EL PARMAĞINDA TENDON KILIFINDAN KÖKEN ALAN SİNOVYAL HEMANJİOM

Abstract

Sİnovyal hemanjiom, sinovya dokusundan köken alan, zaman zaman lokal agresif davra-nabilen, benin, vasküler tümörlerdir. El parmağında tendon kılıfından köken alan sinovyal heman-giom, oldukça nadir görülür. Sol el 3. parmak ekstansör tendon üzerinde kitle sebebiyle başvuran 17 yaşındaki bayan hastayı sunduk. Yapılan USG’de dev hücreli tümör olarak rapor edilen kitlenin, eksizyon sonrası histopatolojik incelemesinde tenosinovyal hemanjiom tespit edildi. Parmakta kitle ile gelen hastalarda nadir gözüken sebepler de ayırıcı tanıda düşünülmeli, erken cerrahi sonrası lokal invazyonlar engellenmelidir. Erken dönemde cerrahi olarak tamamen temizlenen sinovyal hemanjiomlar tekrarlamaz. Dr. Nadir YALÇIN, Dr. Kasım KILIÇARSLAN, Dr. Hakan ÇİÇEK. Dr. Özgür EZDEŞİR, Dr. İsmail ÇELİK, Dr. Metin DOĞAN,

Keywords

• sinovya
• hemanjiom
• tendon kılıfı
• tenosinovyum

SYNOVIAL HAEMANGIOMA ORIGINATING FROM THE TENDON SHEATH OF HAND FINGER

Abstract

Synovial haemangiomas are benign vascular lesions that originate from any synovial tissue which may behave like locally agressive. Synovial haemangioma from the tendon sheath of the hand finger is extremely rare. We report a 17 year-old woman applied for a mass on her left third finger, above the extensor tendon. Her USG was reported as giant cell tumor. After excision, the histopathologic analysis demonstrated tenosynovial haemangioma. The rare causes of finger masses should be considered also during the differential diagnosis. Local invasions may be prevented by early surgical treatment. Synovial haemangiomas treated with early surgical excision do not recur.

Keywords

• synovium
• haemangioma
• tendon sheath
• tenosynovium

References

1. 1. Devaney K, Vinh TN, Sweet DE. Synovial hemangioma: a report of 20 cases with differential diagnostic considerations. Hum Pathol 1993;24:737-745
2. 2. Price NJ, Cundy PJ. Synovial hemangioma of the knee. J Pediatr Orthop 1997;17:74-7
3. 3. Stack HG. Tumors of the hand. Br Med J 1960;5177:919-922
4. 4. Waddell GF. A haemangioma involving tendons. J Bone Joint Surg 1967;49-B: 138-141
5. 5. Rico AA, Holguin PH, Gonzalez IG, Coba JM. Flexor tendon synovial sheath haemangioma mimicking subacute tenosynovitis. J Hand Surg 1994;19-B:704-705
6. 6. Spinner M, Moon S, Young L. Recurrent cavernous haemangioma of the extensor tendons of the hand. Hand 1983;15:223-227
7. 7. Talwalkar S, Hayton M, Stilwell J, Temperley D, Freemont A. Tenosynovial haemangioma of the finger. Acta Orthop Belg 2005;71:618-621
8. 8. O’Connell JX. Pathology of the synovium. Am J Clin Pathol 2000;114:773-784

9. 9. Enzinger F, Weiss S. Benign tumours and tumour-like lesions of blood vessels. In : Goldblum J, Weiss S (eds). Soft Tissue Tumours. Mosby, St Louis, 1988. pp 489-532
10. 10. Nagay L, McCabe SJ, Wolff TW. Haeman-gioma of the digital nerve : a case report. J Hand Surg 1990;15-B:487-488
11. 11. Chen VT. Haemangioma of adductor pollicis. Hand 1977;9:187-194
12. 12. Cotten A, Flipo RM, Herbaux B, Jacobs JE, Wayne Lee F. Synovial haemangioma of the knee : a frequently misdiagnosed lesion. Skeletal Radiol 1995;24:257-261
13. 13. Greenspan A, Azouz EM, Matthews J, De-carie JC. Synovial hemangioma : imaging features in eight histologically proven cases, review of the literature, and differential diagnosis. Skeletal Radiol 1995;24:583-590