Bone Tumour Database - Teaching version


 First image Expansile aggressive lesion R distal femur. Early x ays are lost, they showed an very aggressive lytic expansile lesion. A differential diagnosis was of osteogenic sarcoma or an aggressive ABC. Histology confirmed the diagnosis of aneurysmal bone cyst. In children the ABC can be very aggressive locally, as in this case and histological diagniosis is mandatory. The lesion was treated by aggressive curettage, cryosurgery and allograft. The xray shown here is a late stage - 3 years after the original treatment. There was a marked leg length discrepancy due to destruction of the growth plate.
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Xray, 2 yrs after treatment
Age: 7 yr Diagnosis Aneurysmal Bone Cyst  
Site Femur R distal