Review Article: Aneurysmal Bone Cysts of the Jaws

Author:

Sun Z.J.1,Sun H.L.2,Yang R.L.2,Zwahlen R.A.3,Zhao Y.F.4

Affiliation:

1. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China, , Key Laboratory for Oral Biomedical Engineering, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China

2. Key Laboratory for Oral Biomedical Engineering, School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China

3. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong (SAR), China

4. Department of Oral and Maxillofacial Surgery School and Hospital of Stomatology, Wuhan, Hubei, People's Republic of China

Abstract

Aneurysmal bone cyst (ABC) is a osteolytic bone lesion that rarely involves the jaws. To date, a total of 92 cases of JABCs have been described in detail in English literature. They prevalently occur in the first 2 decades (72.8%) with slight female predilection. It affects the mandible more often (68.5%) with a predominant location in the mandibular ramus (31.3%) and its posterior regions (20.4%). A painless (54.7%) or painful (43.2%) bone swelling is the most frequent clinical sign. Radiologically 93.8% of the lesions present as a radiolucency; in 69.4% multilocular in appearance. 15.2% of JABCs were secondary in nature, including 8 cases associated with fibrous dysplasia. The recurrence rate (13.3%) did not differ significantly when comparing the surgical technique (curettage, 15.2%; resection, 11.8%). JABCs are known for their different clinical and radiographic features, therefore often posing a diagnostic dilemma. Some JABC's may be secondary in nature. Careful curettage is considered to be suitable as treatment for JABCs.

Publisher

SAGE Publications

Subject

Pathology and Forensic Medicine,Surgery,Anatomy

Reference106 articles.

1. Rosenberg AE, Nielsen GP, Fletcher JA Aneurysmal bone cyst. In: Fletcher CDM , Unni KK, Mertens F, eds. World Health Organization Classification of Tumours: Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon, France: IARC Press ; 2002:338-339.

2. Aneurysmal Bone Cyst

3. Aneurysmal bone cyst. A clinicopathologic study of 238 cases

4. Aneurysmal bone cyst of the jaws: Analysis of 11 cases

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