Pediatric Intra-Articular Localized Tenosynovial Giant Cell Tumor Presenting as an Acutely Irritable Hip: A Case Report
| Autor: | Sara O. Vargas, Megan E. Anderson, Ehsan Saadat, Michael P. Glotzbecker |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pathology
medicine.medical_specialty Irritable hip Giant Cell Tumor of Tendon Sheath law.invention Lesion 03 medical and health sciences 0302 clinical medicine law medicine Humans Orthopedics and Sports Medicine Child Femoral neck 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Arthralgia Peripheral Bloody Gram staining medicine.anatomical_structure 030220 oncology & carcinogenesis Erythrocyte sedimentation rate Surgery Female Hip Joint medicine.symptom business |
| Zdroj: | JBJS case connector. 6(3) |
| ISSN: | 2160-3251 |
| Popis: | Case: An otherwise healthy 9-year-old girl developed a fever and atraumatic right hip pain with inability to bear weight and exquisite pain with any motion. Her peripheral white blood-cell count was 9.85 × 103/μL, erythrocyte sedimentation rate was 18 mm/hr, and C-reactive protein level was 7.56 mg/L. Aspiration yielded bloody fluid with 611,932 red blood cells/μL, 49,529 white blood cells/μL (92% neutrophils), negative Gram stain, and no crystals. Magnetic resonance imaging revealed an intracapsular lesion anterior to the femoral neck. The joint was irrigated and the lesion was excised. Microscopic examination showed neutrophils interspersed within an otherwise histologically classic tenosynovial giant cell tumor. Conclusion: Tenosynovial giant cell tumor may rarely present as an acutely irritable hip. |
| Databáze: | OpenAIRE |
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