Spectrum of synovial lesions with a rare case report of lipoma arborescens

Abstract

Context: Synovium is the site for a series of pathologic processes that are characteristic and in some cases specific, to a particular disease. Examination of the synovial biopsies plays a key role in the diagnosis of joint diseases as the disease affecting the joints can have varied clinical presentations. Materials and Methods: We present here the different spectrum of synovial lesions that was diagnosed on synovial biopsy. Results: There were ten cases of synovium and related diseases which includes two cases of Chronic nonspecific synovitis, one case of Septic arthritis, two cases of Tuberculous synovitis, one case of Rheumatoid arthritis, one case of Tenosynovial giant cell tumor of tendon sheath, one case of Synovial lipomatosis, and two cases of Secondary chondromatosis. Conclusion: This series highlights the various spectrums of joint diseases. Synovial biopsy is an important and final tool for definitive diagnosis of joint disorders. Correlation with clinical, radiological, and serological findings helps to arrive at an accurate diagnosis.