脊柱骨母细胞瘤继发动脉瘤样骨囊肿:1例报道和综述

Aneurysmal bone cyst secondary to spinal osteoblastoma: A case report and review

摘要:

骨母细胞瘤 （osteoblastoma, OB） 继发动脉瘤样骨囊肿 （aneurysmal bone cysts, ABCs） 是一种罕见的原发性骨肿瘤， 多见于脊柱，以椎体后部附件最常见。绝大多数患者表现为颈背部局部疼痛，可致疼痛性脊柱侧弯及相应神经压迫症状。因组织学上与骨样骨瘤相似，需结合多模式影像学和病理学相鉴别。目前，手术治疗是该疾病最重要的治疗方式，包括传统的开放手术以及微创手术。本文报告 1 例腰椎 OB 继发 ABCs，并对已发表的国内外文献进行综述。

Abstract:

Aneurysmal bone cysts (ABCs) secondary to osteoblastoma (OB) is a rare primary bone tumor, most commonly seen in the spine, particularly affecting the posterior elements of the vertebrae. The majority of patients present with localized pain in the neck and back, which can lead to painful scoliosis and corresponding nerve compression symptoms. Due to its histological similarity to osteoid osteoma, multimodal imaging and pathological differentiation are necessary. Currently, surgical treatment is the most important approach for this disease, including traditional open surgery and minimally invasive surgery. This paper reports a case of lumbar OB secondary to ABCs and reviews and summarizes the literature published both domestically and internationally.