树枝状脂肪瘤课件.pptVIP

STOUT, A. P.: Atlas of Tumor Pathology. Section II, Fascicle 5. Tumors of Soft Tissue. \Vaslmington, Anmenican Registry of Pathology, Armed Forces Institute of Pathology, 1953. Napolitano A. Lipoma arborescens of the synovial ?uid: clinical contribution to a case located at the synovia of the wrist. Progresso Medico 1957;13:109-18. Arzimanoglu A: Bilateral arborescens lipoma of the knee.J Bone Joint Surg [Am] 39:976, 1957 Hallel T, Lew S, Bansal M. Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Joint Surg Am1988; 70:264–270. 【病因】The etiology of lipoma arborescens is unknown. It has been associated with rheumatoid arthritis, osteoarthritis, and joint injuries. It has previously been described with degenerative joint disease and chronic rheumatoid arthritis. J Radiol Case Rep. 2011; 5(11): 17–25. Published online 2011 November 1. doi: 10.3941/jrcr.v5i11.783PMCID: PMC3303421 Lipoma Arborescens of Knee Joint: Role of Imaging CLINICAL PRESENTATION: Patient is a 41-year-old male with chronic painless knee swelling. IMAGING FINDINGS: There is a large knee joint effusion. Frond-like synovial projections are evident. These follow fat signal on all sequences. The first patient was a 75-year-old woman who had a 6-year history of painless left ankle swelling that became painful 1 week previously. The other patient was a 17-year-old boy with a 1-year history of progressive right knee swelling and a limited range of movement. The boy had a 12-year history of psoriasis. Figure . A, Sagittal oblique multiplanar reformation showing fat density (arrows) within prominent effusion on the anterolateral aspect of the left ankle. B, Transverse CT showing fat density (arrows) in prominent effusion around the extensor digitorum longus tendon. Figure . A, Sagittal proton density–weighted image showing hyperintense projections (arrows) in prominent effusion in the suprapatellar pouch. B, Sagittal fat-saturated T1-weighted image showing the fat