Functional improvement and low recurrence rate after combined staged synovectomy and external radiotherapy for diffuse pigmented villonodular synovitis of the knee: a minimum 2 years' follow-up case series

ElAttar, Mohamed; Mahmoud, Hossam Fathi; Fahmy, Fahmy Samir

doi:10.1136/jisakos-2019-000386

Cited by 1 publication

(1 citation statement)

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“…As stated in the literature, tumor resection and synovectomy-only approach could induce a higher recurrence rate; the least average time to revision surgery is 6.5 years [17]. Applying adjuvant radiotherapy for PVNS is under debate [1,29]; synovectomy and added external radiotherapy showed some functional improvement and improvement in patients' quality of lives with a low rate of lesion recurrence in the knee [30]. However, efficacy is unconfirmed and there is caution against unwelcome irradiation effects around the reproductive organs, e.g., the hip and pelvis [6,31,32].…”

Section: Discussionmentioning

confidence: 99%

Hip Tenosynovial Giant Cell Tumor without Recurrence in a 9-Year Follow-Up

Kazemi

Hosseininejad

2022

Case Reports in Orthopedics

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Background. Tenosynovial giant cell tumors are a benign but rare condition with potentially aggressive tumor-like traits which should be considered in young patients with monoarticular joint involvement. Case Presentation. This report presents a 31-year-old otherwise healthy woman with a right hip pain. Clinical and histopathological investigations revealed the diagnosis of diffuse-type tenosynovial giant cell tumor of the hip (the diffuse intra-articular form of PVNS). Open synovectomy and tumor resection and surgical dislocation of the hip were performed. She was free of symptoms and recurrence within a 9-year-follow-up period. Conclusion. Open synovectomy and tumor resection through surgical dislocation of the hip without adjutant radiotherapy could be a reliable choice for the localization of the hip.

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