Dual Coagulation Shaver를 이용한 관절경하 활액막 혈관종의 제거술
A Case of Arthroscopic Excision of Synovial Hemangioma with Dual Coagulation Shaver
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초록
17세 남자 환자는 5년 전부터 외상의 과거력 없이 슬관절의 외측에 만져지는 종괴를 주소로 내원하였다. 환자는 슬관절 종괴 부위에 압통 및 슬관절의 굴곡 운동 제한이 관찰되었다. 슬관절 자기공명영상검사상 활액막 혈관종이 의심되어 수술적 치료 계획을 하였다. 관절경으로 슬관절 내 종양을 확인하였으며, 전기응고소작기를 이용하여 절제를 시행하였다. 조직학 검사를 통해 활액막 혈관종을 확진하였으며, 외래 경과 추시상 증상 재발의 소견은 관찰되지 않았다.
Abstract
A 17-year-old male patient visited our hospital with a palpable mass on the lateral aspect of the knee joint of five years duration without any related trauma history. The patient felt tenderness around the mass and had limitations in doing flexion exercises. Magnetic resonance imaging of the knee suggested the possibility of synovial hemangioma, and thus surgical treatment was planned. A tumor within the knee joint was found by arthroscopy, and a resection was carried out by dual coagulation shaver. The biopsy confirmed the diagnosis of a synovial hemangiomas. The patient presented months later at the out-patient clinic with no evidence of recurrence.
참고문헌 (10)
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