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膝关节后室关节内纤维瘤。病例报告。

Intraarticular fibroma of the posterior compartment in the knee. A case report.

作者信息

Ahn Jin Hwan, Lee Yong Seuk, Lee Dong Hoon, Ha Hae Chan

机构信息

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

出版信息

Knee. 2008 Mar;15(2):155-8. doi: 10.1016/j.knee.2007.11.002. Epub 2008 Jan 28.

Abstract

Posterior knee discomfort and recurrent effusion of the left knee occurred in a 49-year-old man without a history of specific trauma. Magnetic Resonance Imaging (MRI) and an arthroscopic examination revealed a soft tissue mass arising from the posterolateral capsule. The microscopic diagnosis was a fibroma, which is a rare entity in this location. To the best of our knowledge, only four cases of fibroma in the knee have been reported. It was reported that more than 99% of fibromas arise from tendon sheaths or tendons. They sometimes present a diagnostic problem due to their relative rarity in this location and obscure histological features. Fibroma should be included in a differential diagnosis of a soft tissue tumor arising from the knee joint. However, an arthroscopic excision was curative in our case.

摘要

一名49岁男性出现左膝后方不适及反复积液,无特定创伤史。磁共振成像(MRI)及关节镜检查显示后外侧关节囊有一软组织肿块。显微镜诊断为纤维瘤,该部位出现此病变较为罕见。据我们所知,仅报道过4例膝关节纤维瘤。据报道,超过99%的纤维瘤起源于腱鞘或肌腱。由于其在该部位相对罕见且组织学特征不明显,有时会带来诊断难题。纤维瘤应纳入膝关节软组织肿瘤的鉴别诊断。然而,在我们的病例中,关节镜下切除具有治愈效果。

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