Skip to main content
Erschienen in: Skeletal Radiology 7/2023

09.12.2022 | Case Report

Ewing sarcoma of Hoffa fat pad in the knee: a case report and review of the literature on primary intraarticular sarcomas and Hoffa fat pad masses

verfasst von: Rajendra Kumar, Laura M. Warmke, Wei-Li Wong

Erschienen in: Skeletal Radiology | Ausgabe 7/2023

Einloggen, um Zugang zu erhalten

Abstract

Primary intraarticular sarcomas are rare. We describe a unique case of intraarticular Ewing sarcoma arising in Hoffa fat pad of knee in a woman. The patient was treated successfully with chemotherapy and left knee arthroplasty; however, the tumor recurred after 3 years.
We review the literature on primary intraarticular sarcomas and Hoffa fat pad masses in the knee.
Literatur
1.
Zurück zum Zitat Maheshwari AV, Cheng EY, Ewing sarcoma family of tumors. J Am Acad Orthop Surg. 2010;18:94–107.CrossRefPubMed Maheshwari AV, Cheng EY, Ewing sarcoma family of tumors. J Am Acad Orthop Surg. 2010;18:94–107.CrossRefPubMed
3.
Zurück zum Zitat Husain R, Garcia RA, Huang M, Corcuera-Solano I, Dayan E. Epiphyseal Ewing sarcoma in a skeletally mature patient: a case report and review of the literature. Radiol Case Reports. 2021;16:1191–7.CrossRef Husain R, Garcia RA, Huang M, Corcuera-Solano I, Dayan E. Epiphyseal Ewing sarcoma in a skeletally mature patient: a case report and review of the literature. Radiol Case Reports. 2021;16:1191–7.CrossRef
4.
Zurück zum Zitat Tural D, Mandel NM, Dervisoglu S, Dincbas FO, Koca S, Oksuz DC, et al. Extraskeletal Ewing sarcoma family of tumors in adults: prognostic factors and clinical outcome. Jpn J Clin Oncol. 2012;42:420–6.CrossRefPubMed Tural D, Mandel NM, Dervisoglu S, Dincbas FO, Koca S, Oksuz DC, et al. Extraskeletal Ewing sarcoma family of tumors in adults: prognostic factors and clinical outcome. Jpn J Clin Oncol. 2012;42:420–6.CrossRefPubMed
5.
Zurück zum Zitat Wright A, Desai M, Bolan CW, Badawy M, Guccione J, et al. Extraskeletal Ewing sarcoma from head to toe: multimodality imaging review. Radiographics. 2022;42:1145–60.CrossRefPubMed Wright A, Desai M, Bolan CW, Badawy M, Guccione J, et al. Extraskeletal Ewing sarcoma from head to toe: multimodality imaging review. Radiographics. 2022;42:1145–60.CrossRefPubMed
6.
Zurück zum Zitat Draghi F, Ferrozzi G, Urciuoli L, Bartollotto C, Bianchi S. Hoffa’s fat pad abnormalities and magnetic resonance imaging in daily practice. Insights Imaging. 2016;7:375–83.CrossRef Draghi F, Ferrozzi G, Urciuoli L, Bartollotto C, Bianchi S. Hoffa’s fat pad abnormalities and magnetic resonance imaging in daily practice. Insights Imaging. 2016;7:375–83.CrossRef
7.
Zurück zum Zitat Jacobson JA, Lenchik L, Ruhoy MK, Schweitzer ME, Resnink D. MR imaging of the infrapatellar fat pad of Hoffa. Radiographics. 1997;17:675–91.CrossRefPubMed Jacobson JA, Lenchik L, Ruhoy MK, Schweitzer ME, Resnink D. MR imaging of the infrapatellar fat pad of Hoffa. Radiographics. 1997;17:675–91.CrossRefPubMed
8.
Zurück zum Zitat Helpert C, Davies AM, Evans N, Grimer RJ. Differential diagnosis of tumours and tumour-like lesions of the infrapatellar (Hoffa’s) fat pad: pictorial review with an emphasis on MR imaging. Eur Radiol. 2004;14(12):2337–46.CrossRefPubMed Helpert C, Davies AM, Evans N, Grimer RJ. Differential diagnosis of tumours and tumour-like lesions of the infrapatellar (Hoffa’s) fat pad: pictorial review with an emphasis on MR imaging. Eur Radiol. 2004;14(12):2337–46.CrossRefPubMed
