All patients were female, with a mean age of 44.7 years and a mean duration of symptoms prior to diagnosis of 2.7 years. The present case report describes the cases of 4 patients with hemolymphangioma that were diagnosed and treated at the Second Affiliated Hospital of Xi'an Jiaotong University (Xi'an, China). Therefore, generally associated symptoms are mainly mechanical nature and depend on the damage to adjacent tissue, anatomic location of the lesion and the same size.ĭue to the rarity of hemolymphangioma, a limited number of cases of the disease have been reported in the literature thus far. Pathologic findings reported cellular elements compatible with hemangio-lymphangioma.Ĭonclusion: Despite its “benign” histological quality, the hemangiolynphangioms are relate to severe deformity of cavity and limbs, due to the high capacity to invade locally organs and adjacent tissues (muscle, bone and soft tissue), accompanied by growth fast and high probability of local recurrence. It was performed chest CT in where multiple intrapulmonary air cysts in the middle lobe were observed just as in previous and basal segments of the lower lobe of the right lung lesions rounded morphology. Anteroposterior and lateral radiographs of the chest were taken which they revealed polyhedral images in mediastinum and right chest as well as cardiac silhouette shifted. They are rare (0.05–3%), and are classified according to their basic structural components (capillary, venous, lymphatic, arterial and combined forms)Ĭase description: Three-months-old boy, was admitted with respiratory distress and medical history of bronchopulmonary dysplasia and chronic malnutrition, both treated with unknown manage.ĭuring the physical examination he was found: with poor general condition, atrial murmur grade IV and bilateral crackles on auscultation. Introduction: Vascular malformations are anomalies caused by errors in the embryonic differentiation including a large number of diseases of the venous and lymphatic capillary network. We believe excisional biopsy and regional synovectomy by arthroscopy should be the treatments of choice for intra-articular tumors, but we recommend open surgery when the lesion extends to the tendons, muscle or bone. Definitive diagnosis requires histological examination. MRI is the most useful exam because it establishes the location, extent and benign characteristics of the tumor. Treatment consisted of regional synovectomy by open surgery or arthroscopy in 66.7 and 15.6% of cases, respectively.Ĭonclusions: KSH should be considered in the differential diagnosis of adult patients with chronic low-intensity knee pain. MRI was the most commonly used imaging test (98%). Pain, swelling and haemarthrosis were frequently reported (88.2, 66.7, and 47.1%). The bony tissue of the knee was rarely affected (13.5%). The suprapatellar and patella-femoral joint compartment was the most frequent location (47.9%). A literature review showed that KSH appears most frequently in children and teenagers (64.6%) and does not differ by gender. A pain-free knee without recurrence was achieve in all cases except one, which was successfully reoperated. Histological type was arteriovenous in three cases and capillary in one. Open excisional biopsy and regional synovectomy were performed in three patients, and by arthroscopy of the posterior compartment in the fourth. MRI revealed a benign tumor mass in all cases except one. Persistent anterior knee pain was the main complain. Three lesions located in the suprapatellar pouch, two eroding the patella and one the supratrochlear bone, and one in the posterior compartment. Results: Four adults (20–40 years) were diagnosed with KSH. A literature search was conducted in PubMed from 2000/01 to 2020/06 using the search terms “synovial haemangioma” and “knee.” Fifty full-text articles that included a total of 92 patients were included for further discussion. open resection, and follow-up in the literature.ĭesign: From 1996 to 2016, four patients with KSH were retrospectively reviewed. Objective: The aim was to report 4 patients with intra-articular knee synovial haemangioma (KSH) and to perform a systematic review to describe the patient characteristics, patterns of tumor location, clinical presentation, usefulness of imaging examinations, pros and cons of arthroscopic vs.
0 kommentar(er)
