Document Detail


Two cases of synovial haemangioma of the knee joint: Gd-enhanced image features on MRI and arthroscopic excision.
MedLine Citation:
PMID:  21041090     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Synovial haemangioma of the knee joint is a relatively rare benign condition with around 200 reported cases. We have recently encountered two cases of synovial haemangioma of the knee joint which preoperative MRI had assessed as highly suspect and which arthroscopic resection and subsequent histological examinations confirmed as synovial hemangiomas. Published studies have identified the following as characteristic MRI features of synovial haemangioma: homogenous low intensity to iso-intensity on T1 sequence; and heterogeneous high intensity with low-intensity septa or spots within the lesion on T2 sequence. However, several other intra-knee disorders mimic these characteristics. In our two cases, we found that gadolinium (Gd)-enhanced images, which have been relatively rarely discussed in the literature, were useful for making the diagnosis and for determining the extent of this condition. These images also were very helpful during arthroscopic excision of the lesion. Nonetheless, even after Gd enhancement, differentiating between malignant conditions such as synovial sarcoma and haemangioma solely from MRI findings is still difficult.
Authors:
Takahisa Sasho; Koichi Nakagawa; Kei Matsuki; Hiroko Hoshi; Masahiko Saito; Naoshi Ikegawa; Ryuichiro Akagi; Satoshi Yamaguchi; Kazuhisa Takahashi
Publication Detail:
Type:  Journal Article     Date:  2010-10-30
Journal Detail:
Title:  The Knee     Volume:  18     ISSN:  1873-5800     ISO Abbreviation:  Knee     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  509-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
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