上顎骨にみられた脈りゅう性骨嚢胞の1例

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  • A case of an aneurysmal bone cyst arising in the maxilla.

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We report a very rare case of an aneurysmal bone cyst arising in the maxilla. A 12-year-old boy had bilateral swelling of the maxilla with tenderness. Radiographs revealed a radiolucent lesion, and asoap-bubbled radiolucency was recognized after close observation. A puncture of the region before biopsy aspirated blood. Angiography showed spotted shadows in the radiolucent area. A biopsy was done after transcatheter arterial embolization (TAE). The lesion had some cystic spaces with an osseous septum. Based on pathological examination of the biopsy specimen and the clinical findings, a final diagnosis of an aneurysmal bone cyst was made. Because recrudescence occurred 11 months after initial TAE, a second session of TAE was done. For the past 10 months, there has been no evidence of recrudescence.

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