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A Journal on Surgery

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Chirurgia 2009 December;22(6):275-7

language: English

Mandibular solid aneurysmal bone cyst: a rare entity

Prasad K. K. S., Kaur S.

Department of Pathology, Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar (Punjab), India


Solid aneurysmal bone cyst is benign, rapidly expanding, locally destructive lesion which is most commonly found in the long bones and vertebral column. Its occurrence in the craniofacial region is extremely rare. A seven-year-old female presented with a well-demarcated, painless, fixed mass in the left side of mandible extending from left first pre-molar to the second molar tooth, with crepitus elicited at places. The panoramic radiograph of the mandible showed a large, expansile well-circumscribed radiolucent area with fine irregular trabeculations in parts of its interior. The lesion underwent a complete surgical excision. Postoperative pathological evaluation was consistent with a solid variant of aneurysmal bone cyst. No recurrences or complications were observed during a follow-up period of four years. We report this interesting lesion due to the rarity of solid variant of aneurysmal bone cyst and to the problems posed by its differential diagnosis. The literature is briefly reviewed concerning the case.

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