Case Report
Volume: 4 | Issue: 1 | Published: Jan 01, 1970 | Pages: 32 - 34 | DOI: 10.24911/ejmcr/173-1561458342
Synovial lipoma of knee joint in an adolescent female: a rare case report
Authors: Purnima Singh , Shabnam Izhar , Kusum Gupta
Article Info
Authors
Purnima Singh
Junior Resident III, Department of Pathology, Vivekananda Polyclinic Institute of Medical Science, Lucknow, India
Shabnam Izhar
Senior Consultant, Department of Pathology, Vivekananda Polyclinic Institute of Medical Science, Lucknow, India
Kusum Gupta
Junior Resident II, Department of Pathology, Vivekananda Polyclinic Institute of Medical Science, Lucknow, India
Publication History
Received: June 27, 2019
Accepted: December 10, 2019
Published: January 01, 1970
Abstract
Background: Synovial lipoma is a rare entity and needs high index of suspicion for accurate diagnosis. It is a condition that needs early intervention to prevent progressive joint effusion and degeneration. Case Presentation: This case report describes an adolescent patient with a rare unilateral presentation of synovial lipoma. A 17-year-old female presented with pain and swelling in her left knee from past 2 years. X-ray findings of left knee showed a soft tissue shadow. Left knee synovectomy was performed due to progression of disease. Grossly a single, yellowish, fatty soft tissue piece was received. Histologically, lesion chiefly consists of proliferating mature fat infiltrating the hypertrophic synovial villi. Conclusion: Based on histopathological findings, a diagnosis of synovial lipoma was established. In given clinical scenario, synovial lipoma may be included in differential diagnosis of refractory chronic joint effusion and knee pain with otherwise negative workup.
Keywords: Synovial lipoma, proliferating mature fat, knee pain, case report, adolescent, green
