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Fronto-parietal osteoblastoma with secondary aneurysmal bone cyst: a case report.
- Source :
-
Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2013 Feb; Vol. 66 (2), pp. 270-3. Date of Electronic Publication: 2012 Jul 10. - Publication Year :
- 2013
-
Abstract
- Background: Osteoblastomas and aneurysmal bone cysts each comprise 1% of primary bone tumours. As both osteoblastomas and aneurysmal bone cysts are not common, osteoblastomas with secondary aneurysmal bone cysts of calvaria are extremely rare. Only three cases describing a secondary aneurysmal bone cyst in the setting of a calvarial osteoblastoma can be found in the literature. We report the case of the surgical resection of the fronto-parietal osteoblastoma accompanying a secondary aneurysmal bone cyst.<br />Case Description: The case is a 24-year-old male with a 2-year history of a painless lump in the hair-bearing region of the left fronto-parietal area without neurologic symptoms. Computed tomography showed an intradiploic tumour with maintained inner and outer cortex of the left front-parietal bones. 3.0-T magnetic resonance imaging showed a well-circumscribed, intradiploic, multilocular cystic tumour. A gadolinium-enhanced sequence showed strong peripheral and septal enhancement. These findings were consistent with an osteoblastoma associated with secondary aneurysmal bone cyst. An en bloc tumour resection with a 10-mm horizontal margin was completed without complications. The calvarial defect was covered by calvarial bone graft harvested from the contralateral fronto-parietal bone. The postoperative course was uneventful. Pathological diagnosis was consistent with the osteoblastoma with secondary aneurysmal bone cyst. After a follow-up period of 2 years, there was no evidence of recurrence.<br />Conclusion: The combination of osteoblastoma and aneurysmal bone cyst of the calvaria is a rare clinical entity. Careful preoperative examination and complete resection of the tumour are essential.<br /> (Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Biopsy, Needle
Bone Cysts, Aneurysmal complications
Bone Cysts, Aneurysmal diagnosis
Bone Neoplasms complications
Bone Neoplasms diagnosis
Craniotomy methods
Follow-Up Studies
Frontal Bone
Humans
Image Enhancement methods
Immunohistochemistry
Magnetic Resonance Imaging methods
Male
Neoplasm Staging
Neurosurgical Procedures methods
Osteoblastoma complications
Osteoblastoma diagnosis
Parietal Bone
Risk Assessment
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Bone Cysts, Aneurysmal pathology
Bone Cysts, Aneurysmal surgery
Bone Neoplasms pathology
Bone Neoplasms surgery
Osteoblastoma pathology
Osteoblastoma surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1878-0539
- Volume :
- 66
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS
- Publication Type :
- Academic Journal
- Accession number :
- 22784787
- Full Text :
- https://doi.org/10.1016/j.bjps.2012.06.021