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[膝关节滑膜血管瘤]

[Synovial hemangioma of the knee joint].

作者信息

Thabe H

出版信息

Z Rheumatol. 1980 Mar-Apr;39(3-4):95-101.

PMID:7424205
Abstract

The making of the diagnosis and the histological morphology of the synovial capillary hemangioma of the knee joints is discussed. The cause of this rare condition which is accompanied by monarticular or oligarticular swellings and increased linear growth of an extremity, is a benign tumor-like change of the synovial vessels. It affects the capillary and/or the venous systems and occurs mainly in children and adolescents. The treatment of choice is an early as possible radical synovectomy. Two cases diagnosed late are reported. One of them was diagnosed 17 years after onset of symptoms, despite two previous arthrotomies. It resulted in severe joint destruction. According to what the morphological appearance is, radical early synovectomy, irradiation treatment or steroid treatment is the most appropriate therapy.

摘要

本文讨论了膝关节滑膜毛细血管瘤的诊断方法及组织形态学。这种罕见病症伴有单关节或少关节肿胀以及肢体线性生长加快,其病因是滑膜血管的良性肿瘤样改变。它影响毛细血管和/或静脉系统,主要发生于儿童和青少年。首选治疗方法是尽早进行根治性滑膜切除术。报告了两例诊断较晚的病例。其中一例在症状出现17年后才得以诊断,尽管此前已进行过两次关节切开术,结果导致了严重的关节破坏。根据形态学表现,早期根治性滑膜切除术、放射治疗或类固醇治疗是最合适的治疗方法。

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