Hoffa’s fat pad tumours: What do we know about them?
Purpose We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature. Methods We performed a retrospe...
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Veröffentlicht in: | International orthopaedics 2013-11, Vol.37 (11), p.2225-2229 |
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description | Purpose
We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature.
Methods
We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up.
Results
The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % (
n
= 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 %
n
= 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old.
Conclusions
Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population. |
doi_str_mv | 10.1007/s00264-013-2041-z |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3824884</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1446873947</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</originalsourceid><addsrcrecordid>eNp9kEtOAzEMhiMEgvI4ABs0SzYDcZJmMixAqOIlIbEBsYzSxKGFzqRMZkCw4hpcj5OQqqWCDd5Ysn__tj9CdoEeAKXFYaSUSZFT4DmjAvL3FdIDwVneh7K_SnqUpyKTZX-DbMb4SCkUUsE62WCCplCqR-Rl8N58fXzGzJs2mxqXtV0VuiYeZfejVHEhe8XsqQ6vmRmGrs3aEVYn22TNm0nEnUXeInfnZ7eDy_z65uJqcHqdWyFYmwvqzRBsgQ5QIrcODSjXhyEtpaXI0Rtw0nkulGAMHJTcg0ebfpClpQXfIsdz32k3rNBZrNvGTPS0GVemedPBjPXfTj0e6YfworliQimRDPYXBk147jC2uhpHi5OJqTF0UYMQUhW8FLNdMJfaJsTYoF-uAapnvPWct0689Yy3fk8ze7_vW078AE4CNhfE1KofsNGPCW6dmP3j-g0-7Iyn</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1446873947</pqid></control><display><type>article</type><title>Hoffa’s fat pad tumours: What do we know about them?</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Albergo, Jose I. ; Gaston, Czar Louie L. ; Davies, Mark ; Abudu, Adesegun T. ; Carter, Simon R. ; Jeys, Lee M. ; Tillman, Roger M. ; Grimer, Robert J.</creator><creatorcontrib>Albergo, Jose I. ; Gaston, Czar Louie L. ; Davies, Mark ; Abudu, Adesegun T. ; Carter, Simon R. ; Jeys, Lee M. ; Tillman, Roger M. ; Grimer, Robert J.</creatorcontrib><description>Purpose
We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature.
Methods
We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up.
Results
The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % (
n
= 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 %
n
= 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old.
Conclusions
Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-2041-z</identifier><identifier>PMID: 24000088</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adipose Tissue - surgery ; Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Lipoma - diagnosis ; Lipoma - epidemiology ; Lipoma - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedic Procedures ; Orthopedics ; Prevalence ; Prospective Studies ; Radiography ; Retrospective Studies ; Sarcoma, Synovial - diagnosis ; Sarcoma, Synovial - epidemiology ; Sarcoma, Synovial - surgery ; Soft Tissue Neoplasms - diagnosis ; Soft Tissue Neoplasms - epidemiology ; Soft Tissue Neoplasms - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>International orthopaedics, 2013-11, Vol.37 (11), p.2225-2229</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</citedby><cites>FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824884/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824884/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24000088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albergo, Jose I.</creatorcontrib><creatorcontrib>Gaston, Czar Louie L.</creatorcontrib><creatorcontrib>Davies, Mark</creatorcontrib><creatorcontrib>Abudu, Adesegun T.</creatorcontrib><creatorcontrib>Carter, Simon R.</creatorcontrib><creatorcontrib>Jeys, Lee M.</creatorcontrib><creatorcontrib>Tillman, Roger M.</creatorcontrib><creatorcontrib>Grimer, Robert J.</creatorcontrib><title>Hoffa’s fat pad tumours: What do we know about them?</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature.
Methods
We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up.
Results
The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % (
n
= 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 %
n
= 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old.
