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[膝关节弥漫性滑膜血管瘤:一例报告]

[Diffuse synovial hemangioma of the knee: a case report].

作者信息

Yilmaz Erhan, Karakurt Lokman, Ozdemir Hüseyin, Serin Erhan, Incesu Mustafa

机构信息

Department of Orthopedics and Traumatology, Medicine Faculty of Firat University, Elaziğ, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2004;38(3):224-8.

Abstract

Synovial hemangioma is a rare benign tumor of joint cavities. It may be a cause of pain and recurrent joint swelling in children and young adults. Diffuse synovial hemangioma was diagnosed in a 25-year-old male patient with complaints of right knee pain and swelling of a 10-year history. Direct radiography, venography, magnetic resonance imaging, and diagnostic arthroscopy enabled the diagnosis. Surgical excision was not considered because of diffuse involvement and many pigmented areas in the skin; instead, the patient was monitored conservatively. At the end of a year, the severity of complaints and the size of the lesion did not increase. Since there is a high risk for recurrence following open synovectomy for diffuse synovial hemangiomas, conservative treatment may be an alternative approach in selected cases.

摘要

滑膜血管瘤是一种罕见的关节腔良性肿瘤。它可能是儿童和年轻人疼痛及关节反复肿胀的一个原因。一名25岁男性患者因右膝疼痛和肿胀10年就诊,被诊断为弥漫性滑膜血管瘤。直接X线摄影、静脉造影、磁共振成像和诊断性关节镜检查得以确诊。由于病变弥漫累及且皮肤有许多色素沉着区域,未考虑手术切除;相反,对该患者进行了保守监测。一年后,症状的严重程度和病变大小均未增加。由于弥漫性滑膜血管瘤行开放性滑膜切除术后复发风险高,在某些病例中保守治疗可能是一种替代方法。

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