Angiomyomatous Hamartoma of Popliteal Lymph Nodes Occurring in Association with Diffuse Pigmented Villonodular Synovitis of Knee.
10.4132/KoreanJPathol.2011.45.S1.S58
- Author:
Hyun Soo KIM
;
Ki Yong NA
;
Jae Hoon LEE
;
Nam Su CHO
;
Gou Young KIM
;
Sung Jig LIM
- Publication Type:Case Report
- Keywords:
Angiomyoma;
Hamartoma;
Popliteal;
Lymph nodes;
Synovitis, pigmented villonodular
- MeSH:
Angiomyoma;
Blood Vessels;
Hamartoma;
Knee;
Lymph Nodes;
Myocytes, Smooth Muscle;
Synovitis, Pigmented Villonodular;
Vascular Diseases
- From:Korean Journal of Pathology
2011;45(Suppl 1):S58-S61
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the first case of an angiomyomatous hamartoma (AH) of the popliteal lymph nodes (LNs) occurring in association with diffuse pigmented villonodular synovitis (PVNS) of the knee. AH is a rare benign vascular disease with a predisposition for the LNs of the inguinal region. Twenty-five cases of AH have been reported to date; however, the precise pathogenesis is still undetermined. In the present case, an open synovectomy revealed two of three popliteal LNs in close proximity to the extra-articular component of diffuse PVNS. These LNs demonstrated irregularly distributed thick-walled blood vessels in the hilum. These vessels extended into the medulla and cortex and were associated with haphazardly arranged smooth muscle cells in the sclerotic stroma. These findings are compatible with an AH. Our observations raise the possibility that AH of the popliteal LNs may represent an abnormal proliferative reaction against the inflammatory process caused by PVNS of the knee.
