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Bilateral knee lipoma arborescens combined with osteoarthritis in elderly patients.
J Int Med Res. 2011; 39(4):1563-9.JI

Abstract

Here, three cases of combined lipoma arborescens (LA)--a rare neoplastic lesion of the synovium--and osteoarthritis (OA) with bilateral knee involvement in elderly patients are reported. The clinical, magnetic resonance imaging and histological characteristics of this rare condition are described. Limited by the similarity of symptoms between LA and OA and the low sensitivity of X-ray for discerning LA, it was found that a diagnosis of LA could be easily missed. Follow-up data suggested that the treatment of LA was not jeopardized even if the diagnosis was not made preoperatively, since the lesion is easily discerned intraoperatively. The definitive treatment of synovectomy can then be performed without recurrence of the lesion. Based on the evidence of the sequence of symptoms and the progression of untreated LA with static OA at follow up, it is suggested that the aetiology of LA is secondary to OA in elderly patients.

Authors+Show Affiliations

Department of Joint Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21986162

Citation

Xiao, J, et al. "Bilateral Knee Lipoma Arborescens Combined With Osteoarthritis in Elderly Patients." The Journal of International Medical Research, vol. 39, no. 4, 2011, pp. 1563-9.
Xiao J, Xu Y, Wang J, et al. Bilateral knee lipoma arborescens combined with osteoarthritis in elderly patients. J Int Med Res. 2011;39(4):1563-9.
Xiao, J., Xu, Y., Wang, J., Feng, J., & Shi, Z. (2011). Bilateral knee lipoma arborescens combined with osteoarthritis in elderly patients. The Journal of International Medical Research, 39(4), 1563-9.
Xiao J, et al. Bilateral Knee Lipoma Arborescens Combined With Osteoarthritis in Elderly Patients. J Int Med Res. 2011;39(4):1563-9. PubMed PMID: 21986162.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral knee lipoma arborescens combined with osteoarthritis in elderly patients. AU - Xiao,J, AU - Xu,Y, AU - Wang,J, AU - Feng,J, AU - Shi,Z, PY - 2011/10/12/entrez PY - 2011/10/12/pubmed PY - 2012/2/3/medline SP - 1563 EP - 9 JF - The Journal of international medical research JO - J. Int. Med. Res. VL - 39 IS - 4 N2 - Here, three cases of combined lipoma arborescens (LA)--a rare neoplastic lesion of the synovium--and osteoarthritis (OA) with bilateral knee involvement in elderly patients are reported. The clinical, magnetic resonance imaging and histological characteristics of this rare condition are described. Limited by the similarity of symptoms between LA and OA and the low sensitivity of X-ray for discerning LA, it was found that a diagnosis of LA could be easily missed. Follow-up data suggested that the treatment of LA was not jeopardized even if the diagnosis was not made preoperatively, since the lesion is easily discerned intraoperatively. The definitive treatment of synovectomy can then be performed without recurrence of the lesion. Based on the evidence of the sequence of symptoms and the progression of untreated LA with static OA at follow up, it is suggested that the aetiology of LA is secondary to OA in elderly patients. SN - 1473-2300 UR - https://www.unboundmedicine.com/medline/citation/21986162/Bilateral_knee_lipoma_arborescens_combined_with_osteoarthritis_in_elderly_patients_ L2 - http://journals.sagepub.com/doi/full/10.1177/147323001103900448?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -