Ismail Moulay Rchid, Ben Salah Samir, Lachkar Adnane, Abdeljaouad Najib, Yacoubi Hicham
Department of Traumatology and Orthopedics B, University Hospital Mohammed VI, Oujda, MAR.
Department of Orthopedic Trauma, Faculty of Medicine and Pharmacy, University Hospital Mohammed VI, Oujda, MAR.
Cureus. 2024 Oct 5;16(10):e70891. doi: 10.7759/cureus.70891. eCollection 2024 Oct.
When faced with clinical and radiological findings suggestive of villonodular synovitis, tuberculosis is not often considered a differential diagnosis, especially when the patient is not a known tuberculosis carrier. In this paper, we present an exceptional case of a patient who had a tumefaction (measuring 17 cm in length) in the anterointernal region of her left knee, with a clinical and radiological picture in favor of villonodular synovitis. However, after tumor resection, the anatomopathological study of the surgical specimen came back in favor of a tuberculous lesion. This exceptional case shows that tuberculosis should be retained as a diagnostic possibility in the presence of clinical and radiological findings in favor of villonodular synovitis, even if the patient is not known to have a tuberculous lesion elsewhere.
当面对提示色素沉着绒毛结节性滑膜炎的临床和影像学表现时，结核病通常不会被列为鉴别诊断，尤其是当患者并非已知的结核携带者时。在本文中，我们介绍了一个特殊病例，患者左膝前内侧区域有一个肿物（长17厘米），临床和影像学表现支持色素沉着绒毛结节性滑膜炎。然而，肿瘤切除后，手术标本的解剖病理学研究结果支持结核病变。这个特殊病例表明，即使患者在其他部位没有已知的结核病变，在出现支持色素沉着绒毛结节性滑膜炎的临床和影像学表现时，也应将结核病列为一种诊断可能性。
