Sinovitis villonodular de la articulación coxofemoral, presentación atípica: reporte de caso y revisión de la literatura

IF 0.1 Q4 ONCOLOGY

Gaceta Mexicana de Oncologia Pub Date : 2016-11-01 DOI:10.1016/j.gamo.2016.09.011

Dorian Yarih García-Ortega , Miguel Ángel Clara-Altamirano , Daniel Montaño-Gómez , Héctor Martínez-Said , Claudia Haydee Sarai Caro-Sánchez , Mario Cuéllar-Hubbe

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Abstract

Introduction

Pigmented villonodular synovitis is an uncommon clinical condition, with a higher incidence in women of 3:1, and an age of presentation between 20-40 years old. The hip is an uncommon site, being involved in only 15% of all cases.

Case report

A 47 year-old male 47 years with a history of 10 years onset, characterised by limited range of movement, pain associated with increased volume and shortening of pelvic limb. Imaging studies showed destruction of hip joint and extension to the pelvis. The histopathology reported pigmented villonodular synovitis. Treatment included a left outer hemipelvectomy.

Conclusions

The presentation of a diffuse pigmented villonodular synovitis hip has a low incidence and its locally aggressive behaviour makes it necessary to perform differential diagnoses to include malignancies. The standard treatment is surgical.

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髋关节villonodular滑膜炎，非典型表现:病例报告和文献综述

色素绒毛结节性滑膜炎是一种罕见的临床疾病，女性发病率为3:1，发病年龄在20-40岁之间。髋关节是一个不常见的部位，仅占所有病例的15%。病例报告:47岁男性，47岁，发病10年，主要表现为活动范围有限，骨盆肢体体积增大和缩短相关疼痛。影像学检查显示髋关节破坏和骨盆延伸。组织病理学报告为色素绒毛结节性滑膜炎。治疗包括左外半骨盆切除术。结论弥漫性色素绒毛结节性髋关节滑膜炎发病率低，局部侵袭性强，有必要进行包括恶性肿瘤在内的鉴别诊断。标准的治疗方法是手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Mexicana de Oncologia ONCOLOGY-

CiteScore

0.10

自引率

0.00%

发文量

255