Aneurysmal bone cyst located in the mandibular condyle. 2009

Sandro Pelo, and Giulio Gasparini, and Roberto Boniello, and Alessandro Moro, and Pier Francesco Amoroso
Department of Oral and Maxillofacial Surgery, Catholic University of S, Cuore, A. Gemelli Rome, Via G. Moscati 31/33, 00168 Rome, Italy. siocmf@hotmail.it

A rare case of aneurysmal bone cyst (ABC) located in the mandibular condyle in a 10-year-old boy is presented. The patient came to our attention for a sudden swelling in the right temporomandibular region, the mouth opening was not reduced. A rapid growing mass, depicting soft tissue invasion, in the right condyle of the mandible was found. Clinically and radiographically it resembled to a malignant lesion. The surgical excision of the mandibular condyle allowed a complete removal of the lesion. The histological examination revealed a pseudocystic expanding osteolytic lesion containing blood-filled space separated by connective tissue and many osteoclastic giant cells, which was a conventional vascular ABC. The ABC is an infrequent bone lesion which can only be found very rarely at the craniofacial skeleton. There have been described about 160 cases of ABC originated in the molar region or in upper maxilla and even more rare is the location of this cyst in the mandibular condyle. Only 6 cases were reported in the literature to date. A complete surgical resection of this osteolytic lesion is the treatment of choice considering its high recurrence rate. The condyle was not replaced with any graft. Therefore a functional device was used after surgery to overcome the lack of the condyle and to stimulate the growth of the ramus.

UI MeSH Term Description Entries
D008297 Male Males
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D008336 Mandibular Diseases Diseases involving the MANDIBLE. Disease, Mandibular,Diseases, Mandibular,Mandibular Disease
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017824 Bone Cysts, Aneurysmal Fibrous blood-filled cyst in the bone. Although benign it can be destructive causing deformity and fractures. Aneurysmal Bone Cysts,Bone Cyst, Aneurysmal,Cyst, Aneurysmal Bone,Cysts, Aneurysmal Bone

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