Ahn Jin Hwan, Lee Yong Seuk, Lee Dong Hoon, Ha Hae Chan
Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Knee. 2008 Mar;15(2):155-8. doi: 10.1016/j.knee.2007.11.002. Epub 2008 Jan 28.
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.
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。