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Pigmented villonodular synovitis of the foot and ankle.
Brien, Earl W; Sacoman, Damen M; Mirra, Joseph M.
Afiliación
  • Brien EW; Orthopaedic Hospital, 2400 S. Flower Street, Suite 523, Los Angeles, CA 90013, USA.
Foot Ankle Int ; 25(12): 908-13, 2004 Dec.
Article en En | MEDLINE | ID: mdl-15680105
BACKGROUND: Pigmented villonodular synovitis (PVNS) is a rare disease of uncertain etiology usually affecting the synovium of weightbearing joints. METHODS: We retrospectively evaluated 11 patients who were diagnosed and treated for PVNS of the ankle and foot over a 13-year period with a minimum of 2-year followup. Four patients with ankle joint PVNS and one patient with PVNS of the fifth metatarsophalangeal joint were seen initially at our institution and were treated with surgery alone. Six patients with ankle joint PVNS were referred to our institution for recurrent PVNS lesions; two of these patients were treated with excision alone, and the other four patients had surgical excision followed by radiation therapy with dosages ranging from 3600-4000 cGy. RESULTS: No recurrence was noted at a mean followup of 9 years for primary lesions and 3.5 years for recurrent lesions. CONCLUSION: Based on these results, surgical excision of primary lesions and excision with postoperative radiation for recurrent lesions are recommended.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinovitis Pigmentada Vellonodular / Articulaciones del Pie / Articulación del Tobillo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2004 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sinovitis Pigmentada Vellonodular / Articulaciones del Pie / Articulación del Tobillo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Int Asunto de la revista: ORTOPEDIA Año: 2004 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos