Treatment of an aggressive aneurysmal bone cyst with percutaneous injection of polidocanol: a case report

Journal of Medical Case Reports

Panagiotis Tsagozis¹  Otte Brosjö¹ 

[1] Department of Orthopaedics, Karolinska University Hospital, Stockholm S-17176, Sweden

关键词: Sclerotherapy;    Polidocanol;    Aggressive aneurysmal bone cyst;   

Others  :  1180880
DOI  :  10.1186/1752-1947-8-450

 received in 2014-08-11, accepted in 2014-11-25,  发布年份 2014

【 摘 要 】

Introduction

Aneurysmal bone cysts are benign tumours that usually present in childhood. Aggressive forms have been described, which are often treated with surgery that entails major resection and reconstruction. Polidocanol sclerotherapy has recently been reported to have excellent results and promises to replace operative treatments, but its efficacy in the case of aggressive aneurysmal bone cysts has not been documented.

Case presentation

An 18-year-old woman from Sweden presented with pain in her shoulder and a rapidly progressing cystic bone lesion. The differential diagnosis was a rare, aggressive form of aneurysmal bone cyst or a sarcoma of the proximal humerus. She was successfully treated using sequential percutaneous injections of polidocanol after exclusion of malignancy.

Conclusions

Management of aggressive aneurysmal bone cysts has thus far relied on open surgery. We propose that non-operative treatment with polidocanol is efficient even in the aggressive form of the aneurysmal bone cyst.

【 授权许可】

   
2014 Brosjö and Tsagozis; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Mendenhall WM, Zlotecki RA, Gibbs CP, Reith JD, Scarborough MT, Mendenhall NP: Aneurysmal bone cyst. Am J Clin Oncol 2006, 29(3):311-315.
• [2]Cottalorda J, Bourelle S: Current treatments of primary aneurysmal bone cysts. J Pediatr Orthop B 2006, 15(3):155-167.
• [3]Tomasik P, Spindel J, Miszczyk L, Chrobok A, Koczy B, Widuchowski J, Mrozek T, Matysiakiewicz J, Pilecki B: Treatment and differential diagnosis of aneurysmal bone cyst based on our own experience. Ortop Traumatol Rehabil 2009, 11(5):467-475.
• [4]Papagelopoulos PJ, Choudhury SN, Frassica FJ, Bond JR, Unni KK, Sim FH: Treatment of aneurysmal bone cysts of the pelvis and sacrum. J Bone Joint Surg Am 2001, 83-A(11):1674-1681.
• [5]Güven M, Demirel M, Ozler T, Başsorgun IC, Ipek S, Kara S: An aggressive aneurysmal bone cyst of the proximal humerus and related complications in a pediatric patient. Strategies Trauma Limb Reconstr 2012, 7(1):51-56.
• [6]Beslikas T, Chytas A, Christodoulou A, Gigis I, Christoforidis I: A giant scapular aneurysmal bone cyst in a child. Case Rep Orthop 2012, 2012:327023.
• [7]Randall RL, Nork SE, James PJ: Aggressive aneurysmal bone cyst of the proximal humerus. A case report. Clin Orthop Relat Res 2000, 370:212-218.
• [8]Cottalorda J, Kohler R, Lorge F: [Aggressive aneurysmal bone cyst of the humerus in a child]. Rev Chir Orthop Reparatrice Appar Mot 2004, 90(6):577-580.
• [9]Rossi G, Mavrogenis AF, Papagelopoulos PJ, Rimondi E, Ruggieri P: Successful treatment of aggressive aneurysmal bone cyst of the pelvis with serial embolization. Orthopedics 2012, 35(6):e963-e968.
• [10]Marcove RC, Sheth DS, Takemoto S, Healey JH: The treatment of aneurysmal bone cyst. Clin Orthop Relat Res 1995, 311:157-163.
• [11]Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B, Safaya R: 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) 2006, 88(9):1212-1216.
• [12]Varshney MK, Rastogi S, Khan SA, Trikha V: Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res 2010, 468(6):1649-1659.
• [13]Brosjö O, Pechon P, Hesla A, Tsagozis P, Bauer H: Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts. Acta Orthop 2013, 84(5):502-505.