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OrthoVellum

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Oncology
intermediate
X-Type

Aneurysmal Bone Cyst

Benign Lesions

A 14-year-old girl presents with progressive knee pain and swelling over 3 months. Radiographs show an expansile, eccentric, lytic lesion in the proximal tibia metaphysis with a thin shell of periosteal new bone. MRI reveals multiple fluid-fluid levels within the lesion. Biopsy shows blood-filled spaces separated by fibrous septa containing giant cells. Regarding aneurysmal bone cyst (ABC):

Mark each as TRUE or FALSE

A

ABC is a benign but locally aggressive lesion characterized by blood-filled spaces separated by fibr...

B

ABCs typically present in patients under 20 years; common locations include the metaphysis of long b...

C

ABC is a malignant tumor; it never arises in pre-existing lesions; USP6 rearrangements are not assoc...

D

MRI characteristically shows fluid-fluid levels (blood products layering by density) in multiple cys...

E

Treatment options include intralesional curettage with adjuvants (phenol, liquid nitrogen, argon bea...

Answer the questions to see explanations

Click T (True) or F (False) for each option