Bilateral diz eklemi yerleşimli lipoma arboresens olgusu

Lipoma arboresens, diffüz sinovyal lipomatozis olarak da tanımlanan, sıklıkla diz ek-leminde süprapatellar bursayı tutan, sinovyal membranin villöz lipomatöz proliferasyonu ile karakterize, seyrek görülen intraartiküler bir lezyondur. Glenohumeral eklem, sub-deltoid bursa, kalça ve. dirsek eklemi diğer sık görülen tutulma yerleridir. Olguların %20'sinde bilateral tutulum görülür. Bu çalışmada, 66 yaşında bayan hastada her iki diz ekleminde lipoma arboresens ol-gusunu sunduk. MR görüntüleme ile Tl, T2-ağırlıkh ve STIR sekanslarda sinoviya altında yağ kitlesi gösterildi. MR görüntüleme, diz ekleminde lipoma arboresens olgularını saptamada değerli bir radyolojik tanı yöntemidir.

Lipoma arborescens of the knee joint: Bilateral presentation

Lipoma Arborescens of The Knee Joint: Bilateral Presentation Lipoma arborescens is a rare intraarticuler lesion of the knee, characterized by villous lipomatous proliferation of the synovium, particularly involving the süprapatellar pouch. Glenohumeral joint, subdeltoid bursa, hip joint and elbow are the other frequent sides of origin. Twenty percent of the cases show bilateral presentation. We reported a 66 years old woman with the bilateral presentation of lipoma arborescens at the knee joints. MR images showed masslike subsynovial fat deposition in Tl-weighted, T2-weigted and STIR sequences. MR imaging is a valuable technique for examining patients with lipoma arborescens of the knee.

___

1. Armstrong SJ, Watt I. Lipoma arborescens of the knee. Br J Radiol 1989; 62: 178-180. 2. Feller JF, Rishi M, Hughes EC. Lipoma arborescens of the knee: MR demonstration. AJR 1994; 163: 162-164. 3. Ryu KN, Jaovisitha S, Schweitzer M, ;et al. MR imaging of lipoma arborescens of the knee joint. AJR 1996; 167: 1229-1232. 4. Szendroi M, Deodhar A. Synovia! neoformations and tumors. Baillieres Best Pract Res Clin Rheumatol 2000:14:363-383. 5. Hallel T, Lew S, Bansal M. Villous lipomatosis proliferation of the synovial membrane. J Bone Joint Surg 1988; 70: 264-270.

6. Sumen Y, Ochi M, Soda Y, et al. Lipoma arborescens in bilateral knee joints. Arch Orthop Trauma Surg 1998; 117:105-107. 7. Llauger "J, Monill JM, Palmer J, et al. Synovial hemangioma of the knee: MRI findings in two cases, Skeletal Radiology 1995; 24: 579-581. 8. Coventry MB, Harrison EG, Martin JF. Benign synovial tumors of the knee: a diagnostic problem. J Bone Joint Surg Am 1966; 48-A: 1350-1358. 9. Murphey MD, Johnson DL, Bhatia PS, et al. Parosteal lipoma: MR imaging characteristics. AJR 1994; 162: 105-110. 10. Martin S, Hermandez L, Romero J, et al. Diagnostic imaging of lipoma arborescens. Skeletal Radiology 1998; 27: 325-329.
Ondokuz Mayıs Üniversitesi Tıp Dergisi (. Journal of Experimental and Clinical Medicine)-Cover
  • ISSN: 1300-2996
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018