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全膝关节置换术后并发滑膜肉瘤

Synovial Sarcoma Complicating Total Knee Arthroplasty.

作者信息

Savvidou Olga D, Chloros George D, Koutsouradis Panagiotis, Megaloikonomos Panayiotis D, Skarpidi Eva, Papagelopoulos Panayiotis J

机构信息

The First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, Medical School, ATTIKON University Hospital, Athens, Greece.

Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece.

出版信息

Clin Orthop Surg. 2017 Dec;9(4):547-552. doi: 10.4055/cios.2017.9.4.547. Epub 2017 Nov 10.

DOI:10.4055/cios.2017.9.4.547
PMID:29201311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5705317/
Abstract

Synovial sarcoma is a relatively common periarticular soft tissue malignancy, occurring mostly in the extremities of younger patients. Occasionally, diversity in its clinical features may lead to misdiagnosis and inappropriate management. The authors report herein a unique case of a patient who underwent a primary total knee arthroplasty to treat osteoarthritis. During the operation, a mass was discovered but was attributed to synovitis. Biopsy revealed a rare intra-articular synovial sarcoma. The patient underwent reoperation with wide excision and endoprosthesis placement and is disease-free at the 8-year follow-up.

摘要

滑膜肉瘤是一种相对常见的关节周围软组织恶性肿瘤，多发生于年轻患者的四肢。偶尔，其临床特征的多样性可能导致误诊和不恰当的治疗。本文作者报告了一例独特的病例，该患者因骨关节炎接受了初次全膝关节置换术。手术过程中发现了一个肿块，但被认为是滑膜炎。活检显示为罕见的关节内滑膜肉瘤。患者接受了再次手术，进行了广泛切除并置入了假体，在8年的随访中无疾病复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/95361bf3d305/cios-9-547-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/0160f4df3f2d/cios-9-547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/a4ef2e8d7463/cios-9-547-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/13de40bfd4a7/cios-9-547-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/ad2fcab2311e/cios-9-547-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/cca85fb87c7e/cios-9-547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/0160f4df3f2d/cios-9-547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/a4ef2e8d7463/cios-9-547-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/13de40bfd4a7/cios-9-547-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/ad2fcab2311e/cios-9-547-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/7f5073dc730c/cios-9-547-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e02/5705317/95361bf3d305/cios-9-547-g007.jpg

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本文引用的文献

1
Unusual Presentation of Synovial Sarcoma as Meniscal Cyst: A Case Report.滑膜肉瘤表现为半月板囊肿的罕见病例报告
Arch Bone Jt Surg. 2015 Oct;3(4):296-9.
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Distinct Clinical Characteristics of Unplanned Excision in Synovial Sarcoma.滑膜肉瘤中计划外切除的独特临床特征
Clin Orthop Surg. 2015 Jun;7(2):254-60. doi: 10.4055/cios.2015.7.2.254. Epub 2015 May 18.
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Intra-articular synovial sarcoma.关节内滑膜肉瘤。
Skeletal Radiol. 2013 Jun;42(6):859-67. doi: 10.1007/s00256-013-1589-4. Epub 2013 Mar 1.
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Unplanned excision of soft tissue sarcoma results in increased rates of local recurrence despite full further oncological treatment.尽管进行了全面的进一步肿瘤治疗，软组织肉瘤的计划外切除仍会导致局部复发率增加。
Ann Surg Oncol. 2012 Mar;19(3):871-7. doi: 10.1245/s10434-011-1876-z. Epub 2011 Jul 27.
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J Bone Joint Surg Br. 2008 Aug;90(8):1090-6. doi: 10.1302/0301-620X.90B8.19815.
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Synovial sarcoma: oncological and functional results.滑膜肉瘤：肿瘤学及功能学结果
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Synovial sarcoma of the knee: missed diagnosis despite biopsy and arthroscopic synovectomy. A case report.膝关节滑膜肉瘤：尽管进行了活检和关节镜下滑膜切除术仍漏诊。病例报告。
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