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Oral and Maxillofacial Surgery

20-02-2024 | aneurysmal bone cyst | Case Report

Fibrous dysplasia with aneurysmal bone cyst-like change occurring in pediatric orbit: case report and literature review

Authors: Xinyao Wang, Wenbin Guan, Haibo Zhang, Lei Bao, Xiaoqiang Wang

Published in: Oral and Maxillofacial Surgery

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Abstract

Purpose

We report a case of fibrous dysplasia (FD) with aneurysmal bone cyst (ABC)-like change in a child with orbital involvement, review the related cases, and discuss clinical features, therapy, and prognosis of this disease.
Case presentation.
A 10-year-old girl had right proptosis (degree of exophthalmos: OD 16 mm, OS 13 mm) and limited vision (visual acuity: OD 1.0, OS 0.8) without trauma. Preoperative CT showed a 5.0*4.3 cm right-sided crania-orbital communicating tumor. MRI indicated a well-defined multicystic mass with scattered fluid levels and soap bubble-like alterations. The child underwent total tumor resection and orbital parietal titanium mesh reconstruction. At 20 months of follow-up, the child has recovered from ocular problems, and the tumor has not recurred.

Conclusion

FD combined with ABC rarely occurs in orbit and generally begins with ocular symptoms. The etiology is uncertain. Early diagnosis and surgery are essential. Complete resection is suggested whenever possible because residual lesions may recur.
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Metadata
Title
Fibrous dysplasia with aneurysmal bone cyst-like change occurring in pediatric orbit: case report and literature review
Authors
Xinyao Wang
Wenbin Guan
Haibo Zhang
Lei Bao
Xiaoqiang Wang
Publication date
20-02-2024
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-024-01217-2