Ayak bileğinde pigmente villonodüler sinovit: Olgu sunumu

Pigmente villonodüler sinovit nadir görülen ve etyolojisi tam olarak bilinmeyen benign bir patolojidir. Tendon kılıfının dev hücreli tümörü ile aynı hastalık grubunda, ancak daha yaygın ve eklemi tutan. şekli olarak kabul edilir. Ayrıca tedavi sonrası nüks çok sık görülmektedir. 6 yıl önce ayak bileğinde kitle nedeniyle ameliyat edilmiş ve tendon kılıfının dev hücreli tümörü tanısı almış 24 yaşında bir bayan hastanın, nükseden kitlesinin ameliyat sonrası patolojik tanısı pigmente villonodüler sinovit olarak rapor edilmiştir. Bu yazıda, sunulan olgu çerçevesinde, hastalığın tanı, tedavi ve takip açısından özellikleri gözden geçirilmektedir.

Pigmented villonodular synovitis of the ankle: a case report

Pigmented villonodular synovitis is a rare benign condition of unknown etiology. It represents a part of a disease spectrum that includes giant cell tumor of the tendon sheath and is regarded as a more diffuse and intra-articular form. Recurrence is common after surgery. A 24-year-old recurrent lesion in the right ankle region, which was operated on and diagnosed as giant cell tumor of the tendon sheath 6 years previously, was diagnosed as pigmented villonodular synovitis after our current operation In this paper, we present a review of the diagnostic, therapeutic and follow-up properties of this rare condition.

___

  • 1.Al-Nakshabandi NA, Ryan AG, Choııdur H, Torreggiani W, Nicoloau S, Munk PL, Al-Ismail K. Pigmented villonodular synovitis.Clinical Radiology. 2004; 59: 414-420.
  • 2.Rao S, Vgota VJ. Pigmented villonodular synovitis (Giant-cell tumor of the tendon sheath and synovial membrane): a review of eighty-one cases. J Bone Joint Surg Am 1984; 66: 76-94.
  • 3.Ushijima M, Hashimoto H, Tsuneyoshi M, Enjoji M. Pigmented villonodular synovitis. A clinicopathologic study of 52 cases. Acta Pathol Jpn 1986; 36: 317-326.
  • 4.Weckauf H, Helmchen B, Hinz U, Meyer-Scholten C, Aulmann S, Otto HF, Berger I. Expression of cell cycle-related gene products in different forms of primary versus recurrent PVNS. Cancer Lett. 2004; 210: 111-118.
  • 5.Lu KH. Subcutaneous pigmented villonodular synovitis caused by portal contamination during knee arthroscopy and open synovectomy. Arthroscopy. 2004; 20: 9-13.
  • 6.Jaffee HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovi­tis, bursitis and tenosynovitis. Arch Pathol. 1941; 31: 731-765.
  • 7.Kaneko K, Nakahara D, Tobe B, Iwase H, Inoue Y, Ohbayashi O, Kurusawa H. Pigmented villonodular synovitis of the ankle in an adolescent. Int Orthop. 2000; 24: 234-237.
  • 8.Tosun F, Carrau RL, Weissman J. Pigmented villonodular synovitis of the temporomandibular joint: an extensive case with skull-base involvement. Am J Otolaryngol. 2004; 25: 204-207.
  • 9.Aoyama S, Iwaki H, Amagasa T, Kino K, Okada N, Kishimoto S. Pigmented villonodular synovitis of the temporomandibular joint: differential diagnosis and case report. Br J Oral Maxillofac Surg. 2004; 42: 51-54.
  • 10.Michael AL, Chelliah G, Ali H, Thomas AP. Pigmented villonodular synovitis of the MTP joint of the hallux. Scand J Rheumatol. 2003; 32:256.
  • 11.Graham EJ, Kuklo TR, Kyriakos M, Rubin DA, Riew KD. Invasive pigmented villonodular synovitis of the atlantoaxial joint: a case re­ port. J Bone Joint Surg Am. 2002; 84(10): 1856-1860.
  • 12.Hirohata, Kazushi. Light microscopic and electron microscopic stu­dies of individual cell in pigmented villonodular synovitis and bursi­tis. Kobe J Med Sci 1968; 14: 251-279.
  • 13.Por YC, Chew WY, Low CK. Extraarticular pigmented villonodular synovitis of the-distal forearm: a case report. Singapore Med J. 2003; 44(3): 152-154.
  • 14.Kottal RA, Vogler JB, Matamorös A, et al. Pigmented villonodular synovitis: A report of MR imaging in two cases. Radiology. 1987; 163:551-553.
  • 15.Bertoni FF, Unni KK, Beabout S W, Sim FH. Malignant giant cell tumor of the tendon sheaths and joints (malignant pigmented villo­nodular synovitis). Am J Surg Pathol. 1997; 21: 153-163.
  • 16.Roach R. Localised pigmented villonodular synovitis: an uncom­mon cause of knee pain mimicking a meniscal tear. Br J Sports Med.2003;37:368.
  • 17.Mackie GC. Pigmented villonodular synovitis and giant cell tumor of the tendon sheath: scintigraphic findings in 10 cases. Clin Nucl Med. 2003; 28(11): 881-885.
  • 18.Edwards MR, Tibrewal S. Patello-femoral joint pain due to unusual location of localised pigmented villonodular synovitis: a case report. The Knee. 2004; 11: 327-329.