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Congenital Aneurysmal Bone Cyst in a Foal
Authors:Uneeda Bryant  Luke Fallon  Matilda Lee  Roy Pool
Institution:1. Department of Veterinary Science, University of Kentucky Veterinary Diagnostic Laboratory, College of Agriculture, Lexington, KY;2. Hagyard-Davidson-McGee Equine Medical Institute, Lexington, KY;3. Department of Veterinary Pathobiology, Texas A&M University, College of Veterinary Medicine, College Station, TX
Abstract:A 2-week-old female Thoroughbred foal was born with a firm, expansile, progressively enlarging mass involving the left hemimandible. Grossly, the mass was composed of variably sized cavernous spaces containing clotted blood and serofibrinous exudate, separated by fibrous and fibroosseous septa. Histologically, the spaces were lined by flattened to plump spindle cells and contained hemorrhage, fibrin, and multinucleated osteoclast-like cells. The septa separating adjacent cavernous spaces contained interlacing bundles and streams of spindle cells, multinucleated giant cells, hemosiderophages, mineral deposits, and spicules and trabeculae of reactive and poorly mineralized bone. A diagnosis of congenital aneurysmal bone cyst was made based on histologic features. The pathogenesis for the development of aneurysmal bone cysts is still undetermined, although spindle cells lining cavernous spaces in the foal exhibited negative immunolabeling for factor-VIII (F8) and positive immunolabeling for smooth muscle actin, suggesting vascular smooth muscle origin and possible blood flow disturbance.
Keywords:Aneurysmal Bone Cyst  Bone Cyst  Congenital  Foal
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