Pigmented Villonodular Synovitis, Radiotherapy after Synvectomy
Abstract
Introcduction: Pigmented villonodular synovitis (PVS) is rare, benign and proliferative disorder of synovium which consists of villous and/ or nodular formations in joints.Diagnosis is determined by clinical features, aspiration of the joint, radiographic features and magnetic resonance imaging (MRI).The definitive treatment is the complete resection of affected tissue by open or arthroscopic synovectomy. Radiotherapy is recommended as an additive treatment in the control of recurrent or refractory disease.Case Presentation: we report a case of young woman with biopsy proven of PVS who after total synvectomy was referred for adjuvant radiotherapy.she received 36 Gy in 18 fractions and 12 month after treatment she has no sign of recurrence. Discussion: PVS is a rare benign disorder of synovium which is managed with surgical resection.Radiotherapy can be used as an additional treatment to increase local control.Schiller AL. Tumors and tumor like lesions involving jointsIn: Kelley WN, Harris ED, Ruddy S, Sledge CB, eds. Textbook of rheumatology. Philadelphia: WB Saunders, 1989:1783-9.
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M. Lee . S. Mahroof . J. Pringle . S. C. Short . T. W. R. Briggs . S. R. Cannon Diffuse pigmented villonodular synovitis of the footand ankle treated with surgery and radiotherapy.International Orthopaedics (SICOT) (2005) 29: 403–405.
BERNHARD BERGER, UTE GANSWINDT, MICHAEL BAMBERGAND THOMAS HEHR, EXTERNAL BEAM RADIOTHERAPY AS POSTOPERATIVE TREATMENT OF DIFFUSE PIGMENTED VILLONODULAR SYNOVITISInt. J. Radiation Oncology Biol. Phys., Vol. 67, No. 4, pp. 1130–1134, 2007.
MELISSA HOROSCHAK, B.S.EXTERNAL BEAM RADIATION THERAPY ENHANCES LOCAL CONTROL IN PIGMENTED VILLONODULAR SYNOVITIS;Int. J. Radiation Oncology Biol. Phys., Vol. 75, No. 1, pp. 183–187, 2009.
Molly Schnirring-Judge, , FACFAS , Bonnie Lin, Pigmented Villonodular Synovitis of the AnkledRadiation Therapy as a PrimaryTreatment to Reduce Recurrence: A Case Report with 8-year Follow-up.The Journal of Foot & Ankle Surgery 50 (2011) 108–116.
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Issue | Vol 4 No 1&2 (2012) | |
Section | Case Reports | |
Keywords | ||
Pigmented villonodular synovitis radiotherapy synvectomy |
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