Hasegawa Y, Ishimura M, Tamai S, Fujisawa Y
Department of Orthopaedic Surgery, Nara Medical University, Japan.
Arthroscopy. 1995 Feb;11(1):115-8. doi: 10.1016/0749-8063(95)90099-3.
A 32-year-old man complained of left gonalgia for 2 years and noticed a soft part tumor on the lateral side of his left knee. Roentgenograms showed some small calcified shadows at the same site of the tumor. Arthroscopy revealed a lateral meniscus to be an incomplete discoid with degenerative tears. At the operation, a multilocular soft part tumor was noticed in continuity with the lateral meniscus macroscopically. Small, loose bodies and gelatinous fluid were found in the cavity of the tumor. Histologically loose bodies were chondroma and the soft part tumor was meniscal cyst. The meniscal cyst wall contained hyaline cartilagenous tissue. Therefore it was thought that chondroma originated from the cyst wall.
一名32岁男性主诉左膝疼痛2年,并注意到左膝外侧有一软组织肿物。X线片显示肿物同一部位有一些小的钙化影。关节镜检查发现外侧半月板为不完全盘状半月板并伴有退行性撕裂。手术中,肉眼可见一个多房性软组织肿物与外侧半月板相连。肿瘤腔内发现小的游离体和胶冻样液体。组织学检查显示游离体为软骨瘤,软组织肿物为半月板囊肿。半月板囊肿壁含有透明软骨组织。因此认为软骨瘤起源于囊肿壁。