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Imaging of Aneurysmal Bone Cyst of the Rib: Case Report

動脈瘤狀骨囊腫在肋骨上的影像特徵一病例報告

摘要


動脈瘤狀骨囊腫最早在1942被Jaffe和Lichtenstein所提出,後來陸陸續續被提出來討論,所以它不是一個少見的疾病,動脈瘤狀骨囊腫容易和其它骨腫瘤混淆,好發在長骨、扁平骨、和脊椎但少見於肋骨。我們提出這個有趣的病例是原發性肋骨的動脈瘤狀骨囊腫,影像上呈現擴張而糜爛的肋骨皮質,有的囊腫內有不同層次的液體,有的囊腫內有間隔,而在影像上較難和其它肋骨的惡性腫瘤鑑別,因此完整的影像學檢查將有利於爭議性的手術切除。

並列摘要


The aneurysmal bone cyst was first described by Jaffe and Lichtenstein in 1942. Subsequent research has suggested that this lesion is not uncommon and it may be easily confused with other types of bone tumor or cyst. We present a case of aneurismal bone cyst in the rib that was diagnosed after a series of imaging study. The aneurysmal bone cyst presented as an expansile mass over the third rib in chest radiograph. Computed tomography (CT) images showed a soft tissue mass in the rib with cortical bone erosion and mild heterogeneous enhancement after contrast administration. T1- and T2-weighted magnetic resonance (MR) images showed high-signal, and bright-signal intensity, respectively. The mass appeared to have a lobulated contour with internal septa and heterogeneous gadolinium enhancement. Roentgenographically, aneurysmal bone cyst is difficult to differentiate from malignant lesions of the rib. Thorough imaging studies or biopsy for pathological confirmation may be needed before surgery.

並列關鍵字

Aneurysmal bone cyst Rib

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