Extended Pigmented Villonodular Synovitis of the Hand

Abstract

We present the case of a 36-year-old woman with pigmented villonodular synovitis (PVNS) of the right hand. The magnetic resonance imaging (MRI) showed that the lesion had spread over an unusually wide area. Despite this, after one single operation, there has been no relapse after 5 years, with both the functional and cosmetic results remaining satisfactory.

Keywords

pigmented villonodular synovitis - hand

• References

• 1 Chassaignac C. Cancer de la gaine des tendons. Gaz Hop Civ Milit 1852; 47: 185-186
• 2 Masson M. Tumours of the Hand. Surg Gynecol Obstet 1937; 64 (02) 129-148
• 3 Jaffe H, Lichtenstein L, Sutro C. Pigmented Villonodular Synovitis, Bursitis and Tenosynovitis. Arch. Pathology 1941; •••: 731-765
• 4 Rao AS, Vigorita VJ. Pigmented villonodular synovitis (giant-cell tumor of the tendon sheath and synovial membrane). A review of eighty-one cases. J Bone Joint Surg Am 1984; 66 (01) 76-94
• 5 Jones FE, Soule EH, Coventry MB. Fibrous xanthoma of synovium (giant-cell tumor of tendon sheath, pigmented nodular synovitis). A study of one hundred and eighteen cases. J Bone Joint Surg Am 1969; 51 (01) 76-86
• 6 Abdul-Karim FW, el-Naggar AK, Joyce MJ, Makley JT, Carter JR. Diffuse and localized tenosynovial giant cell tumor and pigmented villonodular synovitis: a clinicopathologic and flow cytometric DNA analysis. Hum Pathol 1992; 23 (07) 729-735
• 7 O'Connell JX, Fanburg JC, Rosenberg AE. Giant cell tumor of tendon sheath and pigmented villonodular synovitis: immunophenotype suggests a synovial cell origin. Hum Pathol 1995; 26 (07) 771-775
• 8 Alguacil-Garcia A, Unni KK, Goellner JR. Giant cell tumor of tendon sheath and pigmented villonodular synovitis: an ultrastructural study. Am J Clin Pathol 1978; 69 (01) 6-17
• 9 Fisk GR. Hyperplasia and metaplasia in synovial membrane. Ann R Coll Surg Engl 1952; 11 (03) 157-170
• 10 Byers PD, Cotton RE, Deacon OW. , et al. The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br 1968; 50 (02) 290-305
• 11 Moser R, Madewell J. Radiological evaluation of soft tissue tumors. En ‘Soft Tissue Tumors’ Enzinger F, Weiss S, Chapter 3, 39–88, 3rd Edition. St. Louis: Mosby; 1995
• 12 Schajowicz F, Blumenfeld I. Pigmented villonodular synovitis of the wrist with penetration into bone. J Bone Joint Surg Br 1968; 50 (02) 312-313
• 13 Enzinger F, Weiss S. Benign tumors and tumorlike lesions of sinovial tissue. En ‘Soft Tissue Tumors’, Chapter 28, 735–755, 3rd Edition. St. Louis: Mosby; 1995
• 14 Patel MR, Zinberg EM. Pigmented villonodular synovitis of the wrist invading bone–report of a case. J Hand Surg Am 1984; 9 (06) 854-858
• 15 Mathews RE, Gould JS, Kashlan MB. Diffuse pigmented villonodular tenosynovitis of the ulnar bursa–a case report. J Hand Surg Am 1981; 6 (01) 64-69
• 16 Jaffe H. Pigmented Villonodular Synovitis, Bursitis and Tenosynovitis. En ‘Tumors and Tumorous Conditions of the Bones and Joints’. Chapter 30, London: Lea & Febiger; 1958: 532-557