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

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
권호 표지
DOI QR코드

DOI QR Code

A Tenosynovial Giant Cell Tumor Arising from Posterior Cruciate Ligament of Knee Joint: A Case Report

슬관절 후방 십자 인대에서 기원한 건막 거대 세포종: 1예 보고

  • Kim, Hong Kyun (Department of Orthopedics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Choi, Chang Hyun (Department of Orthopedics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Chung, Kook Jin (Department of Orthopedics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Young Min (Department of Orthopedics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Shin, Mi Kyung (Department of Pathology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Hwang, Ji Hyo (Department of Orthopedics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
  • 김홍균 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 최창현 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 정국진 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 이영민 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 신미경 (한림대학교 의과대학 강남성심병원 해부병리과) ;
  • 황지효 (한림대학교 의과대학 강남성심병원 정형외과)
  • Received : 2014.09.17
  • Accepted : 2014.11.26
  • Published : 2014.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Localized forms of giant cell tumor are known to arise commonly in the synovial membrane of the finger joints. Multinucleated giant cells are its characteristic pathology finding, giant cell tumor shows a low rate of recurrence after complete excision. When occurring at the knee joints, giant cell tumor manifests a wide form of symptoms, from no symptom at all, to intermittent locking. Complete excision is possible by arthroscopy, but if done incompletely, it is reported to recur in 45% of cases. We present here a case of giant cell tumor that has arisen from the anterior portion of the posterior cruciate ligament, excised by arthroscopy and followed by pathologic confirmation.

국소형 거대 세포종은 주로 지 관절의 활액막에서 호발하는 것으로 알려져 있으며 슬관절 내에서는 드물게 발생하는 것으로 알려져 있다. 병리학적으로 다핵의 거대 세포를 특징적으로 가지는 질환으로 완전 절제 시 재발율은 낮다. 슬관절 내에 발생하는 경우 무증상에서 간헐적 잠김 증상까지 다양하게 나타날 수 있으며, 관절경적으로 완전 절제가 가능하나 불완전 절제 시 45%까지 재발하는 것으로 보고되고 있다. 저자들은 후방 십자 인대의 전연에 발생한 거대 세포종 1예를 관절경 하에서 절제 후 병리학적으로 확진하여 이를 보고하고자 한다.

Keywords

References

  1. Enzinger FM, Weiss SW. Benign tumors and tumor like lesions of synovial tissue. In: Enzinger FM, Weiss SW, ed. Soft tissue tumors. 3rd ed. St. Louis: Mosby; 1995. 412-41.
  2. Rosenberg AE. Soft tissue tumors and tumor-like lesions. In: Cotran RS, Kumar V, Robbins SL, ed. Robbins pathologic basis of disease. 5th ed. Philadelphia: Saunders; 1994. 1260-1.
  3. Chung WY, Kim YC, Jo SK. Localized form of tenosynovial giant cell tumor arising from the posterior Cruciate Ligament of the knee. 2 case report. J Korean Arthroscopy Soc. 2003;7:87-91.
  4. Kim KT, Kang MS. Localized tenosynovial giant cell tumor involving the posterior cruciate ligament of the Knee. 1 case report. J Korean Arthroscopy Soc. 2011;15:113-6.
  5. Insall JN, Scott WN. Surgery of the knee. 4th ed. Philadelphia: Elsevier; 2006. 1026-9.
  6. Koo BS, Kim KC, Lee HJ. Localized giant cell tumor of tendon sheath arising from the anterior cruciate ligament of the knee. 2 case report. J Korean Arthroscopy Soc. 1999;3:146-9.
  7. Lee GW, Lee KS, Song SH, Kim MK, Yun SH. Snow-man shaped nodular tenosynovitis in the knee. case report. J Korean Arthroscopy Soc. 1999;3:44-7.
  8. Rao AS, Vigorita VJ. Pigmented villonodular synovitis (giantcell tumor of the tendon sheath and synovial membrane). A review of eighty-one cases. J Bone Joint Surg Am. 1984;66:76-94. https://doi.org/10.2106/00004623-198466010-00012
  9. Jelinek JS, Kransdorf MJ, Shmookler BM, Aboulafia AA, Malawer MM. Giant cell tumor of the tendon sheath: MR findings in nine cases. AJR Am J Roentgenol. 1994;162:919-22. https://doi.org/10.2214/ajr.162.4.8141018