadile F, Marasco E (1982) Selective arterial embolization in aneurysmal bone cysts. Int Orthop 6:123
Murphy WA, Strecker WB, Schoenecker PL (1982) Transcatheter embolisation therapy of an ischial aneurysmal bone cyst. J Bone Joint Surg [Br] 64:166
Ruiter DJ, van Rijssel TG, van der Velde EA (1977) Aneurysmal bone cysts. A clinicopathological study of 105 cases. Cancer 39:2231
Stoesslein F, Ditscherlein G, Romaniuk PA (1982) Experimental studies on new liquid embolization mixtures (histoacryl-Lipiodol, histoacryl-Pantopaque). Cardiovasc Intervent Radiol 5:264
Suby-Long T, Bos GD, Rösch J (1988) Biopsy proven eradication of an aneurysmal bone cyst treated by superselective embolization: a case report. Cardiovasc Intervent Radiol 11:292
Szendröi M, Cser I, Kónya A, Rényi-Vámos A (1992) Aneurysmal bone cysts. A review of 52 primary and 16 secondary cases. Arch Orthop Traumat Surg (accepted for publication)
Wallace S, Granmayeh M, de Santos LA, Murray JA, Romsdahl MM, Bracken RB, Jonsson K (1979) Arterial occlusion of pelvic bone tumors. Cancer 43:322
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kónya, A., Szendröi, M. Aneurysmal bone cysts treated by superselective embolization. Skeletal Radiol. 21, 167–172 (1992). https://doi.org/10.1007/BF00242130
Issue Date:
DOI: https://doi.org/10.1007/BF00242130