Aoki Y, Kaneda K, Miyagi N, Itoh M, Ohmoto H
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Skeletal Radiol. 2000 Dec;29(12):717-20. doi: 10.1007/s002560000282.
The authors report a case of bilateral popliteal amyloidoma causing stenosis of the popliteal artery and vein. This patient had been treated with hemodialysis for 26 years. The diagnosis was made with MR angiography. A popliteal tumor of the right knee was resected surgically and the histologic examination showed deposition of amyloid. After resecting the popliteal tumor, the severe leg pain and intermittent claudication improved. This report suggests that popliteal amyloid tumors should be considered in a patient undergoing long-term hemodialysis who complains of leg pain and intermittent claudication.
作者报告了一例双侧腘窝淀粉样瘤导致腘动脉和静脉狭窄的病例。该患者已接受血液透析治疗26年。通过磁共振血管造影术做出诊断。右膝腘窝肿瘤经手术切除，组织学检查显示有淀粉样物质沉积。切除腘窝肿瘤后，严重的腿痛和间歇性跛行症状有所改善。本报告提示，对于长期接受血液透析且主诉腿痛和间歇性跛行的患者，应考虑腘窝淀粉样瘤的可能。
