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Diagnosis of Pigmented Villonodular Sinovitis of The Knee by Magnetic Resonance Imaging (Literature Review and Case Report)

Abstract

Pigmented villonodular synovitis (PVNS) is a rare disease that affects the synovial membrane of joints, mucous bursa, tendon sheaths, combining features of both inflammatory and neoplastic process. Given the lack of specific clinical symptoms, radiographic, US and CT findings it takes several months from the onset of symptoms to definitive diagnosis. MRI can not only detect and characterize the changes in detail in the joint and to differentiate them from other illnesses by its intrinsic possibility to identifying hemosiderosis which is typical for PVNS, but also to evaluate the extent of lesions, including extraarticular, facilitating selection of the optimal treatment strategy.

About the Author

Pavel Evgenevich Lutsenko
Az Research and Production Company; Non-state Educational Organization “Az Advanced Training Educational Center”
Russian Federation


References

1. Махсон А.Н., Кузьмин И.В., Максимчук Ю.В. Пигментный виллезонодулярный синовит позвоночника. Вестник травматологии и ортопедии. 1999; 3: 52-57.

2. MRI of the Musculoskeletal System. Eds Valensieck M., Genant H.R., Reiser M. Stuttgart; New York: Thieme, 2000. 394 р.

3. Clinical Magnetic Resonance Imaging. 3rd ed. Eds Edelman R.R., Hesselink J., Zlatkin M. Vol. 2. Saunders Elsevier, 2006. 1275 р.

4. Брюханов А.В., Васильев А.Ю. Магнитно-резонансная томография в остеологии. М.: Медицина, 2006. 200 с.

5. Maheshwari A.V., Muro-Cacho C.A., Pitcher J.D. Jr. Pigmented villonodular bursitis/diffuse giant cell tumor of the pes anserine bursa: a report of two cases and review of literature. Knee. 2007; 14 (5): 402-407.

6. Семенова Л.А., Раденска-Лоповок С.Г. Пигментный виллонодулярный синовит. Архив патологии. 2010: 5: 52-56.

7. Lucas D.R. Tenosynovial Giant Cell Tumor. Case Report and Review. Arch. Pathol. Lab. Med. 2012; 136 (8): 901-906.

8. Ma X., Shi G., Xia C. et al. Pigmented villonodular synovitis: a retrospective study of seventy five cases (eighty one joints). Int. Orthop. 2013; 37 (6): 1165-1170.

9. van der Heijden L., Gibbons C.L., Dijkstra P.D. et al. The management of diffuse-type giant cell tumour (pigmented villonodular synovitis) and giant cell tumour of tendon sheath (nodular tenosynovitis). J. Bone Jt Surg. Br. 2012; 94 (7): 882-888.

10. Jaffe H.L., Lichtenstein L., Suro C.J. Pigmented villonodular synovitis, bursitis and tenosynovitis. Arch. Pathol. 1941; 31: 731-765.

11. Cupp J.S., Miller M.A., Montgomery K.D. et al. Translocation and expression of CSF1 in pigmented villonodular synovitis, tenosynovial giant cell tumor, rheumatoid arthritis and other reactive synovitides. Am. J. Surg. Pathol. 2007; 31 (6): 970-976.

12. Coutinho M., Laranjo A., Casanova J. Pigmented Villonodular Synovitis: a diagnostic challenge. Review of 28 cases. Acta Reumatol. Port. 2012; 37 (4): 335-341.

13. Barile A., Sabatini M., Iannessi F. et al. Pigmented villonodular synovitis (PVNS) of the knee joint: magnetic resonance imaging (MRI) using standard and dynamic paramagnetic contrast media. Report of 52 cases surgically and histologically controlled. Radiol. Med. 2004; 107 (4): 356-366.

14. Boegard T., Johansson A., Rudling O. et al. Gadolinium-DTPA-enhanced MR imaging in asymptomatic knees. Acta Radiol. 1996; 37: 877-882.

15. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. 3rd ed. by Stoller D. W. Vol. 1. Lippincott Williams&Wilkins, 2006. 2336 p.

16. Dhanda S., Quek S.T., Bathla G., Jagmohan P. Intra-articular and Peri-articular Tumours and Tumour Mimics - What a Clinician and Onco-imaging Radiologist Should Know. Malays J. Med. Sci. 2014; 21 (2): 4-19.

17. Murphey M.D., Rhee J.H., Lewis R.B. et al. Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 2008; 28 (5): 1493-1518.

18. Chin K.R., Barr S.J., Winalski C. et al. Treatment of advanced primary and recurrent diffuse pigmented villonodular synovitis of the knee. J. Bone Jt Surg. Am. 2002; 84-A (12): 2192-2202.

19. Ohnuma M., Sugita T., Kawamata T. et al. Pigmented villonodular synovitis of the knee with lesions of the bursa. Clin. Orthop. 2003; 414: 212-218.


Review

For citations:


Lutsenko P.E. Diagnosis of Pigmented Villonodular Sinovitis of The Knee by Magnetic Resonance Imaging (Literature Review and Case Report). Medical Visualization. 2015;(1):69-74. (In Russ.)

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ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)