Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000161.xml
Download PDF
J Knee Surg 2013; 26(S 01): S067-S071
DOI: 10.1055/s-0032-1313739
DOI: 10.1055/s-0032-1313739
Case Report
Bilateral Diffuse Pigmented Villonodular Synovitis of the Knee
Further Information
Publication History
22 March 2011
28 December 2011
Publication Date:
15 May 2012 (online)
Abstract
Pigmented villonodular synovitis (PVNS) is a proliferative disease of synovial tissue characterized by lipid-laden macrophages, multinucleated giant cells, and hemosiderin deposits. PVNS presents either in a localized form with minimal rates of recurrence after surgical resection or in a diffuse form with an expansive growth pattern showing formation of osseous erosions and extra-articular manifestation. In the diffuse form high recurrence rates occur as a result of the challenge of achievement of total synovectomy. Typically only one single joint, being the knee in 80% of cases, is involved with diffuse PVNS. Reports of bi- or multiarticular manifestation are at best rare. Here, a case of a 16-year-old girl with bilateral diffuse PVNS of the knee allows discussion of diagnostic and treatment considerations.
-
References
- 1 Chassaignac M. Cancer de la gaîne des tendons. Gazette Hôpital Civil Militaire 1852; 47: 185-186
- 2 Jaffe HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovitis, bursitis and tenosynovitis. A discussion of the synovial and bursal equivalents of the tenosynovial lesion commonly denoted as xanthoma, xanthogranuloma, giant cell tumor or myeloplaxoma of the tendon sheath, with some consideration of this tendon sheath lesion itself. Arch Pathol (Chic) 1941; 31: 731-765
- 3 Granowitz SP, D'Antonio J, Mankin HL. The pathogenesis and long-term end results of pigmented villonodular synovitis. Clin Orthop Relat Res 1976; (114) 335-351
- 4 Myers BW, Masi AT. Pigmented villonodular synovitis and tenosynovitis: a clinical epidemiologic study of 166 cases and literature review. Medicine (Baltimore) 1980; 59 (3) 223-238
- 5 Graf J, Bernd L, Pauschert R, Niethard FU. [Rare occurrence of villonodular synovitis of both shoulder joints]. Z Rheumatol 1991; 50 (1) 46-48
- 6 Jamieson TW, Curran JJ, Desmet AA, Cotelingam JD, Kimmich H. Bilateral pigmented villonodular synovitis of the wrists. Orthop Rev 1990; 19 (5) 432-436
- 7 Patkar D, Prasad S, Shah J, Patankar T, Kothari S. Pigmented villonodular synovitis: magnetic resonance features of an unusual case of bilateral hip joint involvement. Australas Radiol 2000; 44 (4) 458-459
- 8 Eisenberg RL, Hedgcock MW. Bilateral pigmented villonodular synovitis of the hip. Br J Radiol 1978; 51 (611) 916-917
- 9 Cotten A, Flipo RM, Chastanet P, Desvigne-Noulet MC, Duquesnoy B, Delcambre B. Pigmented villonodular synovitis of the hip: review of radiographic features in 58 patients. Skeletal Radiol 1995; 24 (1) 1-6
- 10 Byers PD, Cotton RE, Deacon OW , et al. The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br 1968; 50 (2) 290-305
- 11 Pavlica L, Nikolić D, Tadić J, Tatić V, Bralović S, Panajotović L. [Pigmented villonodular synovitis—analysis of 50 patients]. Vojnosanit Pregl 1997; 54 (3) 209-216
- 12 Krause FG, Wroblewski JA, Younger AS. Pigmented villonodular synovitis in both hindfeet. Can J Surg 2009; 52 (2) E38-E39
- 13 Phalen GS, McCORMACK LJ, Gazale WJ. Giant-cell tumor of tendon sheath (benign synovioma) in the hand. Evaluation of 56 cases. Clin Orthop Relat Res 1959; 15: 140-151
