Ichinose H, Wickstrom J K, Hoerner H E, Derbes V L
Clin Orthop Relat Res. 1979 Jul-Aug(142):185-9.
While synovial sarcoma most commonly presents as a painless mass, occasionally the cancer emerges in a misleading manner resulting in an unfavorable delay or error in diagnosis. A review of the litrature reveals 4 such occult patterns: pretumor phase characterized only by pain or tenderness; the acute inflammatory lesion presenting as a "hot" arthritis or bursitis; the chronic contracture; the post traumatic tumor. These conditions, especially when otherwise unaccounted for, are indications for biopsy. Four avoidable pitfalls in biopsy management also emerged from the review.
虽然滑膜肉瘤最常表现为无痛性肿块，但偶尔癌症会以一种误导性的方式出现，导致诊断出现不利的延迟或错误。对文献的回顾揭示了4种这样的隐匿模式：仅以疼痛或压痛为特征的肿瘤前期阶段；表现为“热”关节炎或滑囊炎的急性炎症性病变；慢性挛缩；创伤后肿瘤。这些情况，尤其是在没有其他合理解释时，是活检的指征。回顾还发现了活检管理中4个可避免的陷阱。
