We report a case of non-Hodgkin’s lymphoma of the knee diagnosed by arthroscopy in an otherwise healthy, active 31-year-old woman. Plain radiographs were unremarkable and magnetic resonance imaging findings indicated the presence of a posterior horn medial meniscal tear. The patient underwent arthroscopy for a planned partial medial meniscectomy. However, on joint visualization, hyperemic hypertrophic synovitis was found. Tissue samples were collected and sent for histopathologic testing that revealed diffuse large B cells. The patient was referred to the oncology department where 2 lesions on her lung were also found. Malignant disease should be in the mindset of the orthopaedic surgeon when a patient presents with constant pain, an unusual history, atypical response to conventional treatment, or a diagnostic dilemma.
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Published online: October 18, 2006
Cite this article as: Mileti J, Mileti L, Kaeding C. Non-Hodgkin’s lymphoma of the knee diagnosed by arthroscopy. Arthroscopy 2007;23:447.e1-447.e4 [doi:10.1016/j.arthro.2006.01.016].
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.