Chronic hemorrhagic villous synovitis of the spine
A. N. Makhson , I. V. Kuzmin , Y. V. Maksimchuk
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1999, Vol. 6 ›› Issue (3) : 52 -57.
Chronic hemorrhagic villous synovitis of the spine
Case of chronic hemorrhagic villous synovitis (CHVS) of the spine in 20-years old male is presented. Tumorlike formation was located in lumbar region. The initial diagnosis was the benign tumor which was removed. Two years postoperatively the recurrence with light neurologic deficit was detected. MRT revealed multi- nodulous formation with homogenous structure and 11.8 x 8.7 cm in size. The formation spread rightly, posteriorly and infiltrated into soft tissues and iliac bone. Biopsy results suspected malignant «histiocytoma» and symptomatic treatment was recommended. In specialized hospital repeated biopsy was and CHVS was diagnosed. Pathologic focus was removed and destroyed L3 spinous process and lateral sacrum were resected. Postoperatively radiotherapy (60 Gy) was given. Seven months after surgery no recurrence was detected. Diagnostic problems are discussed. In CHVS authors recommend to use the combined treatment.
Pigmented villonodular synovitis of the spine / synovitis / spine
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