- 14 Gehweiler JA, Wilson JW. Diffuse biarticular pigmented villonodular synovitis. Radiology 1969; 93 (4) 845-851
- 15 Choong PF, Willén H, Nilbert M , et al. Pigmented villonodular synovitis. Monoclonality and metastasis—a case for neoplastic origin?. Acta Orthop Scand 1995; 66 (1) 64-68
- 16 Crosby EB, Inglis A, Bullough PG. Multiple joint involvement with pigmented villonodular synovitis. Radiology 1977; 122 (3) 671-672
- 17 Mukhopadhyay K, Smith M, Hughes PM. Multifocal PVNS in a child—followed over 25 years. Skeletal Radiol 2006; 35 (7) 539-542
- 18 Walls JP, Nogi J. Multifocal pigmented villonodular synovitis in a child. J Pediatr Orthop 1985; 5 (2) 229-231
- 19 Leszczynski J, Huckell JR, Percy JS, LeRiche JC, Lentle BC. Pigmented villonodular synovitis in multiple joints. Occurrence in a child with cavernous haemangioma of lip and pulmonary stenosis. Ann Rheum Dis 1975; 34 (3) 269-272
- 20 Lindenbaum BL, Hunt T. An unusual presentation of pigmented villonodular synovitis. Clin Orthop Relat Res 1977; (122) 263-267
- 21 Bobechko WP, Kostiuk JP. Childhood villonodular synovitis. Can J Surg 1968; 11 (4) 480-486
- 22 Kelikian H, Lewis EK. Arthrograms. Radiology 1949; 52 (4) 465-487
- 23 Flandry FC, Hughston JC, Jacobson KE, Barrack RL, McCann SB, Kurtz DM. Surgical treatment of diffuse pigmented villonodular synovitis of the knee. Clin Orthop Relat Res 1994; (300) 183-192
- 24 Wagner ML, Spjut HJ, Dutton RV, Glassman AL, Askew JB. Polyarticular pigmented villonodular synovitis. AJR Am J Roentgenol 1981; 136 (4) 821-823
- 25 Greenfield MM, Wallace KM. Pigmented villonodular synovitis. Radiology 1950; 54 (3) 350-356
- 26 Fletcher JA, Henkle C, Atkins L, Rosenberg AE, Morton CC. Trisomy 5 and trisomy 7 are nonrandom aberrations in pigmented villonodular synovitis: confirmation of trisomy 7 in uncultured cells. Genes Chromosomes Cancer 1992; 4 (3) 264-266
- 27 Abdul-Karim FW, el-Naggar AK, Joyce MJ, Makley JT, Carter JR. Diffuse and localized tenosynovial giant cell tumor and pigmented villonodular synovitis: a clinicopathologic and flow cytometric DNA analysis. Hum Pathol 1992; 23 (7) 729-735
- 28 Perka C, Labs K, Zippel H, Buttgereit F. Localized pigmented villonodular synovitis of the knee joint: neoplasm or reactive granuloma? A review of 18 cases. Rheumatology (Oxford) 2000; 39 (2) 172-178
- 29 Ray RA, Morton CC, Lipinski KK, Corson JM, Fletcher JA. Cytogenetic evidence of clonality in a case of pigmented villonodular synovitis. Cancer 1991; 67 (1) 121-125
- 30 Rao AS, Vigorita VJ. Pigmented villonodular synovitis (giant-cell tumor of the tendon sheath and synovial membrane). A review of eighty-one cases. J Bone Joint Surg Am 1984; 66 (1) 76-94
- 31 Bertoni F, Unni KK, Beabout JW, Sim FH. Malignant giant cell tumor of the tendon sheaths and joints (malignant pigmented villonodular synovitis). Am J Surg Pathol 1997; 21 (2) 153-163
- 32 Hirohata K. Light microscopic and electron microscopic studies of individual cells in pigmented villonodular synovitis and bursitis (Jaffé). Kobe J Med Sci 1968; 14 (4) 251-279
- 33 Singh R, Grewal DS, Chakravarti RN. Experimental production of pigmented villonodular synovitis in the knee and ankle joints of rhesus monkeys. J Pathol 1969; 98 (2) 137-142
- 34 Volz RG, Peltier LF. Experimental Production of Pigmented Villonodular Synovitis in Rabbits. Surg Forum 1963; 14: 452-453
- 35 Flandry F, Hughston JC. Pigmented villonodular synovitis. J Bone Joint Surg Am 1987; 69 (6) 942-949
- 36 Sakkers RJ, de Jong D, van der Heul RO. X-chromosome inactivation in patients who have pigmented villonodular synovitis. J Bone Joint Surg Am 1991; 73 (10) 1532-1536
