TY - JOUR T1 - Aneurysmal Bone Cysts of Soft Tissue Represent True NeoplasmsA Report of Two Cases AU - Pietschmann, Matthias F. AU - Oliveira, Andre M. AU - Chou, Margaret M. AU - Ihrler, Stefan AU - Niederhagen, Manuel AU - Baur-Melnyk, Andrea AU - Dürr, Hans Roland Y1 - 2011/05/04 N1 - 10.2106/JBJS.J.00534 JO - The Journal of Bone & Joint Surgery SP - e45 1 EP - 8 VL - 93 IS - 9 N2 - Aneurysmal bone cyst was first described by Jaffe and Lichtenstein in 19421. It is considered a benign, locally aggressive lesion with a potential for local recurrence, and it typically appears in the metaphysis of the long bones and in the vertebral column2-4. Mostly, children and young adults are affected. No sex predilection has been observed. Radiographically, aneurysmal bone cyst is seen as a lytic lesion, usually eccentrically located and expansile but with well-defined margins. Histologically, there are blood-filled cysts separated by fibrous septa, with fibroblasts as well as osteoclast-type giant cells and reactive woven bone5. Historically, aneurysmal bone cyst was believed to occur exclusively in bone6. In 1972, Salm and Sissons noted soft-tissue lesions resembling aneurysmal bone cysts, and this was probably the first description of this entity7. For many years, aneurysmal bone cyst was thought to be a lesion, reactive in nature, caused by a circulatory abnormality leading to an increased venous pressure and resulting in dilation of the vascular network2,8,9. In recent years, strong evidence has supported the neoplastic nature of aneurysmal bone cyst10-13. In 1999, Panoutsakopoulos et al.10 demonstrated chromosomal translocation t(16;17)(q22;p13) as a recurrent cytogenetic abnormality in primary aneurysmal bone cyst, which was confirmed by other groups11-13. We report two cases of soft-tissue aneurysmal bone cyst with USP6 locus rearrangement on chromosome 17p13. The patients were informed that data concerning their cases would be submitted for publication, and they consented. SN - 0021-9355 M3 - doi: 10.2106/JBJS.J.00534 UR - http://dx.doi.org/10.2106/JBJS.J.00534 ER -