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lipoma arborescens pathology

This is thought to be a metaplastic reaction of the synovium to chronic inflammation 1 hence the association with OA RA and previous trauma. Involvement of the synovial tendon sheath is extremely rare with only a few reported cases in the literature.


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In the latter the few reports in the current literature mainly involve the bicipitoradial bursa and only.

. It is an uncommon cause of intra-articular masses that presents as slowly progressive painless swelling of the joint which persists for many years and is accompanied by. The MR imaging findings of 32 patients with the diagnosis of lipoma arborescens of the knee n32 and shoulder n1 were reviewed. We present a case of lipoma arborescens involving the peroneal and flexor.

It has mainly been reported to occur in the suprapatellar bursa but may also involve other joints such as the shoulder ankle or elbow. Another example is synovial osteochondromatosis which is the result of proliferative and metaplastic changes in the synovium leading to hyaline. Lipoma arborescens is a rare benign intra-articular lesion of unknown etiology in which there is diffuse replacement of the subsynovial tissue by mature fat cells with prominent villous transformation of the synovium.

Even though it is a rare disease awareness of its presentation imaging patterns and treatment options is therefore important for clinicians radiologists and surgeons. In general the laboratory findings are nonspecific. Lipoma arborescens is a chronic slowly progressive intra-articular lesion characterised by villous lipomatous proliferation of the synovium usually involving the suprapatellar pouch of the knee joint.

The diagnosis of lipoma arborescens was confirmed by the. This is the first illustrated case report about lipoma arborescens involving the whole elbow joint. Lipoma arborescens is characterized by villous lipomatous proliferation of the synovial membrane.

An example of such pathology is lipoma arborescens which is an uncommon cause of intra-articular masses that are slowly progressive typically involving the suprapatellar bursa of the knee 2. Lipoma arborescens LA is a rare pathology consisting in adipose metaplasia of the subsynovial tissue arising from chronic joint inflammation. Lipoma arborescens is a rare pathology that has been described since the beginning of the 20 th century.

Epub 2012 Mar 5. LIPOMA ARBORESCENS IS a rare articular condition of unknown etiology characterized by diffuse proliferation and infiltration of subsynovial connective tissue by mature adipose cells forming hypertrophic synovial villi 1 2. Clinical manifestations of LA are nonspecific and frequently resemble osteoarthritis inflammatory arthritis.

Definition general Also called Hoffa disease villous lipomatous proliferation of synovium lipoma arborescens Pseudotumor of synovium with distinct histomorphology possibly due to inappropriate fat deposition and degenerative articular diseases of joints J Lab Physicians 2011384 Clinical features. Synovial lipoma arborescens is a rare and benign intra-articular pathology of unknown etiology characterized by a villous and lipomatous proliferation of synovial tissue. P Diana Afonso 1.

Given its rarity current evidence is mainly based on case reports and case series and no guidelines are available. The diagnosis of lipoma arborescens is based on the typical findings on MRI but because of the clinical appearance in this case other more common pathologies had to be excluded by using laboratory tests joint fluid aspiration and other imaging studies. Lipoma arborescens LA is a rare benign synovial tumour characterized by the proliferation of mature adipocytes within the synovial cells.

National Center for Biotechnology Information. The present study investigated the current surgical management and related outcomes of LA in the upper limb. Lipoma arborescens LA is a rare benign synovial tumour characterized by the proliferation of mature adipocytes within the synovial cells 1 2 3 4 5.

In this case arthroscopic treatment resulted in satisfactory and long-lasting pain. Lipoma arborescens or synovial lipomatosis is a rare disorder characterized by mature fat infiltration of hypertrophic synovial villi most frequently affecting the suprapatellar pouch of the knee. It has been consolidated as a disorder related to slowly evolving recurrent and generally painless monoarthritis and progresses with articular effusion and.

To describe the typical features of lipoma arborescens on MR imaging with pathologic correlation and to evaluate the associated lesions within the joints. This entity often displays a frondlike appearance of hypertrophied synovium referred to by the word arborescens Although lipoma. The joint fluid aspirate is negative for crystals and.


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