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Synovitis, Pigmented Villonodular

Katyayini Aribindi, MD Reviewed 06/2021
 


BASICS

DESCRIPTION

  • Pigmented villonodular synovitis (PVNS), also known as tenosynovial giant cell tumor (TGCT), is a benign proliferative inflammatory disease associated with synovial hypervascularity....

DIAGNOSIS

HISTORY

  • Knee joints are most commonly affected, followed by the foot. Previously, data suggested the hip was more common than the foot, but that does not seem to be the case. Involvement of t...

TREATMENT

GENERAL MEASURES

  • Surgical resection (3,4,5)[A]

    • First-line treatment

    • Complete synovectomy by open surgical procedure for DPVNS.

    • Arthroscopic partial synovectomy for LPVNS

    • Patients with large popl...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Close follow-up for recurrence and progression of disease 

PROGNOSIS

  • Patients with recurrent disease usually present with more extensive involvement leading to redu...

REFERENCES

1
Murphey  MD, Rhee  JH, Lewis  RB, et al. Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics.  2008;28(5):1493–1518. [View Abstr...

ADDITIONAL READING

  • Al-Nakshabandi  NA, Ryan  AG, Choudur  H, et al. Pigmented villonodular synovitis. Clin Radiol.  2004;59(5):414–420. [View Abstract on OvidMedline] ...

CODES

ICD10

  • M12.20 Villonodular synovitis (pigmented), unspecified site

  • M12.259 Villonodular synovitis (pigmented), unspecified hip

  • M12.269 Villonodular synovitis (pigmented), unspecified knee

  • M12.279 Vil...

CLINICAL PEARLS

  • PVNS is characterized by synovial inflammation and hemosiderin deposition with unknown etiology. However, it has been linked to trauma with subsequent joint hemorrhage.

  • There are two ty...

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