Histopathological Features of Aneurysmal Bone Cyst of the Temporal Bone – A Case Report and Review of Literature

Authors

  • Shiquan Liu Department of Medicine, Montefiore Mount Vernon Hospital, Mount Vernon, NY
  • Ali Jassim Department of Pathology, 3Medical Oncology/Hematology, State University of New York, Buffalo, NY
  • Jonathan Bleeker Sanford School of Medicine, University of South Dakota, State University of New York, Buffalo, NY
  • Frank Chen Department of Pathology, Buffalo General Medical Center, State University of New York, Buffalo, NY
  • Bangaruraj Kolanuvada Department of Medicine, Montefiore Mount Vernon Hospital, Mount Vernon, NY
  • Rong Rong Department of Pathology, Buffalo General Medical Center, State University of New York, Buffalo, NY
  • Weiguo Liu Department of Pathology, Buffalo General Medical Center, State University of New York, Buffalo, NY

Keywords:

aneurysmal bone cyst (ABC), temporal bone, bony trabeculae

Abstract

Aneurysmal bone cyst (ABC) is a rare lesion. We described an ABC of the temporal bone. The patient was a 46-year-old woman presenting with a progressively enlarging mass in the left temporal region with unknown duration. A CT revealed a 3 x 3.5 cm osteolytic lesion involving the left temporal bone. MRI revealed a 3.6 x 2.6 x 2.7 cm well-defined expansile lesion centered in the left temporal bone. The patient subsequently underwent MRI-guided stereotactic left frontotemporoparietal craniectomy and the lesion was completely removed. Following surgery, the patient has been followed for the past 9 months without evidence of residual/recurrent disease. Morphologically, the lesion consisted of cystic and solid areas. The cystic areas demonstrate multi-cystic architecture between bony trabeculae separated by thick septa. These septa contained abundant fibroblasts, spindle-shaped stromal cells, and giant cells with scattered hemosiderin laden macrophages. The solid areas consisted of spindle-shaped stromal cells with oval nuclei, proliferating blood vessels, mononuclear cells and some interspersed multinucleated giant cells.

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Published

2015-01-25

How to Cite

Liu, S., Jassim, A., Bleeker, J., Chen, F., Kolanuvada, B., Rong, R., & Liu, W. (2015). Histopathological Features of Aneurysmal Bone Cyst of the Temporal Bone – A Case Report and Review of Literature. North American Journal of Medicine and Science, 8(1). Retrieved from https://najms.com/index.php/najms/article/view/33

Issue

Vol. 8 No. 1 (2015)

Section

Case Report