The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Intra-articular Benign Fibrous Histiocytoma of the Knee: A Case Report

슬관절 관절내 발생한 양성 섬유성 조직구종: 증례 보고

  • Hong, Ki-Do (Department of Orthopedic Surgery, Sahmyook Medical Center) ;
  • Ha, Sung-Sik (Department of Orthopedic Surgery, Sahmyook Medical Center) ;
  • Sim, Jae-Cheon (Department of Orthopedic Surgery, Sahmyook Medical Center) ;
  • Kim, Tae-Ho (Department of Orthopedic Surgery, Sahmyook Medical Center) ;
  • Lee, Jong-Seong (Department of Orthopedic Surgery, Sahmyook Medical Center) ;
  • Sung, Min-Chul (Department of Orthopedic Surgery, Sahmyook Medical Center)
  • 홍기도 (삼육서울병원 정형외과) ;
  • 하성식 (삼육서울병원 정형외과) ;
  • 심재천 (삼육서울병원 정형외과) ;
  • 김태호 (삼육서울병원 정형외과) ;
  • 이종성 (삼육서울병원 정형외과) ;
  • 성민철 (삼육서울병원 정형외과)
  • Received : 2012.10.04
  • Accepted : 2012.11.26
  • Published : 2012.12.31
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Abstract

Benign fibrous hitiocytoma of the infrapatella fat pad is very rare. It has usually do not induced a pain or a symptom because it was located deep tissue. So it was very difficult to be diagnosed. We experienced a case of deep benign fibrous histiocytoma in a 53-year-old woman. It was diagnosed by MRI. Diagnostic arthroscopic procedure was performed and the lesion was completely resected by open excision. We report a rare case of benign fibrous hitiocytoma presenting as an intra-articular tumor in the joint causing pain and limitation of movement.

슬관절에서의 양성 섬유성 조직구증은 매우 드문 질환으로 대부분의 경우 통증 등의 특별한 증상을 유발하지 않고 심부에 위치하고 있어 진단을 놓치기 쉬우며 우연히 발견되는 경우가 많다. 저자들은 슬관절의 운동제한과 동통을 주소로 내원한 53세 여자 환자에 대해서 외관상 촉지 되지 않았다가 MRI 검사에서 슬개건 하부의 종물을 발견하였고, 진단적 관절경 검사 후 절제 및 조직 생검 결과 양성 섬유성 조직구종으로 밝혀진 1예를 경험하게 되었다. 심부 양성 섬유성 조직구증은 모든 양성 섬유성 조직구증의 5% 이하로 흔하지 않은 것으로 알려져 있는 가운데 슬관절에서 발생한 1예에 대해서 문헌고찰과 함께 보고하고자 한다.

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References

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