If an aneurysmal bone cyst is suspected in an adult, the recommended management is to

• A. Observation
• B. Refer to Oncology
• C. Surgical resection by podiatrist
• D. Physical therapy only

Answer: (B)

When a suspected aneurysmal bone cyst in an adult, the priority is to confirm the diagnosis and plan treatment with a specialist who can properly differentiate it from more aggressive lesions. In adults, ABCs can mimic malignancy or be secondary to other tumors, so a thorough evaluation is essential. Refer to oncology for evaluation and coordinated management, which typically includes imaging, biopsy to rule out malignancy, and a treatment plan guided by orthopedic oncology principles. Observation would miss a potential malignancy or aggressive process, and physical therapy alone cannot address a bone lesion. Surgical resection, if needed, is best performed within an orthopedic oncology team rather than by a podiatrist alone to ensure complete treatment and appropriate adjuvant steps.