DİZ EKLEMİNDE PİGMENTE VİLLONODÜLER SİNOVİTİ TAKLİT EDEN SYNOVİAL HEMANJİOMA: OLGU SUNUMU

Year 2012, Volume: 13 Issue: 1, 31 - 34, 01.04.2012

Hakan Çiçek Nadir Yalçın Kasım Kılıçarslan Gonca Özgün Özgür Ezdeşir

Abstract

Synovial hemanjiomalar nadir olarak görülen damarsal kökenli iyi huylu tümörlerdir. Bu çalışmada, bir yıl önce villonodüler hiperplazi tanısıyla cerrahi olarak tedavi edilmiş, tekrarlayan sağ diz ağrısı ve şişliği nedeniyle 2. operasyondan sonra histopatolojik değerlendirme ile synovial hemangioma tanısı konmuş 12 yaşında kız çocuğu sunulmaktadır. İkinci operasyondan sonraki bir yıllık takiplerinde kitlede herhangi bir klinik rekürrens gözlenmedi. Nadir görülen bu grup olgularda ameliyat öncesi olduğu kadar sonrasında da histopatolojik incelemede tanı zorlukları yaşanabilir. Doğru ve yeterli tedavi için gerek klinik gerekse histolopatolojik incelemede synovial hemanjioma nadir karşılaşılsa da mutlaka ön tanıda düşünülmelidir

Keywords

Diz, invaziv neoplazm, hemanjiom, synovit

Synovial Hemangioma in the Knee Joint Mimicking Pigmented Villonodular Synovitis: A Case Report

Abstract

Synovial hemangiomas are benign rare tumors of vascular origin. They are frequently seen in children and young adults, they present wıth arthritis that affects a single joint. In this work, a 12 year old girl was admitted complaining of repeated right knee pain and swelling, the condition diagnosed as synovial hemangioma after a second surgical intervention according to histopathologic examination has been reported. A year ago she was treated surgıcally as having villonodular synovitis. One year followup of the second operation showed no recurrance of the mass observed clinically.In such cases either pre-operation or after with the histopathologic examinations some diagnosis problems will be seen. For an accurate treatment sinovial hemanjiyoma must be considered in clinic and histopathologic examinations.

Keywords

Knee, neoplasm invasiveness, hemangioma, synovitis

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