A Rare Subtype in an Uncommon Location: Multimodal Radiologic and Histopathologic Evaluation of a Solid Variant Aneurysmal Bone Cyst in the Radial Head

罕见部位的罕见亚型:桡骨头实性变异型动脉瘤样骨囊肿的多模式放射学和组织病理学评估

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Abstract

A 30-year-old male presented with pain and swelling in the left elbow. Multimodal radiologic evaluation revealed an expansile, lytic bone lesion with fluid-fluid levels and surrounding soft tissue edema, localized in the radial head. Histological examination confirmed the diagnosis of a solid variant of aneurysmal bone cyst (SVABC), an anatomically rare site for such lesions. The lesion was managed with curettage, leading to complete clinical resolution. Teaching point: integrating radiologic and histologic findings to an accurate diagnosis and effective management of SVABC, especially when occurring in atypical locations where they may mimic more aggressive neoplasms.

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