{"id":"1b43dffe-9369-4e7e-a47e-1f4af450169a","slug":"solid-variant-of-aneurysmal-bone-cyst-presenting-as-a-giant-cervical-mass-a-clinical-radiological-histopathological-dilemma","title":"Solid variant of aneurysmal bone cyst presenting as a giant cervical mass: A clinical, radiological, histopathological dilemma","authors":["Amey R. Savardekar","Deviprasad Patra","Debajyoti Chatterjee","Chirag K. Ahuja","Pravin Salunke"],"abstract":"Background: Typical aneurysmal bone cysts (ABCs) are osteolytic, multicystic lesions with parietal sclerosis and blood-filled cysts. In rare instances, the cystic components may be completely absent. Such solid variants in ABC (s-ABC) exhibit a solid architecture; making the clinical, radiological, and histological differentiation from other solid bone tumors like osteosarcoma (especially giant cell rich osteosarcoma) and giant cell tumor, a difficult task. Case Report: We report the case of a 45–year-old male presenting with a giant solid cervical spine lesion. Histopathology revealed solid variant of ABC, even though the radiological and fine needle aspiration cytology studies pointed toward a giant cell tumor. Conclusion: We aim to discuss the clinical, radiological, and histological findings of solid ABC (a rare benign entity) vis-à-vis the common neoplastic entities of osteosarcoma and giant cell tumor. The histopathological nuisances in making the diagnosis of s-ABC are put forth, along with its impact on management of such giant bony spinal lesions.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1b43dffe-9369-4e7e-a47e-1f4af450169a/featured/hero-1782420931845.png","publishDate":"2015-05-07T00:00:00.000Z","doi":"10.4103/2152-7806.156570","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2015/05/5944/SNI-6-182.pdf"}