9.
Zurück zum Zitat Rudd A, Pathria MN. Intraarticular neoplasms and masslike lesions of the knee: emphasis on MR imaging. Magnet Res Img Clin N Am. 2022;30:339–50.CrossRef Rudd A, Pathria MN. Intraarticular neoplasms and masslike lesions of the knee: emphasis on MR imaging. Magnet Res Img Clin N Am. 2022;30:339–50.CrossRef
10.
12.
Zurück zum Zitat Sakai H, Tamai K, Iwamoto A, Saotome K. Para-articular chondroma and osteochondroma of the infrapatellar fat pad: a report of three cases. Int Orthop. 1999;23(2):114–7.CrossRefPubMedPubMedCentral Sakai H, Tamai K, Iwamoto A, Saotome K. Para-articular chondroma and osteochondroma of the infrapatellar fat pad: a report of three cases. Int Orthop. 1999;23(2):114–7.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Singh VK, Shah G, Singh PK, Saran D. Extraskeletal ossifying chondroma in Hoffa’s fat pad: an unusual cause of anterior knee pain. Singap Med J. 2009;50:e189–92. Singh VK, Shah G, Singh PK, Saran D. Extraskeletal ossifying chondroma in Hoffa’s fat pad: an unusual cause of anterior knee pain. Singap Med J. 2009;50:e189–92.
14.
Zurück zum Zitat Goyal R, Chopra R, Bhatia N, Goel A, Gupta P. Unusual occurrence of tenosynovial giant cell tumor in Hoffa’s fat pad: a potential differential diagnosis for non-traumatic knee swelling and pain. Cureus. 2020;5:12(7):e9008. https://doi.org/10.7759/cureus.9008. Goyal R, Chopra R, Bhatia N, Goel A, Gupta P. Unusual occurrence of tenosynovial giant cell tumor in Hoffa’s fat pad: a potential differential diagnosis for non-traumatic knee swelling and pain. Cureus. 2020;5:12(7):e9008. https://​doi.​org/​10.​7759/​cureus.​9008.
15.
Zurück zum Zitat Calmet J, Hernandez-Hermoso J, Gine J, Jimeno F. Localized pigmented villonodular synovitis in an unusual location in the knee. Arthroscopy: J Arthroscop Rel Surg. 2003;19:144–9.CrossRef Calmet J, Hernandez-Hermoso J, Gine J, Jimeno F. Localized pigmented villonodular synovitis in an unusual location in the knee. Arthroscopy: J Arthroscop Rel Surg. 2003;19:144–9.CrossRef
17.
Zurück zum Zitat Hur J, Damron TA, Vermont AI, Mathur SC. Fibroma of tendon sheath of the infrapatellar fat pad. Skeletal Radiol. 1999;28:407–10.CrossRefPubMed Hur J, Damron TA, Vermont AI, Mathur SC. Fibroma of tendon sheath of the infrapatellar fat pad. Skeletal Radiol. 1999;28:407–10.CrossRefPubMed
18.
Zurück zum Zitat Tecualt-Gómez R, Atencio-Chan A, Gutiérrez-Salmeán G. Hoffa’s fat pad-associated solitary neurofibroma as the cause of anterior knee pain: a case report. J Orthop Case Reports. 2019;9:28–32.PubMedPubMedCentral Tecualt-Gómez R, Atencio-Chan A, Gutiérrez-Salmeán G. Hoffa’s fat pad-associated solitary neurofibroma as the cause of anterior knee pain: a case report. J Orthop Case Reports. 2019;9:28–32.PubMedPubMedCentral
20.
Zurück zum Zitat Prabhakar S, Dhillon MS, Vasishtha RK, Bali K. Glomus tumor of Hoffa’s fat pad and its management by arthroscopic excision. Clin Orthop Surg. 2013;5:334–7.CrossRefPubMedPubMedCentral Prabhakar S, Dhillon MS, Vasishtha RK, Bali K. Glomus tumor of Hoffa’s fat pad and its management by arthroscopic excision. Clin Orthop Surg. 2013;5:334–7.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Bradley DM, Bergman AG, Dillingham MF. MR imaging of cyclops lesions. AJR Am J Roentgenol. 2000;174(3):719–26. Bradley DM, Bergman AG, Dillingham MF. MR imaging of cyclops lesions. AJR Am J Roentgenol. 2000;174(3):719–26.
