Peripheral Vascular Compression in a Patient With Diffuse Tenosynovial Giant Cell Tumor of the Knee: A Case Report Focusing on the Role of the Ultrasound.
| Autor: | Augustin D; Radiology, Orthocare+, Port-au-Prince, HTI.; Radiology, Hôpital de l'Université d'Etat d'Haïti, Port-au-Prince, HTI., Augustin DH; Orthopaedics and Traumatology, Orthocare+, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Universitaire la Paix, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Bernard Mevs, Port-au-Prince, HTI., Théodas JA; Radiology, Hôpital de l'Université d'Etat d'Haïti, Port-au-Prince, HTI., Pharol A; Orthopaedics and Traumatology, Orthocare+, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Universitaire la Paix, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Universitaire de Mirebalais, Port-au-Prince, HTI., Khawly CGP; Orthopaedics and Traumatology, Orthocare+, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Universitaire la Paix, Port-au-Prince, HTI.; Orthopaedics and Traumatology, Hopital Bernard Mevs, Port-au-Prince, HTI. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 18; Vol. 16 (7), pp. e64836. Date of Electronic Publication: 2024 Jul 18 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.64836 |
| Abstrakt: | Tenosynovial giant cell tumors (TGCTs) are benign histo-fibrocystic tumors originating from the synovium of joints, bursae, or tendon sheaths. They are categorized into localized and diffuse types, each with distinct clinical presentations and management approaches. The diffuse form, which is rare, generally affects a single joint and is characterized by joint swelling, pain, functional limitation, and often hemarthrosis. While MRI is commonly used for diagnosis, we present a case highlighting ultrasound's significance in diagnosing and managing TGCTs, particularly for identifying vascular complications. A 59-year-old female with a 10-year history of recurrent swelling, pain, and functional limitation of the right knee was evaluated for persistent symptoms and unilateral right peripheral edema. Ultrasound revealed multiple hypoechoic, vascularized masses with both homogeneous and heterogeneous echostructures and a significant suprapatellar effusion. An ultrasound-guided biopsy confirmed the diagnosis of a recurrent diffuse TGCT complicated by vascular compression of the popliteal vein. The patient underwent mass resections, total synovectomy, and radiotherapy to reduce the risk of recurrence. Ultrasound is cost-effective and highly beneficial for the diagnosis, treatment planning, and monitoring of diffuse TGCTs. Total synovectomy combined with radiotherapy or intra-articular yttrium-90 injection is the preferred treatment to prevent recurrence and complications. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Augustin et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|