A Rare Case of Aneurysmal Bone Cyst in the Paranasal Sinus

Document Type : Case Report

Authors

1 Department of Otorhinolaryngology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Department of Pathology, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Department of Radiology, Kashani University of Medical Sciences, Isfahan, Iran.

4 General Practitioner, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction:
Aneurysmal Bone cysts (ABC) are extremely rare in the head and neck region and even rarer in sinuses.  ABC is a benign multicystic mass that is locally-destructive and rapidly expandable. Hemorrhagic fluid content (like in this case) and septated appearance are the characteristic feature of ABC. Established treatment options for ABCs include sclerotherapy, embolization, radiotherapy, simple curettage, surgical excision, or a combination of methods.
 
Case Report:
In this article, a 5 year-old boy with a recurrent nasal mass is presented. The patient was finally diagnosed with this rare entity: ABC of the paranasal sinuses. The patient was treated through complete surgical removal.
 
Conclusion: 
ABC can be considered as a rare differential diagnosis of recurrent nasal hemorrhagic mass in a pediatric population.

Keywords

Main Subjects


[1]. Yadav JS, Gupta AK, Kakkar N. Aneurysmal bone cyst of the paranasal sinuses: a rare entity.
Clinical rhinology: an international journal, 2011; 4(2):93-5.
2. Verma RK1, Kumar R, Bal A, Panda NK. Aneurysmal bone cyst of maxilla with ectopic molar tooth - a case report. Otolaryngol Pol 2013;67(6):302-7.
3. Kransdorf MJ, Sweet DE. Aneurysmal bone cyst: concept, controversy, clinical presentation and imaging. AJR 1995;164(3):573–80.
4.  Składzień J, Oleś K, Zagólski O, Moskała M, Sztuka M, Strek P, et al. giant cranial aneurysmal bone cyst associated with fibrous dysplasia. B-ENT 2008;4(1):29–33.
5. Bozbuğa M, Turan Süslü H. Aneurysmal bone cyst of the sphenoid bone extending into the ethmoid sinus, nasal cavity and orbita in a child. Turk Neurosurg 2009;19(2):172-6.
6. Ozdamar Y, Acaroglu G, Kazanci B, Saka C, Kazanci B. Aneurysmal bone cyst of the ethmoid presenting with proptosis and epiphora. Orbit. 2010; 29(3):149-51.
7.  Fikri M, Meziane M, El Hassani MR, Ech-Cherif El, Kettani N, Essakalli L, et al. [Aneurysmal cyst of ethmoid bone: a case report]. Arch Pediatr. 2013; 20(3):292-5.
8. Tang IP, Shashinder S, Loganathan A, Anura MM, Zakarya S, Mun KS. Aneurysmal bone cyst of the maxilla. Singapore Med J 2009; 50(9):          e326-8.
9. Bozbuğa M, Turan Süslü H. Aneurysmal bone cyst of the sphenoid bone extending into the ethmoid sinus, nasal cavity and orbita in a child. Turk Neurosurg 2009;19(2):172-6.
10.  Yadav JS, Gupta AK, Kakkar N. Aneurysmal Bone Cyst of the Paranasal Sinuses: A Rare Entity. Clinical rhinology: an international journal, May- august 2011; 4(2):93-5.
11. Resnick D. Aneurysmal bone cyst. Diagnosis of bone and joint disorders (3rd ed). Philadelphia, PA: WB saunders 1995; 6: 3866-78.
12. Simsek G, Saka C, Sonbay DN, Akin I, Koybasioglu F.Aneurysmal bone cyst in the middle turbinate: a case report. Ear Nose Throat J 2013; 92(6):E47.