Conclusions
Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.</description><subject>Adipose Tissue - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Lipoma - diagnosis</subject><subject>Lipoma - epidemiology</subject><subject>Lipoma - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedic Procedures</subject><subject>Orthopedics</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Sarcoma, Synovial - diagnosis</subject><subject>Sarcoma, Synovial - epidemiology</subject><subject>Sarcoma, Synovial - surgery</subject><subject>Soft Tissue Neoplasms - diagnosis</subject><subject>Soft Tissue Neoplasms - epidemiology</subject><subject>Soft Tissue Neoplasms - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtOAzEMhiMEgvI4ABs0SzYDcZJmMixAqOIlIbEBsYzSxKGFzqRMZkCw4hpcj5OQqqWCDd5Ysn__tj9CdoEeAKXFYaSUSZFT4DmjAvL3FdIDwVneh7K_SnqUpyKTZX-DbMb4SCkUUsE62WCCplCqR-Rl8N58fXzGzJs2mxqXtV0VuiYeZfejVHEhe8XsqQ6vmRmGrs3aEVYn22TNm0nEnUXeInfnZ7eDy_z65uJqcHqdWyFYmwvqzRBsgQ5QIrcODSjXhyEtpaXI0Rtw0nkulGAMHJTcg0ebfpClpQXfIsdz32k3rNBZrNvGTPS0GVemedPBjPXfTj0e6YfworliQimRDPYXBk147jC2uhpHi5OJqTF0UYMQUhW8FLNdMJfaJsTYoF-uAapnvPWct0689Yy3fk8ze7_vW078AE4CNhfE1KofsNGPCW6dmP3j-g0-7Iyn</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Albergo, Jose I.</creator><creator>Gaston, Czar Louie L.</creator><creator>Davies, Mark</creator><creator>Abudu, Adesegun T.</creator><creator>Carter, Simon R.</creator><creator>Jeys, Lee M.</creator><creator>Tillman, Roger M.</creator><creator>Grimer, Robert J.</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Hoffa’s fat pad tumours: What do we know about them?</title><author>Albergo, Jose I. ; Gaston, Czar Louie L. ; Davies, Mark ; Abudu, Adesegun T. ; Carter, Simon R. ; Jeys, Lee M. ; Tillman, Roger M. ; Grimer, Robert J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adipose Tissue - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Lipoma - diagnosis</topic><topic>Lipoma - epidemiology</topic><topic>Lipoma - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedic Procedures</topic><topic>Orthopedics</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Sarcoma, Synovial - diagnosis</topic><topic>Sarcoma, Synovial - epidemiology</topic><topic>Sarcoma, Synovial - surgery</topic><topic>Soft Tissue Neoplasms - diagnosis</topic><topic>Soft Tissue Neoplasms - epidemiology</topic><topic>Soft Tissue Neoplasms - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albergo, Jose I.</creatorcontrib><creatorcontrib>Gaston, Czar Louie L.</creatorcontrib><creatorcontrib>Davies, Mark</creatorcontrib><creatorcontrib>Abudu, Adesegun T.</creatorcontrib><creatorcontrib>Carter, Simon R.</creatorcontrib><creatorcontrib>Jeys, Lee M.</creatorcontrib><creatorcontrib>Tillman, Roger M.</creatorcontrib><creatorcontrib>Grimer, Robert J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albergo, Jose I.</au><au>Gaston, Czar Louie L.</au><au>Davies, Mark</au><au>Abudu, Adesegun T.</au><au>Carter, Simon R.</au><au>Jeys, Lee M.</au><au>Tillman, Roger M.</au><au>Grimer, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hoffa’s fat pad tumours: What do we know about them?</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>37</volume><issue>11</issue><spage>2225</spage><epage>2229</epage><pages>2225-2229</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature.
Methods
We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up.
Results
The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % (
n
= 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 %
n
= 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old.
Conclusions
Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24000088</pmid><doi>10.1007/s00264-013-2041-z</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Adipose Tissue - surgery Adolescent Adult Child Child, Preschool Female Follow-Up Studies Humans Knee Joint - diagnostic imaging Knee Joint - surgery Lipoma - diagnosis Lipoma - epidemiology Lipoma - surgery Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedic Procedures Orthopedics Prevalence Prospective Studies Radiography Retrospective Studies Sarcoma, Synovial - diagnosis Sarcoma, Synovial - epidemiology Sarcoma, Synovial - surgery Soft Tissue Neoplasms - diagnosis Soft Tissue Neoplasms - epidemiology Soft Tissue Neoplasms - surgery Treatment Outcome Young Adult |
title | Hoffa’s fat pad tumours: What do we know about them? |
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