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| A case report of pigmented villous nodular synovitis in the left knee |
| FANG Yuanyuan1 YAO Jie1 DONG Bo2 LIU Fang1 LI Xiaowei1 YUAN Puwei2 LIU Deyu2 |
1.Department of Nursing, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712046, China;
2.Department of Orthopedics, Affiliated Hospital of Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712000, China |
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Abstract Pigmented villous nodular synovitis is a rare, destructive fibrous tissue cell proliferative synovial lesion. The pathogenesis is not yet clear. Most of them are joint pain and swelling in the early stage, and joint interlocking and limited activity can occur in the late stage. Due to lack of specific performance, easy to miss the diagnosis and misdiagnosis, and the recurrence rate after treatment is extremely high. The atticle will report here a case admitted to the Affiliated Hospital of Shaanxi University of Chinese Medicine on November 30, 2019. The patient was given synovial incision and exploratory cleaning of the left knee combined with postoperative radiotherapy, and no recurrence was observed for more than three months. The following conclusions are drawn: low incidence of villous nodular synovitis, lack of specific clinical manifestations, easy to miss diagnosis and misdiagnosis, MRI can be used for qualitative diagnosis, pathological examination is the gold standard for diagnosis, and disease synovectomy combined with radiotherapy is a relatively mature diagnosis and treatment plan, but it is easy to relapse after surgery, so postoperative radiotherapy and regular follow-up are extremely important for the prognosis of the disease.
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