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临床资料患者,女,21岁。因颈部肿物、右上肢活动不适20余天就诊。CT检查示C6右侧横突呈膨胀性骨破坏,骨壳内缘呈大小不等的弧形压迹,病变穿破骨壳突入周围软组织形成肿块,边界清晰。初步诊断为动脉瘤样骨囊肿。随后行手术刮除治疗,术后病理为动脉瘤样骨囊肿。术后2个月来院复查,体检右颈部、锁骨上区触及肿物,拳头大小,质中等,活动度差,右上肢活动受限,疼痛不适。CT检查示C6椎体右侧横突呈囊性膨胀性骨破坏,平C4～6椎体右侧见分叶状高密度影。根据病史、体检、辅检,符合动脉瘤样骨囊肿术后复发。考虑患者病变范围大,手术完全切除有难
Clinical data, female, 21 years old. Due to neck swelling, right upper limb activity discomfort for more than 20 days. CT examination showed that the transverse process of the right side of C6 was disintegrating bone destruction, and the inner edge of the bone casing showed arcing traces of unequal size. The lesion broke through the bones and broke into the surrounding soft tissue to form a mass with clear boundaries. The initial diagnosis was an aneurysmal bone cyst. Followed by surgical curettage, postoperative pathology was an aneurysmal bone cyst. 2 months after the hospital review, physical examination of the right neck, supraclavicular area touched the tumor, fist size, medium quality, poor activity, restricted right upper limb activity, pain discomfort. CT examination showed that the transverse process of the right side of the C6 vertebral body showed cystic disintegrating bone destruction, and the right C4~6 vertebral body showed lobulated high-density shadow. According to medical history, physical examination, and secondary examination, it is consistent with the recurrence of aneurysmal bone cyst. Considering a large range of patients, it is difficult to completely remove the operation