Pigmented villonodular synovitis with bone involvement

Pandey, Sureshwar; Pandey, Anil

doi:10.1007/bf00632980

Cited by 33 publications

(41 citation statements)

References 16 publications

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“…A literature review identified only 24 documented cases of PVNS involving the elbow joint; of these, 15 were case reports and nine were included in seven large retrospective PVNS series of all sites: one case from Scott (8), one from Granowitz et al (2), two from Docken (5), one from Pandey and Pandey (15), one from Miller (14), one from Ushijima et al (11) and two from Schwartz et al (4) (Table I). In the seven large retrospective PVNS series, LPVNS comprised 246 and DPVNS comprised 78 of the 421 cases.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging and thallium-201 scintigraphy for the diagnosis of localized pigmented villonodular synovitis arising from the elbow: A case report and review of the literature

Koto

Murata

Sakabe

et al. 2013

Experimental and Therapeutic Medicine

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Pigmented villonodular synovitis (PVNS) arising from the elbow joint is extremely rare; only 24 cases have been reported. It is extremely difficult to differentiate PVNS from other soft tissue tumors on the basis of imaging findings alone. Therefore, a biopsy is required for definitive diagnosis. A 20-year-old female reported a mass on her right elbow. Physical examination revealed a tumor measuring 3.0x3.0 cm. Magnetic resonance imaging (MRI) revealed that the signal intensity of the tumor was isointense to muscle on T1-weighted images; however, it was hyper- or isointense to muscle on T2-weighted images. In images obtained by gadolinium-enhanced MRI, the margin of the tumor was well-contrasted. Thallium (Tl)-201 scintigrams revealed an abnormal accumulation in the area of the mass in the early and delayed phases. On the basis of clinical findings, imaging characteristics and incision biopsy results, localized PVNS was diagnosed and marginal excision was performed. We thus identified an extremely rare case of PVNS arising from the elbow joint. When interpreting Tl-201 images for the assessment of bone and soft tissue lesions, it is important to recognize PVNS as a condition that simulates malignant tumors. Furthermore, PVNS should be considered in the differential diagnosis when increased Tl-201 activity is closely related to the joint. MRI aids in the differentiation by demonstrating features of hemosiderin degradation products. These findings are likely to be extremely helpful in the differential diagnosis of bone and soft tissue tumors.

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Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging and thallium-201 scintigraphy for the diagnosis of localized pigmented villonodular synovitis arising from the elbow: A case report and review of the literature

Koto

Murata

Sakabe

et al. 2013

Experimental and Therapeutic Medicine

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“…The first reported case of PVNS of the ankle was [7]. Since then there have been a few hundred cases of PVNS of the ankle reported in the literature [4,11] but in only 9 of 15 cases of PVNS occurring in children (Table 1). PVNS usually affects adults during their third or fourth decade in life [10].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment should be performed as soon as possible in order to prevent cartilage infiltration which can occur [11,16].…”

Section: Discussionmentioning

confidence: 99%

Pigmented villonodular synovitis of the ankle in an adolescent

Kaneko¹,

Nakahara²,

Tobe³

et al. 2000

International Orthopaedics

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“…4,5 Bony structures of the knee joint can be affected by PVNS. [5][6][7][8] There is no known causal link between total knee arthroplasty (TKA) and PVNS. There also is no known relationship between PVNS and implant loosening after TKA in the literature.…”

mentioning

confidence: 99%

“…Bone involvement by PVNS has been reported by many investigators. [5][6][7][8] The features of bone involvement by PVNS may be variable, from cystic to osteolytic lesions similar to a tumor. 4,5 Patients who have diffuse PVNS may have destructive changes in the knee joint, including periarticular cysts, erosions, and joint space narrowing.…”

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confidence: 99%

Pigmented Villonodular Synovitis After TKA Associated With Tibial Component Loosening

Chung¹,

Park²

2011

Orthopedics

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There is no known causal link between total knee arthroplasty (TKA) and pigmented villonodular synovitis (PVNS). There also is no known relationship between PVNS and implant loosening after TKA in the literature. This article presents a case of PVNS in a patient undergoing revision TKA for tibial component loosening. A 74-year-old woman who had undergone cemented bilateral TKA 5 years earlier presented with painful swelling in her right knee. At the time of the primary TKA, no abnormal signs were found in the synovial membrane. Routine follow-up radiographs did not indicate implant loosening. At the patient's final follow-up examination before revision surgery, a radiolucent lesion was found below the tibial component. During revision surgery, there was focal proliferation of the synovial tissue with heavy pigmentation around the anteromedial part of the tibial component. The abnormal tissue was removed, and the tibial component was exchanged. The articular surface of the polyethylene was not damaged, and backside wear was not found. For the revision surgery, 5-mm thick medial metal block and extension stem were used. Histological analysis of the resected tissue revealed the typical appearance of PVNS. We present a typical case of PVNS found during revision TKA 5 years after primary TKA. It is hoped this report will encourage surgeons to consider PVNS in the differential diagnosis of patients who present with painful swelling of the knee and to consider PVNS as one of the causes of implant loosening after TKA. Further research about causal factors between PVNS and implant loosening are needed.

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Pigmented villonodular synovitis with bone involvement

Cited by 33 publications

References 16 publications

Magnetic resonance imaging and thallium-201 scintigraphy for the diagnosis of localized pigmented villonodular synovitis arising from the elbow: A case report and review of the literature

Magnetic resonance imaging and thallium-201 scintigraphy for the diagnosis of localized pigmented villonodular synovitis arising from the elbow: A case report and review of the literature

Pigmented villonodular synovitis of the ankle in an adolescent

Pigmented Villonodular Synovitis After TKA Associated With Tibial Component Loosening

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