23.
Zurück zum Zitat Tang G, Nikitsu M, Iheda K, Endo H, Itai Y. Fibrous scar in the infrapatellar fat pad after arthroscopy. Radiat Med. 2000;18:1–5. Tang G, Nikitsu M, Iheda K, Endo H, Itai Y. Fibrous scar in the infrapatellar fat pad after arthroscopy. Radiat Med. 2000;18:1–5.
25.
Zurück zum Zitat Chebib I, Rosenberg AE, Fletcher CDM, Rosenthal DI, Hornicek FJ, Nielsen GP. Primary intraarticular sarcoma; a clinicopathological study of 15 cases. Histopathol. 2016;69:614–23. Chebib I, Rosenberg AE, Fletcher CDM, Rosenthal DI, Hornicek FJ, Nielsen GP. Primary intraarticular sarcoma; a clinicopathological study of 15 cases. Histopathol. 2016;69:614–23.
26.
Zurück zum Zitat Nottrott M, Streitburger A, Gosheger G, Guder W, Hauschild G, et al. Intra-articular soft-tissue sarcoma of the knee: is extra-articular resection and tumor endoprosthetic reconstruction the solution? A retrospective report on eight cases. J Ortho Rev (Pavia). 2019;10:7764. https://doi.org/10.4081/or.20197764. Nottrott M, Streitburger A, Gosheger G, Guder W, Hauschild G, et al. Intra-articular soft-tissue sarcoma of the knee: is extra-articular resection and tumor endoprosthetic reconstruction the solution? A retrospective report on eight cases. J Ortho Rev (Pavia). 2019;10:7764. https://​doi.​org/​10.​4081/​or.​20197764.
28.
Zurück zum Zitat Kumar R, Lefkowitz RA. Myxoinflammatory fibroblastic sarcoma: clinical, imaging, management, and outcome in 29 cases. JCAT. 2017;41:104–15. Kumar R, Lefkowitz RA. Myxoinflammatory fibroblastic sarcoma: clinical, imaging, management, and outcome in 29 cases. JCAT. 2017;41:104–15.
29.
Zurück zum Zitat Herzog J, Miles J, Skinner JA. Primary sarcoma of the anterior cruciate ligament—a case report. Knee. 2012;19:69–71.CrossRefPubMed Herzog J, Miles J, Skinner JA. Primary sarcoma of the anterior cruciate ligament—a case report. Knee. 2012;19:69–71.CrossRefPubMed
30.
Zurück zum Zitat Shaerf DA, Mann B, Alorjani M, Aston W, Saiffudin A. High-grade intraarticular liposarcoma of the knee. Skeletal Radiol. 2011;40:363–5. Shaerf DA, Mann B, Alorjani M, Aston W, Saiffudin A. High-grade intraarticular liposarcoma of the knee. Skeletal Radiol. 2011;40:363–5.
31.
Zurück zum Zitat Bhamra JS, Alorjani M, Skinner JA, Saifuddin A. Intraarticular extraskeletal myxoid chondrosarcoma of the ankle. Skeletal Radiol. 2012;41:1017–20.CrossRefPubMed Bhamra JS, Alorjani M, Skinner JA, Saifuddin A. Intraarticular extraskeletal myxoid chondrosarcoma of the ankle. Skeletal Radiol. 2012;41:1017–20.CrossRefPubMed
32.
Zurück zum Zitat Yoon HJ, Cho YA, Lee JI, Hong SP, Hong SD. Malignant pigmented villonodular synovitis of the temporomandibular joint with lung metastases; a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111:30–6.CrossRef Yoon HJ, Cho YA, Lee JI, Hong SP, Hong SD. Malignant pigmented villonodular synovitis of the temporomandibular joint with lung metastases; a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111:30–6.CrossRef
34.
35.
