Page 86 - Read Online

our case. A patient will generally report to the hospital modalities in guiding the management path. This further
after becoming symptomatic. The underlying pathology helps in ruling out intracranial extension. The radiological
of giant cell tumor is well‑known in secondary types of modalities further help the anesthesiologist in guiding
ABC. It is always diagnosed when the patient undergoes intubation and determining the level of risk during
three dimensional imaging modalities such as CT and MRI. surgery.
Radiographically, ABC gives the impression of a “blown out”
or “ballooned” appearance of the underlying bone. CT and REFERENCES
MRI demonstrate classic fluid‑level images, but histological
examination remains the hallmark for the diagnosis. The 1. Suzuki F, Fukuda S, Yagi K, Chida E, Inuyama Y. A rare aneurysmal
solid component of the lesion can be visualized on CT and bone cyst of the maxillary sinus: a case report. Auris Nasus Larynx
MRI, which further indicates a secondary nature. Multiple 2001;28:S131‑7.
areas of high intensity surrounded by hypointense rings 2. Guzmán GP, Baeza OA, Araya OJ, Roa SJ, Brevis OL, Torres LP.
Aneurysmal bone cyst of the maxilla. Report of one case. Rev Med Chil
are observed on T1‑weighted and T2‑weighted images. 2005;133:1355‑60.
These represent the different ages of blood in the lesion. 3. Bonakdarpour A, Levy WM, Aegerter E. Primary and secondary aneurysmal
[4]
There should be close collaboration between radiologist bone cyst: a radiological study of 75 cases. Radiology 1978;126:75‑83.
and pathologist when making the diagnosis, as a small 4. Pahade J, Sekhar A, Shetty SK. Imaging of malignant skeletal tumors.
In: Blake MA, Kalra MK, editors. Imaging in Oncology. New York:
specimen may miss the associated findings. Springer‑Verlag; 2008. p. 375.
5. Rai AT, Collins JJ. Percutaneous treatment of pediatric aneurysmal bone cyst
Surgical excision with enucleation remains the best at C1: a minimally invasive alternative: a case report. AJNR Am J Neuroradiol
treatment. The path to surgery depends upon the extent 2005;26:30‑3.
of involvement and its nature. Other potential options 6. Malghem J, Maldague B, Esselinckx W, Noel H, De Nayer P, Vincent A.
for treatment include percutaneous sclerotherapy, Spontaneous healing of aneurysmal bone cysts. A report of three cases.
therapeutic embolization, curettage, block resection J Bone Joint Surg Br 1989;71:645‑50.
and reconstruction, radiotherapy and systemic calcitonin How to cite this article: Sharma BB, Ramchandran P, Sharma S,
therapy. There have some cases of spontaneous Sharma S. Aneurysmal bone cyst of the maxilla rare presentation
[5]
healing. [6] with radiological and pathological correlation. Plast Aesthet Res
2015;2:73-5.
In conclusion, ABC of hidden areas such as the maxilla
as in our case poses a great diagnostic and management Source of Support: Nil, Conflict of Interest: None declared.
dilemma for the clinician. CT and MRI are quite helpful Received: 21-09-2014; Accepted: 17-10-2014

Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015 75