슬개하 지방대에 발생한 국소형 건초 거대세포종
A Case of Localized Tenosynovial Giant Cell Tumor in the Infrapatellar Fat Pad of the Knee
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초록
국소형의 건초 거대세포종(giant cell tumor of tendon sheath)은 주로 수지나 족지의 신전건 활막에 흔히 발생하며, 슬부의 지방대에서 관찰되는 경우는 매우 드물다. 저자들은 슬개하 지방대(infrapatella fat pad)에 발생하여 외측 대퇴 경골 관절로 감입, 충돌을 일으켜 신전제한과 슬부 통증을 유발하였던 2.5x3x4 cm 크기의 주변 조직과 경계가 명확한 종물에 대해 전동 절삭기를 이용한 관절경적 절제술을 시행하였다. 병리조직검사상 건초 거대세포종(tenosynovial giant cell tumor)으로 진단되었으며 임상적으로 좋은 결과를 보였기에 문헌 고찰과 함께 보고하고자 한다.
Abstract
Localized giant cell tumor of the tendon sheath (GCTTS) usually occurs in extensor an tendon sheath of the fingers and toes. It has rarely been observed in the fat pad of the knee joint. We treated a case of a 2.5×3×4 cm mass arising from the infrapatellar fat pad, which presented with extension limitation and knee pain due to lateral femorotibial joint impingement. The tumor was successfully treated using arthroscopic excision with a motorized shaver. Histologic findings were diagnosed as localized GCTTS. Herein we report this case with a literature review.
참고문헌 (10)
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