关键词: Ankle Case report Lipoma arborescens Synovial lipomatosis

来  源:   DOI:10.1016/j.ijscr.2024.109694   PDF(Pubmed)

Abstract:
UNASSIGNED: Synovial lipomatosis is a rare disease that often results in joint discomfort, swelling, and effusion. Only a few reported cases have been documented so far.
METHODS: We reported a 50-year-old woman with synovial lipomatosis of the ankle joint. The patient presented with left ankle pain since the least two years, accompanied by swelling and redness. Physical examination demonstrated swollen ankle with warmth palpation. Magnetic resonance imaging (MRI) demonstrated hyperintensity of the ankle joint on the posterior and anterolateral side, thickening of the synovium, and bone marrow edema around the talar bone, surrounding the sinus tarsi. Histopathological examination demonstrated fatty tissues with nonspecific inflammation, suggesting synovial lipomatosis. We performed synovectomy, and the pain did not recur at 1 year of follow-up.
UNASSIGNED: Synovial lipomatosis is a highly uncommon benign condition. Histopathologically, synovial lipomatosis is characterized by notable adipocyte infiltration into the subsynovial tissue and a villous or frond-like morphology of the synovium. It also features transversely hyperplastic synovial lining cells.
CONCLUSIONS: Synovial lipomatosis of the ankle joint is a rare entity. Further studies are required to investigate this disease and its management.
摘要:
滑膜脂肪瘤病是一种罕见的疾病,常导致关节不适,肿胀,和积液。到目前为止,仅记录了少数报告的病例。
方法:我们报道了一名50岁的女性踝关节滑膜脂肪瘤病。患者出现左脚踝疼痛至少两年,伴有肿胀和发红。体格检查显示脚踝肿胀伴温暖触诊。磁共振成像(MRI)显示后外侧和前外侧踝关节的高强度,滑膜增厚,距骨周围的骨髓水肿,围绕着关节窦.组织病理学检查显示有非特异性炎症的脂肪组织,提示滑膜脂肪瘤病.我们做了滑膜切除术,在随访1年时疼痛没有复发.
滑膜脂肪瘤病是一种非常罕见的良性疾病。组织病理学,滑膜脂肪瘤病的特征是明显的脂肪细胞浸润到滑膜下组织和滑膜的绒毛或叶状形态。它还具有横向增生的滑膜衬里细胞。
结论:踝关节滑膜脂肪瘤病是一种罕见的疾病。需要进一步的研究来调查这种疾病及其管理。
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