Synovial Tumors

  • J. W. M. Van Goethem
  • M. Shahabpour

Abstract

The synovium forms the lining of joints, tendons, and bursae. Cells of the synovial membrane regulate the exchange of substances between blood and synovial fluid, and they synthesize hyaluronate, which is a major component of the synovial fluid [3]. There are considerable differences in the appearance of the synovial membrane, depending on local mechanical factors and the nature of the underlying tissue. For instance, in high-pressure joints the synovium is flat and acellular whereas in other joints it resembles cuboidal or columnar epithelium [39].

Keywords

Arthritis Foam Mold Sarcoma Arena 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Atmore WG, Dahlin DC, Ghormley RK (1956) Pigmented villonodular synovitis: a clinical and pathologic study. Minn Med 39: 196PubMedGoogle Scholar
  2. 2.
    Azouz EM, Kozlowski K, Masel J (1989) Soft tissue tumors of the hand and wrist in children. Can Assoc Radiol J 40: 251–255PubMedGoogle Scholar
  3. 3.
    Barland P, Novokoff AB, Hamerman D (1962) Electron microscopy of the human synovial membrane. J Cell Biol 14: 207PubMedCrossRefGoogle Scholar
  4. 4.
    Berquist TH, Ehman RL, King BF (1990) Value of MR imaging in differentiating benign from malignant soft-tissue masses: study of 95 lesions. Am J Roentgenol 155: 1251–1255Google Scholar
  5. 5.
    Bernreuter WK (1990) Magnetic resonance imaging of synovial sarcoma. J Foot Surg 29: 94–100PubMedGoogle Scholar
  6. 6.
    Breimer CW, Freiberger RH (1958) Bone lesions associated with villonodular synovitis. Am J Roentgenol 79: 618–629Google Scholar
  7. 7.
    Buck P (1981) Synovial sarcoma: a review of 33 cases. Clin Orthop 156: 211–215PubMedGoogle Scholar
  8. 8.
    Burk DL, Dalinka MK, Kanal E, Schiebler ML, Cohen EK, Prorok RJ, Gefter WB, Kressel HY (1988) Meniscal and ganglion cysts of the knee: MR evaluation. Am J Roentgenol 150: 331–336Google Scholar
  9. 9.
    Byers PD, Cotton RE, Deacon OW, Lowy M, Newman PH, Sissons HA, Thomson AD (1968) The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br 50: 290–305PubMedGoogle Scholar
  10. 10.
    Cadman NL, Soule EH, Kelly PJ (1965) Synovial sarcoma: an analysis of 134 tumors. Cancer 18: 613–627PubMedCrossRefGoogle Scholar
  11. 11.
    Carrillo R, El Naggar AK, Rodriguez-Peralto JL, Batsakis JG (1992) Synovial sarcoma of the tongue: case report and review of the literature. J Oral Maxillofac Surg 50: 904–906PubMedCrossRefGoogle Scholar
  12. 12.
    Carstens PHB, Howell RS (1979) Malignant giant cell tumor of tendon sheath. Virchows Arch A Pathol Anat Histopathol 382: 237CrossRefGoogle Scholar
  13. 13.
    Crim JR, Seeger LL, Yao L, Chandnani V, Eckardt JJ (1992) Diagnosis of soft-tissue masses with MR imaging: can benign masses be differentiated from malignant ones? Radiology 185: 581–586PubMedGoogle Scholar
  14. 14.
    Crosby EB, Inglis A, Bullough PG (1977) Multiple joint involvement with pigmented villonodular synovitis. Radiology 122: 671PubMedGoogle Scholar
  15. 15.
    De Schepper AM, Degryse HR, Ramon FA, Van Marck EA (1992) Extraabdominal desmoid tumors. J Belge Radiol 75: 91–98PubMedGoogle Scholar
  16. 16.
    De Schepper AMA, Ramon F (eds) (1993) Medical imaging of soft tissue tumors. Schering AG, BerlinGoogle Scholar
  17. 17.
    Docken WP (1979) Pigmented villonodular synovitis: a review with illustrative case reports. Semin Arthritis Rheum 9: 1–22PubMedCrossRefGoogle Scholar
  18. 18.
    Enzinger FM (1965) Recent trends in soft tissue pathology. In: Enzinger FM (ed) Tumors of bone and soft tissue. Eigth Annual Clinical Conference on Cancer. Year Book Medical Publishers, Chicago, 315–332Google Scholar
  19. 19.
    Enzinger FM, Weiss SW (1995) Synovial sarcoma. In: Enzinger FM, Weiss SW (eds) Soft tissue tumors, 3rd edn. St Louis, Mosby, 735–786Google Scholar
