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Cystic Lesions of Bone

  • Chapter
Imaging of Bone Tumors and Tumor-Like Lesions

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Key Points

• There are several unrelated types of bone cyst. Simple (unicameral) bone cysts (SBCs) are most commonly found in the proximal humerus and proximal femur in children, and also occur in the calcaneum in adults.

• They tend to present with pathological fracture, which may lead to healing of the lesion. Aneurysmal bone cysts (ABC) are often markedly expansile lesions, which may grow rapidly.

• They occur in the appendicular, axial and craniofacial skeleton, typically in children and adolescents and contain multiple blood-filled cysts. A proportion occurs in association with other bone lesions (secondary ABC). SBC and primary

• ABC have long been considered non-neoplastic, but cytogenetic abnormalities found in primary ABCs have suggested that they do represent neoplasms.

• Intraosseous ganglia and geodes are lesions which generally occur in subarticular bone, showing similar imaging and pathological features.

• The distinction is based on the presence of arthropathy, but they probably represent manifestations of the same process.

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Authors and Affiliations

  1. Radiology Department, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, London, Middlesex, UK

    Paul G. O’Donnell

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Editors and Affiliations

  1. MRI Department, Royal Orthopaedic Hospital, NHS Foundation Trust, Bristol Road South, Northfield, B31 2AP, Birmingham, UK

    A. Mark Davies

  2. Section of Musculoskeletal Radiology, Imaging Institute, Diagnostic Radiology/A21, School of Medicine of Case Western Reserve University, Cleveland Clinic Foundation, 9500 Euclid Ave., 44195, Cleveland, OH, USA

    Murali Sundaram

  3. Imaging Department, Royal Orthopaedic Hospital, NHS Foundation Trust, Bristol Road South, Northfield, B31 2AP, Birmingham, UK

    Steven L. J. James

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O’Donnell, P. (2009). Cystic Lesions of Bone. In: Davies, A., Sundaram, M., James, S. (eds) Imaging of Bone Tumors and Tumor-Like Lesions. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77984-1_24

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