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Aneurysmal Bone Cyst
Kevin R. Moore, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Aneurysmal bone cyst (ABC)
            • Definitions

              • Expansile benign neoplasm containing thin-walled, blood-filled cavities

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  • Genetics

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Bazzocchi A et al: Fluid-fluid levels in aneurysmal bone cysts. J Pediatr. 204:317, 2018
                                                2. Girolami M et al: Do multiple fluid-fluid levels on MRI always reveal primary benign aneurysmal bone cyst? J Neurosurg Sci. 62(2):234-36, 2018
                                                3. Palmerini E et al: Denosumab in patients with aneurysmal bone cysts: a case series with preliminary results. Tumori. 104(5):344-51, 2018
                                                4. Samir Barakat A et al: Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy. J Am Acad Orthop Surg. 26(10):369-75, 2018
                                                5. Protas M et al: Cervical spine aneurysmal bone cysts in the pediatric population: a systematic review of the literature. Pediatr Neurosurg. 52(4):219-224, 2017
                                                6. Charest-Morin R et al: Benign tumors of the spine: has new chemotherapy and interventional radiology changed the treatment paradigm? Spine (Phila Pa 1976). 41 Suppl 20:S178-85, 2016
                                                7. Dubory A et al: Interest of Denosumab for the treatment of giant-cells tumors and aneurysmal bone cysts of the spine. About nine cases. Spine (Phila Pa 1976). 41(11):E654-60, 2016
                                                8. Oliveira AM et al: USP6-induced neoplasms: the biologic spectrum of aneurysmal bone cyst and nodular fasciitis. Hum Pathol. 45(1):1-11, 2014
                                                9. Amendola L et al: Aneurysmal bone cyst of the mobile spine: the therapeutic role of embolization. Eur Spine J. 22(3):533-41, 2013
                                                10. Zileli M et al: Aneurysmal bone cysts of the spine. Eur Spine J. 22(3):593-601, 2013
                                                11. Oliveira AM et al: The TRE17/USP6 oncogene: a riddle wrapped in a mystery inside an enigma. Front Biosci (Schol Ed). 4:321-4, 2012
                                                12. Ye Y et al: TRE17/USP6 oncogene translocated in aneurysmal bone cyst induces matrix metalloproteinase production via activation of NF-kappaB. Oncogene. 29(25):3619-29, 2010
                                                13. Brastianos P et al: Aneurysmal bone cysts of the sacrum: a report of ten cases and review of the literature. Iowa Orthop J. 29:74-8, 2009
                                                14. Mankin HJ et al: Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol. 23(27):6756-62, 2005
                                                15. Garneti N et al: Cervical spondyloptosis caused by an aneurysmal bone cyst: a case report. Spine. 28(4):E68-70, 2003
                                                16. Lomasney LM et al: Fibrous dysplasia complicated by aneurysmal bone cyst formation affecting multiple cervical vertebrae. Skeletal Radiol. 32(9):533-6, 2003
                                                17. Pogoda P et al: Aneurysmal bone cysts of the sacrum. Clinical report and review of the literature. Arch Orthop Trauma Surg. 123(5):247-51, 2003
                                                18. Chan MS et al: Spinal aneurysmal bone cyst causing acute cord compression without vertebral collapse: CT and MRI findings. Pediatr Radiol. 32(8):601-4, 2002
                                                19. Lam CH et al: Nonteratomatous tumors in the pediatric sacral region. Spine. 27(11):E284-7, 2002
                                                20. Boriani S et al: Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine. 26(1):27-35, 2001
                                                21. Papagelopoulos PJ et al: Treatment of aneurysmal bone cysts of the pelvis and sacrum. J Bone Joint Surg Am. 83-A(11):1674-81, 2001
                                                22. Bush CH et al: Treatment of an aneurysmal bone cyst of the spine by radionuclide ablation. AJNR Am J Neuroradiol. 21(3):592-4, 2000
                                                23. DiCaprio MR et al: Aneurysmal bone cyst of the spine with familial incidence. Spine. 25(12):1589-92, 2000
                                                24. Ozaki T et al: Aneurysmal bone cysts of the spine. Arch Orthop Trauma Surg. 119(3-4):159-62, 1999
                                                25. de Kleuver M et al: Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B. 7(4):286-92, 1998
                                                26. Papagelopoulos PJ et al: Aneurysmal bone cyst of the spine. Management and outcome. Spine. 23(5):621-8, 1998
                                                27. Murphey MD et al: From the archives of the AFIP. Primary tumors of the spine: radiologic pathologic correlation. Radiographics. 16(5):1131-58, 1996
                                                28. Koci TM et al: Aneurysmal bone cyst of the thoracic spine: evolution after particulate embolization. AJNR Am J Neuroradiol. 16(4 Suppl):857-60, 1995
                                                29. Kransdorf MJ et al: Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. AJR Am J Roentgenol. 164(3):573-80, 1995
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Aneurysmal bone cyst (ABC)
                                                          • Definitions

                                                            • Expansile benign neoplasm containing thin-walled, blood-filled cavities

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Angiographic Findings

                                                                    • Nuclear Medicine Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Gross Pathologic & Surgical Features