- 37 Oehler S, Fassbender HG, Neureiter D, Meyer-Scholten C, Kirchner T, Aigner T. Cell populations involved in pigmented villonodular synovitis of the knee. J Rheumatol 2000; 27 (2) 463-470
- 38 Kim SJ, Shin SJ, Choi NH, Choo ET. Arthroscopic treatment for localized pigmented villonodular synovitis of the knee. Clin Orthop Relat Res 2000; (379) 224-230
- 39 Zvijac JE, Lau AC, Hechtman KS, Uribe JW, Tjin-A-Tsoi EW. Arthroscopic treatment of pigmented villonodular synovitis of the knee. Arthroscopy 1999; 15 (6) 613-617
- 40 Ogilvie-Harris DJ, McLean J, Zarnett ME. Pigmented villonodular synovitis of the knee. The results of total arthroscopic synovectomy, partial, arthroscopic synovectomy, and arthroscopic local excision. J Bone Joint Surg Am 1992; 74 (1) 119-123
- 41 Sharma V, Cheng EY. Outcomes after excision of pigmented villonodular synovitis of the knee. Clin Orthop Relat Res 2009; 467 (11) 2852-2858
- 42 Moskovich R, Parisien JS. Localized pigmented villonodular synovitis of the knee. Arthroscopic treatment. Clin Orthop Relat Res 1991; (271) 218-224
- 43 Beguin J, Locker B, Vielpeau C, Souquieres G. Pigmented villonodular synovitis of the knee: results from 13 cases. Arthroscopy 1989; 5 (1) 62-64
- 44 De Ponti A, Sansone V, Malcherè M. Result of arthroscopic treatment of pigmented villonodular synovitis of the knee. Arthroscopy 2003; 19 (6) 602-607
- 45 Tyler WK, Vidal AF, Williams RJ, Healey JH. Pigmented villonodular synovitis. J Am Acad Orthop Surg 2006; 14 (6) 376-385
- 46 Johansson JE, Ajjoub S, Coughlin LP, Wener JA, Cruess RL. Pigmented villonodular synovitis of joints. Clin Orthop Relat Res 1982; (163) 159-166
- 47 Chin KR, Barr SJ, Winalski C, Zurakowski D, Brick GW. Treatment of advanced primary and recurrent diffuse pigmented villonodular synovitis of the knee. J Bone Joint Surg Am 2002; 84–A (12) 2192-2202
- 48 Louisia S, Charrois O, Beaufils P. Posterior “back and forth” approach in arthroscopic surgery on the posterior knee compartments. Arthroscopy 2003; 19 (3) 321-325
- 49 Kampen WU, Matis E, Czech N, Soti Z, Gratz S, Henze E. Serious complications after radiosynoviorthesis. Survey on frequency and treatment modalities. Nucl Med (Stuttg) 2006; 45 (6) 262-268
- 50 Vuorela J, Sokka T, Pukkala E, Hannonen P. Does yttrium radiosynovectomy increase the risk of cancer in patients with rheumatoid arthritis?. Ann Rheum Dis 2003; 62 (3) 251-253
- 51 Kramer DE, Frassica FJ, Frassica DP, Cosgarea AJ. Pigmented villonodular synovitis of the knee: diagnosis and treatement. J Knee Surg 2009; 22: 243-254
- 52 Wiss DA. Recurrent villonodular synovitis of the knee. Successful treatment with yttrium-90. Clin Orthop Relat Res 1982; (169) 139-144
- 53 Shabat S, Kollender Y, Merimsky O , et al. The use of surgery and yttrium 90 in the management of extensive and diffuse pigmented villonodular synovitis of large joints. Rheumatology (Oxford) 2002; 41 (10) 1113-1118
- 54 Blanco CE, Leon HO, Guthrie TB. Combined partial arthroscopic synovectomy and radiation therapy for diffuse pigmented villonodular synovitis of the knee. Arthroscopy 2001; 17 (5) 527-531
- 55 O'Sullivan B, Cummings B, Catton C , et al. Outcome following radiation treatment for high-risk pigmented villonodular synovitis. Int J Radiat Oncol Biol Phys 1995; 32 (3) 777-786
- 56 Cheng XG, You YH, Liu W, Zhao T, Qu H. MRI features of pigmented villonodular synovitis (PVNS). Clin Rheumatol 2004; 23 (1) 31-34