Aneurysmal Bone Cyst When Curettage Has Not Achieved Local Control
When intralesional excision of an aneurysmal bone cyst does not produce durable local control, a structured next-step surgical approach is indicated. This protocol addresses that clinical escalation.
Prior Treatment — Goal Not Met
The previous intervention was curettage with high-speed burr (intralesional excision), with the goal of achieving local control of the lesion with no recurrence. When that goal is not reached — whether due to recurrence or inadequate initial clearance — escalation to a more definitive surgical strategy is warranted.
Next-Step Approach (Partial Overview)
The escalated approach involves a more complete surgical resection than intralesional techniques allow, applicable to recurrent lesions and certain anatomical locations. The full protocol specifies the technique, site-based indications, and reconstruction considerations.
Clinical Goal
Complete local control with no recurrence.
References
DOI: 10.7759/cureus.53587
- En block excision is the best treatment option for lesions that develop in expandable bones (clavicle, rib, proximal fibula, pubic ramus) or for recurrent lesions and lesions that do not respond to less invasive treatments.
- En block excision, which is also called “complete resection,” has the lowest risk of recurrence.
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