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Synovial Hemangioma

Hemangioma of Synovium


Presentation

  • It presents frequently in the knee with pain, tenderness, intermittent swelling and recurrent hemarthrosis. MRI can be helpful in diagnosis of synovial hemangioma.[ncbi.nlm.nih.gov]
Swelling
  • The initial presentations were sudden onset of spontaneous knee swelling and painful sensation accompanied by limitation of joint movement.[ncbi.nlm.nih.gov]
Soft Tissue Mass
  • Plain radiographs showed a soft tissue mass around the elbow with scat- tered nodular intraarticular calcificati ons.[file.scirp.org]
  • tissue mass Microscopic (histologic) description Resembles either cavernous hemangioma, lobular capillary hemangioma, arteriovenous hemangioma or venous hemangioma Microscopic (histologic) images Images hosted on other servers: Hip Hyperplastic synovium[pathologyoutlines.com]
  • Plain radiograph Plain film findings are generally nonspecific and may be seen a soft tissue mass adjacent to the knee. Accompanying phleboliths may be present.[radiopaedia.org]
Pathologist
  • Pathologists and clinicians dealing with the articular pathologies should be familiar with this rarely encountered entity. Key words: Synovial hemangioma, knee joint swelling[ajol.info]
  • Edited by four leading surgical pathologists - Noel Weidner, MD, Richard J. Cote, MD, Saul Suster, MD and Lawrence M.[books.google.com]
  • […] using the following tools: Physical exam with evaluation of medical history MRI scan of the affected joint Diagnostic studies using arthroscopy Histopathological studies conducted on a biopsy specimen - the specimen is examined under a microscope by a pathologist[dovemed.com]
  • Sometimes, clinicians and pathologists experience difficulty in the differential diagnosis of both pathologies.[ncbi.nlm.nih.gov]
Turkish
  • ;soft tissue neoplasms/diagnosis;synovial membrane/pathology;synovial membrane/surgery Acta Orthopaedica et Traumatologica Turcica; Vol 35, No 3 (2001); 274-276 ISSN : 1017-995X Language : tur Type : Journal Article In AGRIS since : 2016 Publisher : Turkish[agris.fao.org]
Constitutional Symptom
  • Case Report This healthy 2-year old girl presented with painless right elbow swelling for 3 months with no history of fever, weight loss, or other constitutional symptoms.[file.scirp.org]
Aspiration
  • Repeated fine needle aspirations yielded blood and a provisional diagnosis of hemarthrosis was suggested. Coagulation profile subsequently carried out was found to be within normal limits.[ncbi.nlm.nih.gov]
  • Cytologically, synovial sarcoma shows highly cellular aspirate with clustered or cohesive malignant cells.[jmgims.co.in]
  • The diagnosis is best made by eliciting a characteristic history and physical examination, finding grossly bloody fluid on joint aspiration, and pursuing with arthrography or arthroscopy and then arthrotomy.[semanticscholar.org]
  • Repeated aspiration yielded only blood. Arthrotomy with synovectomy was done. Histopathology of the resected specimen showed a synovial hemangioma. No References No Citations No Supplementary Data No Article Media No Metrics[ingentaconnect.com]
Vascular Disease
  • disease, 040158, 心血管疾患, シンケッカンシッカン, cardiovascular disease, 023404, 病気, ビョウキ, disease, 017213, 脈管組織腫瘍, ミャッカンソシキシュヨウ, vascular tissue tumor, 054282, 腫瘍, シュヨウ, tumor, 011325, 良性腫瘍, リョウセイシュヨウ, benign tumor, 040004, X線検査, Xセンケンサ, X-ray inspection, 003080[togodb.dbcls.jp]
Angiomatosis
  • […] of synovial hemangioma include pigmented villonodular synovitis (PVNS), non-specific synovitis and lipoma arborescens. [5] From a pathologic standpoint, the differentials of this entity include PVNS, non-specific synovitis, organizing hemorrhage and angiomatosis[ijpmonline.org]
  • Lipomatosis, liposarcoma, angiomatosis, angiosarcoma has been described earlier as differential diagnosis of intramuscular hemangima. However, synovial sarcoma has rarely been described in differential diagnosis of intramuscular hemangioma earlier.[jmgims.co.in]
  • Venous hemangioma Epithelioid hemangioma (angiolymphoid hyperplasia with eosinophilia) Pyogenic granuloma (granulation tissue type capillary hemangioma) Intramuscular hemangioma Synovial hemangioma Hemangioma of peripheral nerve (perineural hemangioma) Angiomatosis[orthopaedicsone.com]
  • Skeletal-extraskeletal angiomatosis. A clinicopathological study of fourteen patients and nosologic considerations. J Bone Joint Surg Am. 1994 Jun. 76(6):878-91. [Medline]. Kuriyama DK, McElligott SC, Glaser DW, Thompson KS.[emedicine.medscape.com]
Skin Lesion
  • Capillary refill was normal and there were no skin lesions.[ispub.com]
Knee Pain
  • Synovial hemangioma should be considered in the differential diagnosis of knee pain, particularly after more common diagnoses have been ruled out.[ncbi.nlm.nih.gov]
  • In cases of nonspecific symptoms and longstanding knee pain the diagnosis of a synovial hemangioma should also be considered in order to avoid diagnostic delay.[dieorthopaedin.at]
Joint Swelling
  • It may be a cause of pain and recurrent joint swelling in children and young adults. This report presents a 29-year-old patient with a synovial hemangioma in the left knee joint.[ncbi.nlm.nih.gov]
Knee Effusion
  • Linson, Ira Posner Published in JAMA 1979 DOI: 10.1001/jama.1979.03300200044024 SYNOVIAL hemangioma is an unusual cause of knee effusions, but must be considered in the individual who has recurrent nontraumatic knee effusions.[semanticscholar.org]
  • Synovial hemangioma as a cause of recurrent knee effusions. JAMA 1979; 242: 2214. Google Scholar Copyright information International Skeletal Society 1995 Authors and Affiliations Jaume Llauger 1 Josep M.[link.springer.com]
  • Synovial hemangioma as a cause of recurrent knee effusions. JAMA 1979;242(20):2214-2215. 5. Winzenberg T, Ma D, Taplin P, Parker A, Jones G. Synovial haemangioma of the knee: A case report. Clin Rheumatol 2006;25(5):753-755. 6.[jocr.co.in]
  • Linson MA, Posner IP: Synovial hemangioma as a cause of recurrent knee effusions. JAMA. 1979, 242: 2214-2215. 10.1001/jama.242.20.2214. CrossRef PubMed 5.[springermedizin.de]
  • Usually, a patient presents in childhood with a history of recurrent atraumatic painful bloody knee effusions [ 2 – 5 ].[jmedicalcasereports.biomedcentral.com]
Joint Swelling
  • It may be a cause of pain and recurrent joint swelling in children and young adults. This report presents a 29-year-old patient with a synovial hemangioma in the left knee joint.[ncbi.nlm.nih.gov]
Muscular Atrophy
  • Characteristic symptoms are painful swelling, muscular atrophy, limitations in movements of the knee, leg length increase, and a locked knee due to tumor.[ncbi.nlm.nih.gov]
Suggestibility
  • We present a 7-year-old boy referred to our department for Tc red blood cell (RBC) scan for the confirmation of hemangioma suggested by the MRI.[ncbi.nlm.nih.gov]
  • Repeated fine needle aspirations yielded blood and a provisional diagnosis of hemarthrosis was suggested. Coagulation profile subsequently carried out was found to be within normal limits.[ijpmonline.org]
  • Ultrasound and MRI confirmed the synovial location of the mass and again showed the multiple calcifications, some of which suggested intraarticular loose bodies.[file.scirp.org]
Excitement
  • Dear Reader, We are very excited about New Features in JOCR. Please do let us know what you think by Clicking on the Sliding “Feedback Form” button on the[jocr.co.in]

