Non-Hodgkin's lymphoma as an unexpected diagnosis in a shoulder arthroplasty

Arredondo, Jorge; Worland, Richard L.; R, Sinnenberg; Qureshi, G. D.

doi:10.1016/s0883-5403(99)90211-5

Cited by 21 publications

(17 citation statements)

References 10 publications

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“…Case reports and small series continue to show incidental hematopoietic disorders discovered during routine histologic examination of orthopedic specimens [6,[11][12][13]. We recently reported a case of incidental mastocytosis in a 49 year old female undergoing an elective total hip arthroplasty for presumed osteoarthritis [6].…”

Section: Review On Orthopedic Surgical Specimensmentioning

confidence: 98%

The Incidental Hematopoietic Evaluation – Microscopic Examination of Routine Orthopedic Surgical Specimens

Bond¹

2014

J Blood Lymph

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Section: Review On Orthopedic Surgical Specimensmentioning

confidence: 98%

The Incidental Hematopoietic Evaluation – Microscopic Examination of Routine Orthopedic Surgical Specimens

Bond¹

2014

J Blood Lymph

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“…Important in this case report is that patients with active RA have an increased risk of developing lymphoma [7,9-11]. A recent review showed that aggressive B-cell lymphomas, particularly the diffuse large B-cell lymphoma in the present case, are stronger associated with autoimmune rheumatic diseases than more indolent lymphomas.…”

Section: Case Presentationmentioning

confidence: 66%

“…This coincidental finding was reported twice before, though this was in elbow and shoulder surgery [2,7]. In a literature overview till 2006, 13 cases of intra-articular synovial manifestation of NHL were presented, of which 11 cases concerned the knee [2].…”

Section: Case Presentationmentioning

confidence: 73%

Non-Hodgkin’s Lymphoma of the synovium discovered in total knee arthroplasty: a case report

et al. 2012

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BackgroundMusculoskeletal involvement occurs in 25% of patients with non-Hodgkin’s lymphoma (NHL). Primary lymphoma in the joint is rare. It can present as a bone lesion or as atypical soft tissue proliferation. NHL has an increased incidence in patients with autoimmune rheumatic diseases.Case presentationWe present a case in which non-Hodgkin’s lymphoma was found coincidentally in the synovium during knee joint replacement surgery in a 69-year old woman with rheumatoid arthritis. Pigmented, vitreous tissue was resected, which turned out to be a diffuse large B-cell lymphoma after histological examination. The coincidental intraoperative finding of intra-articular non-Hodgkin’s lymphoma was reported twice before, presenting as synovial proliferation in elbow and shoulder surgery. In a few other cases non-Hodgkin’s lymphoma presented most often in the knee, as a bone lesion or, when soft tissue was involved, as arthritis.ConclusionNon-Hodgkin’s lymphoma should be considered in patients with autoimmune rheumatic diseases. In case of persistent arthritis, non-respondent to anti-inflammatory drugs, a biopsy might be warranted. Moreover, when arthroscopy or arthrotomy is planned, any atypical tissue should be sent for histological analysis. Early diagnosis of NHL can contribute to improved outcome of its rapidly developing treatment options.

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“…9 Bone pain is present only if the bone marrow is affected. 1 Vassallo et al 10 evaluated 13 patients with nonHodgkin's lymphoma with initial manifestation in the bone, and stated that localized bone pain and swelling were the most common initial symptoms and osteolysis was the most frequent radiologic finding. Among their 13 patients, pathologic fracture was seen in two patients.…”

Section: Discussionmentioning

confidence: 99%

Radiologic Change Around Bilateral Femoral Stems in NonHodgkin???s Lymphoma

Suh

Park²,

Park³

et al. 2003

Clinical Orthopaedics and Related Research

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Bilateral pathologic femoral neck fractures caused by nonHodgkin's lymphoma occurred consecutively in a 66-year-old man. Spontaneous bony stabilization after initial extensive bone resorption around the femoral stems after hybrid total hip arthroplasties was observed. This is the first well-documented report on bone change around the femoral stems after bilateral total hip arthroplasties in pathologic femoral neck fractures caused by nonHodgkin's lymphoma.

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Non-Hodgkin's lymphoma as an unexpected diagnosis in a shoulder arthroplasty

Cited by 21 publications

References 10 publications

The Incidental Hematopoietic Evaluation – Microscopic Examination of Routine Orthopedic Surgical Specimens

The Incidental Hematopoietic Evaluation – Microscopic Examination of Routine Orthopedic Surgical Specimens

Non-Hodgkin’s Lymphoma of the synovium discovered in total knee arthroplasty: a case report

Radiologic Change Around Bilateral Femoral Stems in NonHodgkin???s Lymphoma

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