Synovial chondrosarcoma arising in synovial chondromatosis of the right hip

1997 ◽  
Vol 26 (6) ◽  
pp. 366-369 ◽  
Author(s):  
G. Hermann ◽  
Michael J. Klein ◽  
Ibrahim Fikry Abdelwahab ◽  
S. Kenan
2020 ◽  
Vol 12 (45) ◽  
pp. 53-58
Author(s):  
Luiz Henrique de Melo Nogueira ◽  
Luciano Henrique Ferreira Lima ◽  
Beneval José dos Santos Junior ◽  
André Vitor Alves Araújo

Synovial chondromatosis (SC) is a rare pathological condition that is characterized by the formation of cartilaginous nodules inside a joint cavity. It mainly affects the knee joints, hip, shoulder, and elbow, so the TMJ is rarely the target of such condition. Its etiology is still unknown and is usually diagnosed through magnetic resonance imaging (MRI), computed tomography (CT), histopathological exams, and, in some cases, arthroscopy, once the clinical inspection normally is not enough to conclude the diagnose. This study reports a case of a 35-year-old man that came to the Oral and Maxillofacial Surgery service complaining about limited mouth opening, occlusal dystopia, and increase of volume on the right pre-auricular region associated to pain. The SC diagnosis was suggested after realizing a CT and MRI. An Al-Kayat approach was performed to fully visualize the TMJ, removal of all the cartilaginous fragments, hemostasis and suture by layers. The diagnosis was confirmed through the histopathological exam. The patient evolved asymptomatic.


Neurosurgery ◽  
1990 ◽  
Vol 27 (2) ◽  
pp. 291-294 ◽  
Author(s):  
Jose Manuel Valdueza ◽  
Niels Freckmann ◽  
Hans-Dietrich Herrmann

Abstract We report the case of a patient with successful total removal of a previously undescribed intracranial tumor arising in the right lateral ventricle (probably of metaplastic origin). The histopathological examination revealed benign chondromatosis of the choroid plexus. The pathogenesis of this lesion, with special reference to synovial chondromatosis and to the differential diagnosis of solid neoplastic chondromas, their clinical features, and computed tomographic and magnetic resonance imaging findings, is presented and discussed.


Sarcoma ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Scott Evans ◽  
Michele Boffano ◽  
Samena Chaudhry ◽  
Lee Jeys ◽  
Robert Grimer

Primary synovial chondromatosis (SC) is a rare proliferative disorder that causes pain, swelling, and restriction of movement to the joints it affects. The disease frequently runs a protracted course, often requiring multiple surgical procedures to obtain some control. Few reports exist detailing the natural history of SC, although malignant transformation to synovial chondrosarcoma (CHS) is recognized to be a rare event. The aim of our study was to review a large orthopaedic oncology database in order to evaluate the incidence of CHS arising from SC. We identified 78 patients who have presented to our centre with primary synovial chondromatosis (SC). Of those patients, 5 went on to develop malignant change. This represents a 6.4% incidence of developing synovial chondrosarcoma (CHS) within preexisting primary synovial chondromatosis. The patients had a mean age of 28 years at first diagnosis with synovial chondromatosis with the median time from original diagnosis to malignant transformation being 20 years (range 2.7–39 yrs).


1979 ◽  
Vol 87 (6) ◽  
pp. 741-748 ◽  
Author(s):  
Willard E. Fee ◽  
Peter Windhorst ◽  
Robert Wiggins ◽  
Louis Pang

Synovial chondromatosis is an uncommon disease of cartilaginous transformation of synovial membrane with formation of loose bodies within the joint space. A case involving the temporomandibular joint (TMJ) is presented. In the TMJ, this disorder occurs more often in females and is usually on the right side. Symptoms include preauricular swelling, pain, and tenderness. Radiographs of the TMJ may be normal, but frequently show multiple, partially calcified loose bodies within the joint. Treatment consists of removal of the loose bodies together with all affected synovium. If the meniscus is excised, reconstruction with a Silastic prosthesis is recommended.


2019 ◽  
pp. 1-4
Author(s):  
K P Iyengar ◽  
R F Adam ◽  
R George Brice ◽  
Chary Duraikannu ◽  
Michael Greenhalgh

Synovial chondromatosis and parameniscal cysts are well documented pathologies around the knee joint. We present an unusual presentation of synovial chondromatosis masquerading as a parameniscal cyst of the knee. The patient was an 82-year old gentleman seen in our knee clinic with painful swelling over medial aspect of the right knee, no history of injury and with symptoms of a locked knee. Clinico-radiological features were suggestive of a binary pathology of a meniscal tear and multi-locular cyst of the knee. An arthroscopic assisted open excision of the cystic lesion allowed clinical recovery with histological confirmation of benign synovial chondromatosis. We highlight the challenges in our case with the overlap of diagnostic features of both synovial and meniscal pathology with surgical management of this patient.


2018 ◽  
Vol 6 ◽  
pp. 2050313X1877530 ◽  
Author(s):  
Henrik Holtmann ◽  
Thomas Böttinger ◽  
Norbert R Kübler ◽  
Daman D Singh ◽  
Christoph K Sproll ◽  
...  

Synovial chondromatosis is a benign disease which most commonly appears in large joints and only rarely affects the temporomandibular joint. The diagnosis is quite difficult due to the fact that a large swelling in the preauricular area and the radiographic findings may be misdiagnosed as other benign or malignant diseases. We report an unusual case of intra- and extracapsular chondromatosis of 25 osteochondral loose bodies in the right temporomandibular joint.


2021 ◽  
Vol 6 (4) ◽  
pp. 275-278
Author(s):  
Asbah Shams ◽  
Abhijit Das ◽  
Madhu Sinha ◽  
Asfa Shams

Synovial chondromatosis is a rare, benign disorder which commonly involves the large joints and is characterised by the proliferation of cartilaginous nodules beneath the synovial membrane. We report a case of an elderly male who presented with pain and swelling of the right foot since five years. Proper clinico- radiological and histological evaluation of this case led to the diagnosis of synovial chondromatosis which was managed surgically and patient’s symptoms were relieved. The rare occurrence of this entity in the small joints of hands and feet and the presence of several close differentials, warrants a thorough clinico-radiological and histological work-up to prevent unnecessary surgical exploration.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Fayaz Memon ◽  
Eknath D Pawar ◽  
Devanshu Gupta ◽  
Amit Kumar Yadav

Introduction: Synovial chondromatosis is a rare benign entity with the presence of cartilaginous or osseous loose bodies in the synovium. It commonly involves the larger joints such as the knee, hip, ankle and rarely the shoulder joint manifesting with pain, swelling, and restriction of movements. The treatment of choice is surgical intervention in symptomatic patients using either the open or the arthroscopic approach. Case Report: Here, we report a rare case of synovial chondromatosis affecting the right shoulder joint in a 23-year-old male with a 5-year disease duration who presented with progressive pain and restriction in movements which were impacting his routine activities. The loose bodies were removed using the arthroscopic approach combined with a partial synovectomy, and intra-articular methylprednisolone post procedure. The patient showed an excellent recovery in joint mobility within 4 weeks post-operatively, and there were no clinical signs of recurrence during a 6-month follow-up period. Conclusion: We believe that arthroscopic surgery is effective in the treatment of patients with synovial chondromatosis with advantages such as good visualization, lesser morbidity, and early return of functional activities. Keywords: Synovial chondromatosis, loose bodies, arthroscopy.


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