Bone cyst |
Classification and external resources |
A bone cyst in the vertebra of the neck as seen on CT |
MeSH |
D001845 |
A bone cyst or geode is a type of cyst that can present itself in the jaw, or on other locations in the body.
Types include:
- Unicameral Bone Cyst(Simple bone cyst)
- Aneurysmal bone cyst
- Traumatic bone cyst
History[edit]
The aneurysmal bone cysts are benign neoformations which can affect all the skeleton bones. More than half occur in the metaphysic of long bones (especially femur and tibia) and between 12 and 30% in the spine. They were described in 1893 by Van Arsdale [1] who called these lesions "homerus ossifying haematoma". In 1940 Ewing used the term "aneurismal" to describe these lesions.[2] Jaffé and Lichtenstein first coined the term "aneurismal cyst" in 1942[3] In 1950 they modified this term to "aneurismal bone cyst". They may be associated with bone tumors.
The simple bone cyst is a common, benign, fluid-containing lesion, most commonly found in the metaphysis of long bones, typically the proximal humerus or femur. Pathologic fractures are common, often with minor trauma. These cysts typically resolve after skeletal maturity and not typically associated with bone tumors. The cause is unknown. These were first recognised as a distinct entity in 1910.[4] Jaffe and Lichtenstein provided a detailed discussion of simple bone cysts in 1942[3]
The traumatic bone cyst, also referred to as a simple bone cyst or hemorrhagic cyst, is a pseudocyst that most commonly affects the mandible of young individuals. It is a benign empty or fluid-containing cavity within the mandible body that does not have evidence of a true epithelial lining. This type of bone cyst is a condition found in the long bones and jaws. [5] There is no definitive cause, though it relates to trauma in the oral region. The likelihood of males being affected by this is condition are frequently greater than in females. It appears on radiographs as a unilocular radiolucent area with an irregular but well defined outline. This term was first described by Lucas in 1929. [6]
Treatment and Prevention[edit]
Simple (Unicameral) Bone Cyst
The unicameral bone cyst has specific treatments for a that are determined based on size of the cyst, strength of the bone, medical history, extent of the disease, activity level, symptoms an individual is experiencing, and tolerance for specific medications, procedures, or therapies. [7] The types of methods used to treat this type of cyst are curettage and bone grafting, aspiration, steroid injections, and bone marrow injections. Constant observations and activity modifications are the most common nonsurgical treatments that will help prevent unicameral bone cyst from occurring and reoccurring. [8]
Aneurysmal Bone Cyst
The aneurysmal bone cyst can be treated with a variety of different methods. These methods include open curettage and bone grafting with or without adjuvant therapy, cryotheraphy, sclerotherapy, ethibloc injections, radionuclide ablation, and selective arterial embolization.[9] En-block resection and reconstruction with strut grafting are the most common treatments and procedures that prevent recurrences of this type of cyst. [10]
Traumatic Bone Cyst
The traumatic bone cyst treatment consists of surgical exploration, curettage of the osseous socket and bony walls, subsequent filling with blood, and intralesional steroid injections.[11] Young males and females can reduce their risk of traumatic bone cyst by wearing protective mouth wear or protective head gear. [6]
References[edit]
- ^ Van Arsdale (1893). "Ossifying haematoma". Ann Surg 18: 8–17.
- ^ Ewing J (1940). Neoplastic diseases: A treatise on Tumors (4th ed.). Philadelphia: WB Saunders. pp. 323–4.
- ^ a b Jaffe HL, Lichtenstein L (1942). "Solitary unicameral bone cyst with emphasis on the roentgen picture: the pathological appearance and pathogenesis". Arch. Surg. 44: 1004–25.
- ^ Bloodgood JC (1910). "Benign bone cysts, osteitis fibrosa, giant cell sarcoma and bone aneurysm of long pipe bone". Ann. Surg. 52: 145–189.
- ^ Rodrigues, C. D., & Estrela, C. (2008, April). Traumatic bone cyst suggestive of large apical periodontitis .Journal of Endodontics, 34(4), 484-489. doi: 10.1016/j.joen.2008.01.010. Retrieved from http://journals1.scholarsportal.info.myaccess.library.utoronto.ca/details-sfx.xqy?uri=/00992399/v34i0004/484_tbcsolap.xml.
- ^ a b bob, Burkhart, N. (2008, February). Traumatic bone cyst. Oral Exams, 89-90. Retrieved from http://myaccess.library.utoronto.ca/login?url=http://search.proquest.com.myaccess.library.utoronto.ca/docview/225015312?accountid=14771.
- ^ Baig, R, & Eady, J. (2006, September). Unicameral (simple) bone cysts. Retrieved from http://bf4dv7zn3u.search.serialssolutions.com.myaccess.library.utoronto.ca/?ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info:sid/summon.serialssolutions.com&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unicameral+%28Simple%29+Bone+Cysts&rft.jtitle=Southern+Medical+Journal&rft.au=Baig%2C+Rafath&rft.au=Eady%2C+John+L&rft.date=2006&rft.issn=0038-4348&rft.eissn=1541-8243&rft.volume=99&rft.issue=9&rft.spage=966&rft.epage=976&rft_id=info:doi/10.1097%2F01.smj.0000235498.40200.36&rft.externalDBID=n%2Fa&rft.externalDocID=10_1097_01_smj_0000235498_40200_36.
