Клинико-морфологические особенности диагностики костных кист конечностей у детей

Abstract

The main aim of the study was to distinguish clinical, radiological and morphological features of bone cysts of long tubular bones in children. Methods.156 cases of bone cysts were enrolled in the study: 39 cases of aneurysmal bone cysts (ABC) and 117 – solitary bone cysts (SBC). Specific clinical and radiological findings of bone cysts make it possible to establish the correct diagnosis in most cases. Results. Most of the patients with bone cysts - 118 (81.4%) complained of an aching nature of low-intensity pain in the affected area, arising during or after physical exertion. Solitary bone cysts were a centrally located intramedullary unicameral cystic cavity. Aneurysmal bone cysts were benign, multicameral, blood-containing cystic lesions. Conclusions. Typical clinical and radiological manifestations of bone cysts in most cases make it possible to establish the correct diagnosis. If there is any doubt about the correctness of the diagnosis, open biopsy is performed with excision of the pathological focus within unchanged tissues. Further treatment tactics in such cases is determined after morphological verification of the diagnosis.