Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle
Pigmented villonodular synovitis is a rare, benign, but potentially locally aggressive disease that should be considered in younger patients who present with monoarticular joint symptoms and pathology. We present the case of a 33-year-old woman with a mass arising from her right hip joint that was e...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/862935 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565143209246720 |
|---|---|
| author | Kiyokazu Fukui Ayumi Kaneuji Eriko Kinoshita Yuhei Numata Takayuki Nojima Tadami Matsumoto |
| author_facet | Kiyokazu Fukui Ayumi Kaneuji Eriko Kinoshita Yuhei Numata Takayuki Nojima Tadami Matsumoto |
| author_sort | Kiyokazu Fukui |
| collection | DOAJ |
| description | Pigmented villonodular synovitis is a rare, benign, but potentially locally aggressive disease that should be considered in younger patients who present with monoarticular joint symptoms and pathology. We present the case of a 33-year-old woman with a mass arising from her right hip joint that was examined using a multimodal radiological approach. Because her clinical presentation mimicked that of synovial osteochondromatosis of the hip, surgical dislocation was performed. Histopathological examination of the resected specimen confirmed the diagnosis of localized pigmented villonodular synovitis, with the mass consisting of proliferation of fibrohistiocytic cells, abundant hemosiderin, foamy histiocytes, and occasional giant cells. Because of the presence of tumor necrosis, we hypothesize that torsion of the tumor pedicle was the cause of acute presentation. |
| format | Article |
| id | doaj-art-11bd5d763df5437e9c2163e6d02ab917 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-11bd5d763df5437e9c2163e6d02ab9172025-02-03T01:09:10ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/862935862935Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor PedicleKiyokazu Fukui0Ayumi Kaneuji1Eriko Kinoshita2Yuhei Numata3Takayuki Nojima4Tadami Matsumoto5Department of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanDepartment of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanDepartment of Pathology and Medical Laboratory, Kanazawa Medical University, Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanDepartment of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanDepartment of Pathology and Medical Laboratory, Kanazawa Medical University, Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanDepartment of Orthopaedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahokugun, Ishikawa 920-0293, JapanPigmented villonodular synovitis is a rare, benign, but potentially locally aggressive disease that should be considered in younger patients who present with monoarticular joint symptoms and pathology. We present the case of a 33-year-old woman with a mass arising from her right hip joint that was examined using a multimodal radiological approach. Because her clinical presentation mimicked that of synovial osteochondromatosis of the hip, surgical dislocation was performed. Histopathological examination of the resected specimen confirmed the diagnosis of localized pigmented villonodular synovitis, with the mass consisting of proliferation of fibrohistiocytic cells, abundant hemosiderin, foamy histiocytes, and occasional giant cells. Because of the presence of tumor necrosis, we hypothesize that torsion of the tumor pedicle was the cause of acute presentation.http://dx.doi.org/10.1155/2013/862935 |
| spellingShingle | Kiyokazu Fukui Ayumi Kaneuji Eriko Kinoshita Yuhei Numata Takayuki Nojima Tadami Matsumoto Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle Case Reports in Orthopedics |
| title | Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle |
| title_full | Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle |
| title_fullStr | Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle |
| title_full_unstemmed | Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle |
| title_short | Localized Pigmented Villonodular Synovitis of the Hip: Sudden-Onset Pain Caused by Torsion of the Tumor Pedicle |
| title_sort | localized pigmented villonodular synovitis of the hip sudden onset pain caused by torsion of the tumor pedicle |
| url | http://dx.doi.org/10.1155/2013/862935 |
| work_keys_str_mv | AT kiyokazufukui localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle AT ayumikaneuji localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle AT erikokinoshita localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle AT yuheinumata localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle AT takayukinojima localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle AT tadamimatsumoto localizedpigmentedvillonodularsynovitisofthehipsuddenonsetpaincausedbytorsionofthetumorpedicle |