Summary
The treatment of three cases of aneurysmal bone cyst by selective arterial embolism is described. Two cases had involvement of the pelvis and one of the knee. The 2-year follow up has been promising. Radiologically the lesion has been arrested with increased density of the cyst wall and intra-cystic trabecular new bone formation. Pain relief has been complete and up to now no surgical treatment has been required.
Résumé
Présentation de l'évolution clinique et radiologique de trois cas de kyste osseux anévrysmal, deux localisés au bassin et le troisième au genou, traités par embolisation artérielle sélective. Les résultats, avec 2 ans de recul, sont encourageants. Radiologiquement la lésion paraît stabilisée avec densification des parois et apparition de travées d'os nouveau à l'intérieur du kyste. Les douleurs ont complétement disparu et jusqu'à présent aucun geste chirurgical n'a été nécessaire.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Biesecker, S. C., Marcove, R. A., Huvos, A. G., Mike, V.: Aneurysmal bone cyst. A clinicopathologic study of 66 cases. Cancer 26, 615–625 (1970)
Bookstein, J. J., Chlosta, E. M., Foley, D., Walter, J. F.: Transcatheter hemostasis of gastrointestinal bleeding using modified autogenous clot. Radiology 113, 277–285 (1974)
Cahan, W. G., Woodard, H. Q., Higinbotham, N. L., Stewart, F. W., Coley, B. L. X.: Sarcoma arising in irradiated bone. Report of eleven cases. Cancer 1, 3–29 (1948)
Campanacci, M., Cervellati, C.: Cisti aneurismatica del bacino a sviluppo pseudosarcomatoso. Chr. Organi Mov. 60, 105–121 (1971)
Campanacci, M., Cervellati, C., Donati, U., Bertoni, F.: Cisti aneurismatica: studio di 127 casi, 72 controllati a distanza. Ital. J. Orthop. Traumatol. 2, 343–354 (1976)
Dabska, M., Buraczewski, J.: Aneurysmal bone cyst. Pathology, clinical course and radiological appearances. Cancer 23, 371–389 (1969)
Dick, H. M., Bigliani, L. U., Michelsen, J., Johnston, A. D., Stinchfield, F. E.: Adjuvant arterial embolization in the treatment of benign primary bone tumors in children Clin. Orthop. 139, 133–141 (1979)
Donaldson, W. F. Jr.: Aneurysmal bone cyst. J. Bone Joint Surg. [Am.] 44, 25–39 (1962)
Hilal, S. K., Michelsen, J. W.: Therapeutic percutaneous embolization for extra-axial vascular lesions of the head, neck and spine. J. Neurosurg. 43, 275–281 (1975)
Jaffe, H. L.: In the discussion Donaldson W. F. Jr.: Aneurysmal bone cyst. J. Bone Joint Surg. [Am.] 44, 25–39 (1962)
Katzman, H., Waugh, T., Berdon, W.: Skeletal changes following irradiation of childhood tumors. J. Bone Joint Surg. [Am.] 51, 825–842 (1969)
Koskinen, E. V. S., Visuri, T. I., Holmstrom, T., Roukkula, M. A.: Aneurysmal bone cyst. Evaluation of resection and of curettage in 20 cases. Clin. Orthop. 118, 136–146 (1976)
Lichtenstein, L.: Aneurysmal bone cyst. A pathological entity commonly mistaken for giant-cell tumor and occasionally for hemangioma and osteogenic sarcoma. Cancer 3, 279–289 (1950)
Lichtenstein, L.: Aneurysmal bone cyst. Further observations. Cancer 6, 1228–1237 (1953)
Lichtenstein, L.: Aneurysmal bone cyst. J. Bone Joint Surg. [Am.] 39, 875–882 (1957)
Luessenhop, A. J., Kachmann, R., Shevlin, W., Ferraro, A.: Clinical evaluation of artificial embolization in management of large cerebral arterovenous malformation. J. Neurosurg. 23, 400–405 (1965)
Marcove, R. C., Miller, T. R.: Treatment of primary and metastatic bone tumors by cryosurgery. JAMA 207, 1890–1894 (1969)
Misasi, N., Cigala, F., Spampinato, N., Palombini, L., Marino, D.: Gli effetti del blocco vascolare sull' epifisi prossimale del femore in animali in accrescimento (studio preliminare). Il Policlinico 83, 600–604 (1976)
Schajowicz, F., Derqui, J. C.: Puncture biopsy in lesions of the locomotor system: review of results in 4,050 cases, including 941 vertebral puncture. Cancer 21, 531–548 (1968)
Slowick, F. A., Campbell, C. J., Kettelkamp, D. B.: Aneurysmal bone cyst. An analysis of thirteen cases. J. Bone Joint Surg. [Am.] 50, 1142–1151 (1968)
Valdisserri, L., Giancecchi, F., Rubbini, L.: Recidiva di cisti ossee aneurismatiche nell'età infantile. Considerazioni sul trattamento di tre casi. Ital. J. Orthop. Traumatol. 2, 253–259 (1977)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Misasi, N., Cigala, F., Iaccarino, V. et al. Selective arterial embolisation in aneurysmal bone cysts. International Orthopaedics 6, 123–128 (1982). https://doi.org/10.1007/BF00268655
Issue Date:
DOI: https://doi.org/10.1007/BF00268655