  20. 20.
    Feldman F, Simpson RD, Staron RB (1989) Magnetic resonance imaging of para-articular and ectopic ganglia. Skeletal Radiol 18: 353–358PubMedCrossRefGoogle Scholar
  21. 21.
    Fletcher AG, Horn RC (1951) Giant cell tumors of tendon sheath origin. Ann Surg 133: 374PubMedCrossRefGoogle Scholar
  22. 22.
    Gomori JM, Frossman RJ, Goldberg HI, Zimmerman RA, Bilaniuk LT (1985) Intracranial hematomas: imaging by high field magnetic resonance. Radiology 157: 87–93PubMedGoogle Scholar
  23. 23.
    Hampole MK, Jackson BA (1968) Analysis of 25 cases of malignant synovioma. Can Med Assoc J 99: 1025Google Scholar
  24. 24.
    Hermann G, Abdelwahab IF, Miller TT (1992) Tumour and tumour-like conditions of the soft tissue: magnetic resonance imaging features differentiating benign from malignant masses. Br J Radiol 65: 14–20PubMedCrossRefGoogle Scholar
  25. 25.
    Hoaglund FT (1967) Experimental hemarthrosis. The response of canine knees to injection of autologous blood. J Bone Joint Surg Am 49: 285PubMedGoogle Scholar
  26. 26.
    Horowitz AL, Resnick D, Watson RC (1973) The roentgen features of synovial sarcoma. Clin Radiol 24: 481PubMedCrossRefGoogle Scholar
  27. 27.
    Jaffe HL, Lichtenstein L, Sutro Cl (1941) Pigmented villonodular synovitis, bursitis, and tenosynovitis: a discussion of the synovial and bursal equivalents of the tenosynovial lesions commonly denoted as xanthoma, xanthogranuloma, giant cell tumor or myeloplaxoma of the tendon sheath, with some consideration of the tendon sheath lesion itself. Arch Pathol 31: 731Google Scholar
  28. 28.
    Jelinek JS, Kransdorf MJ, Utz JA, Berrey BH, Thomson JD, Heekin RD, Radowich MS (1989) Imaging of pigmented villonodular synovitis with emphasis on MR imaging. Am J Roentgenol 152: 337–342Google Scholar
  29. 29.
    Jergesen HE, Mankin HJ, Schiller AL (1978) Diffuse pigmented villonodular synovitis of the knee mimicking primary bone neoplasm. J Bone Joint Surg Am 60: 825–829PubMedGoogle Scholar
  30. 30.
    Jones BC, Sundaram M, Kransdorf MJ (1993) Synovial sarcoma: MR imaging findings in 34 patients. Am J Roentgenol 161: 827–830Google Scholar
  31. 31.
    Jones FE, Soule EH, Coventry MB (1969) Fibrous histiocytoma of synovium (giant cell tumor of tendon sheath, pigmented nodular synovitis). A study of 118 cases. J Bone Joint Surg Am 51: 76PubMedGoogle Scholar
  32. 32.
    Kaplan PA, Williams SM (1987) Mucocutaneous and peripheral soft-tissue hemangiomas: MR imaging. Radiology 163: 163–166Google Scholar
  33. 33.
    Khan S, Neumann CH, Steinbach LS, Harrington KD (1995) MRI of giant cell tumor of tendon sheath of the hand: a report of three cases. Eur Radiol 5: 467–470CrossRefGoogle Scholar
  34. 34.
    Kim EE, Cho JS, Salem P, Ro JY, Mountain CF (1993) Mediastinal synovial sarcoma. Cancer Bull 45: 370–372Google Scholar
  35. 35.
    Kindblom LG, Gunterberg G (1978) Pigmented villonodular synovitis involving bone. Case report. J Bone Joint Surg Am 60: 830–832Google Scholar
  36. 36.
    Knox LC (1936) Synovial sarcoma: report of three cases. Am J Cancer 28: 461Google Scholar
  37. 37.
    Kottal RA, Vogler JB, Matamoras A, Alexander AH, Cookson JL (1987) Pigmented villonodular synovitis: a report of magnetic resonance imaging in two cases. Radiology 163: 551–553PubMedGoogle Scholar
  38. 38.
    Lee KR, Cox GG, Neff JR (1987) Cystic masses of the knee: arthrographic and CT evaluation. Am J Roentgenol 148: 329–334Google Scholar
  39. 39.
    Lever JD, Ford EHR (1958) Histological, histochemical and electron microscopic observations on synovial membrane. Anat Rec 132: 525PubMedCrossRefGoogle Scholar
  40. 40.
    Lieberman JM, Yulish BS, Bryan PJ (1992) Magnetic resonance imaging of ruptured Baker’s cyst. J Can Assoc Radiol 39: 295Google Scholar
