Aneurysmal bone cyst of the sternum: a case report of successful treatment with radiotherapy

An unusual case of a lytic, expanding lesion of the manubrium with histological diagnosis of aneurysmal bone cyst in a 13-year-old girl is presented. After a recurrence following primary surgery, the patient was treated successfully by external beam radiotherapy. A total dose of 25.2 Gy was delivere...

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Bibliographic Details
Published in:British journal of radiology 2004-07, Vol.77 (919), p.610-614
Main Authors: YAVUZ, A. A, SENER, M, YAVUZ, M. N, KOSUCU, P, COBANOGLU, U
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Bone Cysts, Aneurysmal - diagnostic imaging
Bone Cysts, Aneurysmal - pathology
Bone Cysts, Aneurysmal - radiotherapy
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Sternum - diagnostic imaging
Sternum - pathology
Tomography, X-Ray Computed
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Summary:An unusual case of a lytic, expanding lesion of the manubrium with histological diagnosis of aneurysmal bone cyst in a 13-year-old girl is presented. After a recurrence following primary surgery, the patient was treated successfully by external beam radiotherapy. A total dose of 25.2 Gy was delivered using conventional fractionation (1.8 Gy day(-1)) to the whole sternum. She remains recurrence- and symptom-free 46 months after the end of the treatment. This is the sixth patient with primary aneurysmal bone cyst in the sternal region, the first paediatric patient for this location, and the first case of its kind treated exclusively by radiotherapy ever reported in the literature. The histopathological, radiological and clinical findings of the patient are presented, relevant literature is reviewed, and radiotherapeutic management of such lesions is discussed.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/69860747