Unicameral and aneurysmal bone cysts are considered tumorlike conditio
ns of unclear origin. The diagnosis of unicameral bone cysts is almost
always based on the radiographic appearance, whereas aneurysmal bone
cyst imaging may sometimes mimic a sarcomatous lesion. Several pathoge
netic hypothesis reported in literature have been described. Classific
ations have been proposed to detect the activity of the cysts and to p
redict the prognostic behavior. The results observed with different op
tions of-treatment have been discussed.