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Clin Sarcoma Res. 2015 Jun 06;5:15. doi: 10.1186/s13569-015-0030-2. eCollection 2015.

Metastasizing tenosynovial giant cell tumour, diffuse type/pigmented villonodular synovitis.

Clinical sarcoma research

A Righi, M Gambarotti, M Sbaraglia, T Frisoni, D Donati, D Vanel, A P Dei Tos

Affiliations

  1. Department of Pathology, Istituto Ortopedico Rizzoli, Via del Barbiano 1/10, 40136 Bologna, Italy.
  2. Department of Pathology, Treviso Regional Hospital, Treviso, Italy.
  3. Oncologic Department, Rizzoli Orthopaedic Institute, Bologna, Italy.
  4. Department of Pathology, Istituto Ortopedico Rizzoli, Via del Barbiano 1/10, 40136 Bologna, Italy ; Department of Pathology, Treviso Regional Hospital, Treviso, Italy.

PMID: 26052431 PMCID: PMC4458002 DOI: 10.1186/s13569-015-0030-2

Abstract

Tenosynovial giant cell tumour, diffuse type, also known under a variety of other terms including diffuse pigmented villonodular synovitis, tends to be locally aggressive and not infrequently can show multiple recurrences. The differential diagnosis with the extremely rare and somewhat controversial malignant variant of tenosynovial giant cell tumour, diffuse type, is challenging due to overlapping radiologic features of these two entities. Malignant tenosynovial giant cell tumour is defined by the presence of overtly malignant sarcomatous areas. We describe a very unusual case of a 63-year-old man affected by tenosynovial giant cell tumour, diffuse type of the knee that, despite absence of morphologic evidence of sarcomatous transformation, developed inguinal lymph node metastases following multiple surgical procedures.

Keywords: Diffuse type; Lymph node; Metastases; Tenosynovial giant cell tumor

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