- ^ Milbrandt, T., & Hopkins, J. (2007). Unicameral bone cysts: etiology and treatment . Current Opinion in Orthopaedics, 18(6), 555-560. doi: 10.1097/BCO.0b013e3282f05890. Retrieved from http://bf4dv7zn3u.search.serialssolutions.com.myaccess.library.utoronto.ca/?ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info:sid/summon.serialssolutions.com&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unicameral+bone+cysts%3A+etiology+and+treatment&rft.jtitle=Current+Opinion+in+Orthopaedics&rft.au=Milbrandt%2C+Todd&rft.au=Hopkins%2C+Jeffrey&rft.date=2007-11-01&rft.issn=1041-9918&rft.eissn=1080-8124&rft.volume=18&rft.issue=6&rft.spage=555&rft.epage=560&rft_id=info:doi/10.1097%2FBCO.0b013e3282f05890&rft.externalDBID=n%2Fa&rft.externalDocID=10_1097_BCO_0b013e3282f05890.
- ^ Alaia, M., Rapp, T., & Ward, J. (2012, April). Aneurysmal bone cyst. Journal of the American Academy of Orthopaedic Surgeons, 233. doi: http://dx.doi.org.myaccess.library.utoronto.ca/10.5435/JAAOS-20-04-23. Retrieved from http://go.galegroup.com.myaccess.library.utoronto.ca/ps/i.do?id=GALE%7CA289120714&v=2.1&u=utoronto_main&it=r&p=AONE&sw=w.
- ^ Ozyurek, S., Rodop, O., Ozkan, K., Feridun, C., & Mahir, M. (2009, August). Aneurysmal bone cyst of the fifth metacarpal. Orthopedics, 32(8), doi: 10.3928/01477447-20090624-25. Retrieved from http://www.healio.com/orthopedics/journals/ortho/%7B04b0c2a3-098b-4d06-821d-16a01ddda112%7D/aneurysmal-bone-cyst-of-the-fifth-metacarpal.
- ^ Xanthinaki, A. (2006, November). Traumatic bone cyst of the mandible of possible iatrogenic origin: a case report and brief review of the literature . Head and Face Medicine,2(40), doi: 10.1186/1746-160X-2-40. Retrieved from http://www.head-face-med.com/content/2/1/40.
Acquired tooth disease (K02–K05, 521–525)
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Hard tissues |
- Caries (tooth decay)
- Attrition
- Abrasion
- Erosion
- Hypercementosis
- tooth resorption (External resorption, Internal resorption, Root resorption)
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Pulp/periapical (Endodontal) |
Pulpal
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- External resorption
- Internal resorption
- Irreversible pulpitis
- Reversible pulpitis
- Necrotic pulp
- Pink tooth of Mummery
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Periapical
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- Acute apical periodontitis
- Chronic apical periodontitis
- Combined periodontic-endodontic lesions
- Fistula
- Periapical abscess
- Phoenix abscess
- Vertical root fracture
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Ungrouped
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- Pulpitis
- Radicular cyst
- Periapical abscess
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Gingiva/periodontal
(Periodontal) |
- Gingivitis
- Periodontitis (Chronic periodontitis)
- Periodontal disease
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Bone cyst |
- Dentigerous cyst
- Calcifying odontogenic cyst
- Glandular odontogenic cyst
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Other |
- Toothache
- Cracked tooth syndrome
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To be grouped
from periodontology |
Diagnoses
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- Chronic periodontitis
- Localized aggressive periodontitis
- Generalized aggressive periodontitis
- Periodontitis as a manifestation of systemic disease
- Necrotizing periodontal diseases
- Abscesses of the periodontium
- Combined periodontic-endodontic lesions
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Pathogenesis
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- A. actinomycetemcomitans
- Capnocytophaga sp.
- F. nucleatum
- P. gingivalis
- P. intermedia
- T. forsythia
- T. denticola
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Pathologic entities
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- Calculus
- Edentulism
- Fremitus
- Furcation defect
- Gingival enlargement
- Gingival pocket
- Gingivitis
- Horizontal bony defect
- Linear gingival erythema
- Occlusal trauma
- Periodontal pocket
- Periodontal disease
- Periodontitis
- Plaque
- Recession
- Vertical bony defect
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noco/cong/jaws/tumr, epon, injr
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dent, proc (endo, orth, pros)
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Osteochondropathy (M80–M94, 730–733)
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Osteopathies |
Osteitis
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endocrine bone disease: Osteitis fibrosa cystica (Brown tumor)
infectious bone disease: Osteomyelitis (Sequestrum, Involucrum) · Sesamoiditis · Brodie abscess · Periostitis · Vertebral osteomyelitis
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Bone density
and structure
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Density / metabolic bone disease
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Osteoporosis (Juvenile) · Osteopenia · Osteomalacia
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Continuity of bone
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Pseudarthrosis · Stress fracture
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Other
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Fibrous dysplasia (Monostotic, Polyostotic) · Skeletal fluorosis · bone cyst (Aneurysmal bone cyst) · Hyperostosis (Infantile cortical hyperostosis) · Osteosclerosis (Melorheostosis)
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Bone resorption
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Osteolysis · Hajdu-Cheney syndrome · Ainhum
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Ischemia
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Avascular necrosis (Osteonecrosis of the jaw)
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Other
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Paget's disease of bone · Algoneurodystrophy · Hypertrophic pulmonary osteoarthropathy · Nonossifying fibroma
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Chondropathies |
Chondritis
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Relapsing polychondritis
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Other
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Tietze's syndrome
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Both |
Osteochondritis
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Osteochondritis dissecans
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Juvenile osteochondrosis
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lower limb: hip (Legg–Calvé–Perthes syndrome) · tibia (Osgood-Schlatter disease, Blount's disease) · foot (Köhler disease, Sever's disease)
spine (Scheuermann’s disease)
upper limb: wrist (Kienbock's disease) · elbow (Panner disease)
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anat (c/f/k/f, u, t/p, l)/phys/devp/cell
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noco/cong/tumr, sysi/epon, injr
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