                                                                              • Microscopic Features

                                                                                • Genetics

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Bazzocchi A et al: Fluid-fluid levels in aneurysmal bone cysts. J Pediatr. 204:317, 2018
                                                                                              2. Girolami M et al: Do multiple fluid-fluid levels on MRI always reveal primary benign aneurysmal bone cyst? J Neurosurg Sci. 62(2):234-36, 2018
                                                                                              3. Palmerini E et al: Denosumab in patients with aneurysmal bone cysts: a case series with preliminary results. Tumori. 104(5):344-51, 2018
                                                                                              4. Samir Barakat A et al: Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy. J Am Acad Orthop Surg. 26(10):369-75, 2018
                                                                                              5. Protas M et al: Cervical spine aneurysmal bone cysts in the pediatric population: a systematic review of the literature. Pediatr Neurosurg. 52(4):219-224, 2017
                                                                                              6. Charest-Morin R et al: Benign tumors of the spine: has new chemotherapy and interventional radiology changed the treatment paradigm? Spine (Phila Pa 1976). 41 Suppl 20:S178-85, 2016
                                                                                              7. Dubory A et al: Interest of Denosumab for the treatment of giant-cells tumors and aneurysmal bone cysts of the spine. About nine cases. Spine (Phila Pa 1976). 41(11):E654-60, 2016
                                                                                              8. Oliveira AM et al: USP6-induced neoplasms: the biologic spectrum of aneurysmal bone cyst and nodular fasciitis. Hum Pathol. 45(1):1-11, 2014
                                                                                              9. Amendola L et al: Aneurysmal bone cyst of the mobile spine: the therapeutic role of embolization. Eur Spine J. 22(3):533-41, 2013
                                                                                              10. Zileli M et al: Aneurysmal bone cysts of the spine. Eur Spine J. 22(3):593-601, 2013
                                                                                              11. Oliveira AM et al: The TRE17/USP6 oncogene: a riddle wrapped in a mystery inside an enigma. Front Biosci (Schol Ed). 4:321-4, 2012
                                                                                              12. Ye Y et al: TRE17/USP6 oncogene translocated in aneurysmal bone cyst induces matrix metalloproteinase production via activation of NF-kappaB. Oncogene. 29(25):3619-29, 2010
                                                                                              13. Brastianos P et al: Aneurysmal bone cysts of the sacrum: a report of ten cases and review of the literature. Iowa Orthop J. 29:74-8, 2009
                                                                                              14. Mankin HJ et al: Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol. 23(27):6756-62, 2005
                                                                                              15. Garneti N et al: Cervical spondyloptosis caused by an aneurysmal bone cyst: a case report. Spine. 28(4):E68-70, 2003
                                                                                              16. Lomasney LM et al: Fibrous dysplasia complicated by aneurysmal bone cyst formation affecting multiple cervical vertebrae. Skeletal Radiol. 32(9):533-6, 2003
                                                                                              17. Pogoda P et al: Aneurysmal bone cysts of the sacrum. Clinical report and review of the literature. Arch Orthop Trauma Surg. 123(5):247-51, 2003
                                                                                              18. Chan MS et al: Spinal aneurysmal bone cyst causing acute cord compression without vertebral collapse: CT and MRI findings. Pediatr Radiol. 32(8):601-4, 2002
                                                                                              19. Lam CH et al: Nonteratomatous tumors in the pediatric sacral region. Spine. 27(11):E284-7, 2002
                                                                                              20. Boriani S et al: Aneurysmal bone cyst of the mobile spine: report on 41 cases. Spine. 26(1):27-35, 2001
                                                                                              21. Papagelopoulos PJ et al: Treatment of aneurysmal bone cysts of the pelvis and sacrum. J Bone Joint Surg Am. 83-A(11):1674-81, 2001
                                                                                              22. Bush CH et al: Treatment of an aneurysmal bone cyst of the spine by radionuclide ablation. AJNR Am J Neuroradiol. 21(3):592-4, 2000
                                                                                              23. DiCaprio MR et al: Aneurysmal bone cyst of the spine with familial incidence. Spine. 25(12):1589-92, 2000
                                                                                              24. Ozaki T et al: Aneurysmal bone cysts of the spine. Arch Orthop Trauma Surg. 119(3-4):159-62, 1999
                                                                                              25. de Kleuver M et al: Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B. 7(4):286-92, 1998
                                                                                              26. Papagelopoulos PJ et al: Aneurysmal bone cyst of the spine. Management and outcome. Spine. 23(5):621-8, 1998
                                                                                              27. Murphey MD et al: From the archives of the AFIP. Primary tumors of the spine: radiologic pathologic correlation. Radiographics. 16(5):1131-58, 1996
                                                                                              28. Koci TM et al: Aneurysmal bone cyst of the thoracic spine: evolution after particulate embolization. AJNR Am J Neuroradiol. 16(4 Suppl):857-60, 1995
                                                                                              29. Kransdorf MJ et al: Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. AJR Am J Roentgenol. 164(3):573-80, 1995