The aim of this study was to evaluate the clinical and surgical results of 21 cases treated with pigmented Villonodular Synovitis in our clinic between 2010 and 2018 and to share these results with the literature. The 5-year follow-up results of 21 cases with pigmented Villonodular Synovitis were evaluated retrospectively. Only patients undergoing surgical treatment were included in the study. The patients were investigated in terms of age, gender, anatomical region, size of the tumor, a surgical technique applied and recurrence. The involved joints are in turn; seven knees, five ankles, four feet, two hands, two hips, and one shoulder joints. The patients’ ages ranged from 9 to 81 years (mean 45). 11 of them were male, and 10 were female. Clinically; Pain and swelling in the involved joints were the most common complaints, and the most common symptom was the compression effect of the mass. The most commonly involved anatomic region was the knee joint. The majority of patients had no history of trauma. Recurrence was found in 23.8% of patients who underwent surgical treatment. Pigmented Villonodular Synovitis is a middle-aged disease that causes severe morbidity and compromises the quality of life. Arthroscopic and open surgical synovectomy can be performed successfully in the treatment of this condition.
___
1. Jaffe HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovitis, bursitis, and tenosynovitis. Arch Pathol. 1941;31:731-65.
2. Myers BW, Masi AT. Pigmented villonodular synovitis and tenosynovitis: A clinical, epidemiologic study of 166 cases and literature review. Medicine (Baltimore). 1980;59:223-38.
3. Kay RM, Eckardt JJ, Mirra MM. Multifocal pigmented villonodular synovitis in a child. Clin Orthop. 1996;322:194-7.
4. Klammer G, Betz M, Delaloye B, et al. Bilateral diffuse pigmented villonodular synovitis of the knee. J Knee Surg. 2013;26:67-71.
5. Ma X, Shi G, Xia C, et al. Pigmented villonodular synovitis: a retrospective study of seventy-five cases (eighty-one joints). Int Orthop. 2013;37:1165-70.
6. Byers PD, Cotten RE, Deacon OW, et al. The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg. 1968;50:290-3.
7. Jobe CM, Raza A, Zuckerman L. Pigmented villonodular synovitis: extrasynovial recurrence. Arthroscopy. 2011;27:1449-51.
8. Vigorita VJ. Pigmented villonodular synovitis like lesions in association with rare cases of rheumatoid arthritis, osteonecrosis. and advanced degenerative joint disease. Report of five cases. Clin Orthop. 1984;183:l-15.
9. Palumbo RC, Matthews LS, Reuben JM. Localized pigmented villonodular synovitis of the patellar fat pad: a report of two cases. Arthroscopy. 1994;10:400-3.
10. Schwartz HS, Unni KK, Pritchard DJ. Pigmented villonodular synovitis. A retrospective review of affected large joints. Clin Orthop Relat Res. 1989;247:243-55.
11. Verspoor FG, Zee AA, Hannink G, et al. Long-term follow-up results of primary and recurrent pigmented villonodular synovitis. Rheumatology (Oxford). 2014;53:2063-70.
12. Chung SMK, Janes JM. Diffuse pigmented villonodular synovitis of the hip. Review of the literature and report of four cases. J Bone Joint Surg. 1965;47:293-303.
13. Van Meter CD, Rowdon GA. Localized pigmented villonodular synovitis presenting as a locked lateral meniscal bucket handle tear: a case report and review of the literature. Arthroscopy. 1994;10:309-12.
14. Bronstein RD, Sebastianelli WJ, DeHaven KE. Localized pigmented villonodular synovitis presenting as a loose body in the knee. Arthroscopy. 1993;9:596-8
15. Kalil RK, Unni KK. Malignancy in pigmented villonodular synovitis. Skeletal Radiol. 1998;27:392-5.
16. Schwartz HS, Unni KK, Pritchard DJ. Pigmented villonodular synovitis. A retrospective review of affected large joints. Clin Orthop. 1989;247:243-55.
17. Panagiotopoulos E, Tyllianakis M, Lambiris E et al. Recurrence of pigmented villonodular synovitis of the knee 17 years after the initial treatment: A case report. Clin Orthop. 1993;295:179-82.
18. Dorwart RH, Genant HK, Johnston WH, et al. Pigmented villonodular synovitis of synovial joints: clinical, pathologic, and radiologic features. AJR Am J Roentgenol. 1984;143:877-85.
19. Wu KK, Ross PM, Guise ER. Pigmented villonodular synovitis: A clinical analysis of twenty-four cases treated at Henry Ford Hospital. Orthopedics. 1980;3:751-8.
20. Erginer R, Babacan M, Tezcan R, et al. Pigmentli villonodüler sinovitis. Acta Orthop Trauma Turc. 1987;21:70-3.
21. Yel M, Memik R, Öğün TC, et al. Dizde pigmente villonodüler sinovit. Orthop Trauma Turc. 1997;31:498-501.
22. Yıldız Y, Altay M, Arıkan M. Pigmente villonodüler sinovit tedavisinde klinik sonuçlarımız. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2001;54:224-5.
23. Görmeli G, Görmeli CA, Maraş Özdemir Z, ve ark. Yumuşak doku tutulumu olan patellar dev hücreli bir tümör: alternatif bir tedavi yöntemi ve literatürün gözden geçirilmesi. Eklem Hastalik Cerrahisi. 2015;26:110-5.