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- W4220702458 abstract "Abstract BACKGROUND: The aneurysmal bone cyst (ABC) is a benign, but locally aggressive cystic lesion of the bone. It usually occurs in the metaphysis of long bones of adolescents and young adults but can also affect the pelvis. METHODS: This single-center study is a retrospective review of 17 patients with primary ABCs of the pelvis. The patients were treated surgically, by polidocanol instillation and, in selected cases, transarterial embolization. RESULTS: 17 patients with the diagnosis of a primary ABC of the pelvis were included in the study. Six patients were male (35.3%) and eleven patients female (64.7%); the mean age was 17.6 (9-49) years. The mean follow-up time was 50.2 months (12-136 months). The most common location of manifestation was the pubis (6; 35.3%), followed by the ilium (6; 35.3%), the sacrum (3; 17.6%) and the ischium (2; 11.8%). Eight patients were treated by intralesional curettage with the use of adjuvants, one patient by marginal resection, seven by sequential instillation of polidocanol and one patient by simple observation. Five patients received an additional transarterial embolization. After intralesional curettage local recurrence was detected in 4/8 cases (50%). After instillation therapy six patients (85.7%) had a stable disease without recurrence, only one patient (14.3%) had a persistent disease with need of additional treatment and was therefore converted to intralesional curettage without local recurrence in the follow-up. CONCLUSIONS: Sequential instillations of polidocanol are a promising, minimally invasive treatment method for ABCs of the pelvis and can be well combined with transarterial embolization." @default.
- W4220702458 created "2022-04-03" @default.
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- W4220702458 date "2022-03-16" @default.
- W4220702458 modified "2023-09-27" @default.
- W4220702458 title "Aneurysmal Bone Cyst of the Pelvis: a single-center study of 17 cases" @default.
- W4220702458 doi "https://doi.org/10.21203/rs.3.rs-1401862/v1" @default.
- W4220702458 hasPublicationYear "2022" @default.
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