Bouraoui S, Haouet S, Mestiri H, Ennaïfar E, Chatti S, Kchir N, Zitouna M M
Laboratoire d'anatomie et de cytologie pathologiques, Hôpital La Rabta, Tunis.
Ann Pathol. 1996;16(2):120-3.
The synovial lipoma are uncommon articular tumors of unknown origin. We report two cases of synovial lipoma arborescens arisen in a man and a woman respectively 41 and 27 years old. Both had already consulted for a tumefaction progressively increasing in volume. It was accompanied in the first case by a laxity in the knee joint. Radiography and arthroscopy showed an important hyperplasia of the articular synovia. A total synovectomy was performed in both cases. The synovia had a hairy aspect and was extremely thickened. It weighted 1.5 kg in the first case and its section had a fatty aspect. The histological examination confirmed the diagnosis of synovial lipoma arborescens. The observed aspect of the two tumors and particularly their volume, which was very important in the first case are arguments in favor of their tumoral nature.
滑膜脂肪瘤是起源不明的罕见关节肿瘤。我们报告两例分别发生在一名41岁男性和一名27岁女性身上的滑膜树状脂肪瘤。两人均因肿物体积逐渐增大而前来就诊。第一例患者伴有膝关节松弛。X线摄影和关节镜检查显示关节滑膜明显增生。两例均行滑膜全切除术。滑膜呈绒毛状且极度增厚。第一例滑膜重1.5千克,其切面呈脂肪样。组织学检查确诊为滑膜树状脂肪瘤。观察到的这两个肿瘤的表现,尤其是第一例中肿瘤的体积非常大,支持其肿瘤性质。