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Synovial Chondromatosis of the Hand and Wrist: A 35-Year Retrospective Case Review.

J Hand Surg Asian Pac Vol

January 2025

Auckland Regional Centre for Plastic, Reconstructive and Hand Surgery, Middlemore Hospital, Auckland, New Zealand.

Synovial chondromatosis is a condition that rarely occurs in the hand and wrist. Recurrence and malignant transformation are two potential complications of the disease. We set out to retrospectively review 35 years of practice within our sarcoma and tertiary hand unit and identify recurrence or malignant transformation.

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Article Synopsis
  • - Tenosynovitis with psammomatous calcifications (TPC) is a rare, non-cancerous condition that often affects women and is thought to result from repetitive use or trauma, commonly appearing at sites like the hands, feet, and wrists.
  • - In a study involving 18 new cases, most patients presented with painful masses, and imaging often showed benign characteristics, but many of these cases were misdiagnosed as more serious conditions like gout or tumors.
  • - Follow-up on patients (mostly for around 30 months) showed no local recurrences after surgical removal, highlighting the necessity for greater awareness among medical professionals regarding TPC.
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Neglected knee swelling: A case report of massive synovial chondromatosis.

Int J Surg Case Rep

December 2024

University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunisia; Department of Orthopedic Surgery, Hospital Mongi Slim, La Marsa, Tunisia.

Article Synopsis
  • * A case presented involved a 68-year-old man who underwent surgery to remove a large mass in his knee caused by SC, which was confirmed through histological examination.
  • * Early diagnosis and timely surgical intervention are crucial in managing SC to prevent complications, while vigilance is needed for potential malignant transformation in resistant cases.
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Purpose: Survival of patients with metastatic sarcoma remains poor, and there is a pressing need for new therapies. Most sarcoma subtypes are not responsive to immune checkpoint inhibition alone. Lenvatinib, a multireceptor tyrosine kinase inhibitor targeting tumor vasculature, has an immunomodulatory activity that contributes to its antitumor effects.

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