Workup

  • Workup revealed free intraarticular nodules, which were subsequently arthroscopically removed and identified to be synovial hemangioma.[ncbi.nlm.nih.gov]
  • Progress logically from the histologic pattern, through the appropriate workup, around the pitfalls, and to the best diagnosis.[books.google.com]
Synovial Hemangioma
  • Histological examination confirmed the diagnosis of a synovial hemangioma. In a review of the recent literature we report the common features of a synovial hemangioma, with emphasis on its diagnosis and therapy.[ncbi.nlm.nih.gov]

Treatment

  • Abstract We report our clinical experiences in the diagnosis and treatment of four patients with synovial hemangiomata. Synovial hemangiomata are rare causes of recurrent, nonspecific joint complaints and occur most often at the knee joint.[ncbi.nlm.nih.gov]

Prognosis

  • What is the Prognosis of Synovial Hemangioma? (Outcomes/Resolutions) The prognosis of Synovial Hemangiomas is generally very good, when the lesions are small.[dovemed.com]
  • Following total excision, prognosis is usually excellent and recurrence is rare. No recurrences were detected during a follow-up period of 16 months.[agris.fao.org]
  • Long-standing synovial hemangiomas which are localized with spared articular cartilage have a good prognosis with arthroscopic synovectomy.[jocr.co.in]
  • The most significant histologic differential, in terms of prognosis, is PVNS, a lesion which has a significant risk of recurrence.[ijpmonline.org]

Etiology

Epidemiology

  • RadioGraphics 15:893–917 PubMed Google Scholar Myers BW, Massi AT, Feigenbaum SL (1980) Pigmented villonodular synovitis and tenosynovitis: A clinical epidemiologic study of 166 cases and literature review.[link.springer.com]
  • Epidemiology Intramuscular hemangiomas Most deep soft tissue hemangiomas probably are asymptomatic and small and go completely unnoticed; therefore, the exact incidence and prevalence are impossible to determine with any degree of certainty.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Irrespective of the primary aetiology, electrophysiological studies suggest that the underlying pathophysiology relates to compression of the vasa nervosum of the nerve [ 6 Sunderland S.[benthamopen.com]
  • Pathophysiology Hemangiomas are benign lesions with increased numbers of blood vessels.[emedicine.medscape.com]

Prevention

  • Early diagnosis is important to prevent prolonged suffering from chronic joint swelling with probable joint damages, unnecessary treatment procedures and as well school and sports absenteeism.[ncbi.nlm.nih.gov]
  • Orthopedicians must exercise a high index of suspicion, as prompt diagnosis and treatment can prevent progressive secondary degeneration of the joint.[jocr.co.in]
  • They are benign tumors with risk of local recurrence between 18% and 50%. [15], [16] Preoperative diagnosis is important; however, to properly evaluate feeding arterial blood supply and prevent potential operative morbidity. [17] Treatment is aimed at[jmgims.co.in]

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