  41. 41.
    Lois JF, Fisher HJ, Mirra JM (1986) Angiography of histopathologic variants of synovial sarcoma. Acta Radiologic Diagn 27: 449Google Scholar
  42. 42.
    McEvedy BV (1962) Simple ganglia. Br J Surg 218: 585–594CrossRefGoogle Scholar
  43. 43.
    Milchgrub S, Ghandur-Mnaymneh L, Dorfman HD (1993) Synovial sarcoma with extensive osteoid and bone formation. Am J Surg Pathol 17: 357PubMedCrossRefGoogle Scholar
  44. 44.
    Morland B, Cox G, Randall C, Ramsay A, Radford M (1994) Synovial sarcoma of the larynx in a child: case report and histological appearances. Med Pediatr On-col 23: 64–68CrossRefGoogle Scholar
  45. 45.
    Morton MJ, Berquist TH, McLeod RA, Unni KK, Sim FH (1991) MR imaging of synovial sarcoma. Am J Roentgenol 156: 337–340Google Scholar
  46. 46.
    Myers BW, Masi A (1980) Pigmented villonodular synovitis and tenosynovitis: a clinical epidemiologic study of 166 cases and literature review. Medicine 59: 223–238PubMedCrossRefGoogle Scholar
  47. 47.
    Nogel P, Mockwitz J (1973) Angiographische Befunde bei einem Synovialsarkom. Fortschr Röntgenstr 118: 219CrossRefGoogle Scholar
  48. 48.
    O’Keeffe LJ, Ramsden RT, Birzgalis AR (1993) Primary synovial sarcoma of the middle ear. J Laryngol Otol 107: 1070–1072PubMedGoogle Scholar
  49. 49.
    Potter DA (1986) High-grade soft tissue sarcomas of the extremities. Cancer 58: 190–205PubMedCrossRefGoogle Scholar
  50. 50.
    Pulpeiro JR, Cruz R, Arenas A, Perez-Espejo G (1988) Para-esophageal synovial sarcoma. Eur J Radiol 8: 120–121PubMedGoogle Scholar
  51. 51.
    Schmidt D, Mackay B (1982) Ultrastructure of human tendon sheath and synovium: implication for tumor histogenesis. Ultrastruct Pathol 3: 269PubMedCrossRefGoogle Scholar
  52. 52.
    Schuldt DR, Wolfe RD (1980) Clinical and arthrographic findings in meniscal cysts. Radiology 134: 49–52PubMedGoogle Scholar
  53. 53.
    Shaw GR, Lais CJ (1993) Fatal intravascular synovial sarcoma in a 31-year-old woman. Hum Pathol 24: 809–810PubMedCrossRefGoogle Scholar
  54. 54.
    Sigal R, Chancelier M, Luboinski B, Shapeero LG, Bosq J, Vanel D (1992) Synovial sarcomas of the head and neck: CT and MR findings. Am J Neuroradiol 13: 1459–1462Google Scholar
  55. 55.
    Spitzer CE, Dalinka MK, Kressel HY (1987) Magnetic resonance imaging of pigmented villonodular synovitis: report of two cases. Skeletal Radiol 16: 316–319CrossRefGoogle Scholar
  56. 56.
    Steinbach LS, Neumann CH, Stoller DW, Mills CM, Crues JV, Lipman JK, Helms CA, Genant HK (1989) MRI of the knee in diffuse pigmented villonodular synovitis. Clin Imaging 13: 305–316PubMedCrossRefGoogle Scholar
  57. 57.
    Strickland B, Mackenzie DH (1959) Bone involvement in synovial sarcoma. J Fac Radiologists (London) 10: 64CrossRefGoogle Scholar
  58. 58.
    Tsai JC, Dalinka MK, Fallon MD, Zlatkin MB, Kressel HY (1990) Fluid-fluid level: a nonspecific finding in tumors of bone and soft tissue. Radiology 175: 779–782PubMedGoogle Scholar
  59. 59.
    Tsuneyoshi M, Yokoyama K, Enjoji M (1982) Synovial sarcoma: a clinicopathologic and ultrastructural study of 42 cases. Acta Pathol Jpn 33: 101Google Scholar
  60. 60.
    Varela-Duran J, Enzinger FM (1982) Calcifying synovial sarcoma. Cancer 50: 345PubMedCrossRefGoogle Scholar
  61. 61.
    Wright CJE (1951) Benign giant cell synovioma. Br J Surg 38: 257PubMedCrossRefGoogle Scholar
  62. 62.
    Yanklowitz BA (1978) Giant cell tumor of tendon sheath: a literature review and case report. J Am Pediat Assoc 68: 706–711Google Scholar
  63. 63.
    Young JM, Hudacek AG (1954) Experimental production of pigmented villonodular synovitis in dogs. Am J Pathol 30: 799PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • J. W. M. Van Goethem
  • M. Shahabpour

There are no affiliations available

Personalised recommendations