Zurück zum Zitat Sirveaux F, Humer N, Roche O, Rios M, Vignaud JM. Mole D (2005) Pleomorphic malignant fibrous histiocytoma at the site of an arthroscopic reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am. 2005;87:404–9. Sirveaux F, Humer N, Roche O, Rios M, Vignaud JM. Mole D (2005) Pleomorphic malignant fibrous histiocytoma at the site of an arthroscopic reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am. 2005;87:404–9.
36.
Zurück zum Zitat Campanacci DA, Matera D, Franchi A, Capanna R. Synovial chondrosarcoma of the hip: report of two cases and literature review. Chir Organi Mov. 2008;92:139–44.CrossRefPubMed Campanacci DA, Matera D, Franchi A, Capanna R. Synovial chondrosarcoma of the hip: report of two cases and literature review. Chir Organi Mov. 2008;92:139–44.CrossRefPubMed
37.
Zurück zum Zitat Lundy DW, Aboulafia AJ, Otis JB, Fuller TR, Ogden JA. Myxoid liposarcoma of the retropatellar fat pad. Am J Orthop. 1997;26:287–9.PubMed Lundy DW, Aboulafia AJ, Otis JB, Fuller TR, Ogden JA. Myxoid liposarcoma of the retropatellar fat pad. Am J Orthop. 1997;26:287–9.PubMed
38.
Zurück zum Zitat Neumann J, Gersing AS, Barth TF, Boxberg M, Woertler K. Intraarticular extra-axial chordoma of the wrist: a case report with review of the current literature. Skeletal Radiol. 2019;48:2015–20.CrossRefPubMed Neumann J, Gersing AS, Barth TF, Boxberg M, Woertler K. Intraarticular extra-axial chordoma of the wrist: a case report with review of the current literature. Skeletal Radiol. 2019;48:2015–20.CrossRefPubMed
39.
Zurück zum Zitat Bukawa H, Kawabata A, Murano A, Ono K, Ogawara K, et al. Monophasic epithelial synovial sarcoma arising in the temporomandibular joint. Int J Oral Maxillaofas Surg. 2007;36:762–5.CrossRef Bukawa H, Kawabata A, Murano A, Ono K, Ogawara K, et al. Monophasic epithelial synovial sarcoma arising in the temporomandibular joint. Int J Oral Maxillaofas Surg. 2007;36:762–5.CrossRef
40.
Zurück zum Zitat McConnell M, Kumar R, Amini B, Lin P, Wang W-L. Calcified intraarticular synovial metastasis of the knee from renal cell carcinoma. Skeletal Radiol. 2017;46:123–7.CrossRefPubMed McConnell M, Kumar R, Amini B, Lin P, Wang W-L. Calcified intraarticular synovial metastasis of the knee from renal cell carcinoma. Skeletal Radiol. 2017;46:123–7.CrossRefPubMed
41.
Zurück zum Zitat Kennedy JC, Alexander IJ, Hayes KC. Nerve supply of the knee joint and its functional importance. Am J Sports Med. 1982;10:329–35.CrossRefPubMed Kennedy JC, Alexander IJ, Hayes KC. Nerve supply of the knee joint and its functional importance. Am J Sports Med. 1982;10:329–35.CrossRefPubMed
42.
Zurück zum Zitat Dean BJF, Reed DW, Matthews JJ, Pandit H, McNally E, Athanasou NA, Gibbons CLMH. The management of solitary tumours of Hoffa’s fat pad. Knee. 2011;18:67–70.CrossRefPubMed Dean BJF, Reed DW, Matthews JJ, Pandit H, McNally E, Athanasou NA, Gibbons CLMH. The management of solitary tumours of Hoffa’s fat pad. Knee. 2011;18:67–70.CrossRefPubMed
43.
Zurück zum Zitat Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses RadoGraphics 2005;25:105–19 Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses RadoGraphics 2005;25:105–19
45.
Zurück zum Zitat Applebaum MA, Goldsby R, Neuhaus J, DuBois SG. Clinical features and outcomes in patients with Ewing sarcoma and regional node involvement. Paedtr Blood Cancer. 2012;59:617–20.CrossRef Applebaum MA, Goldsby R, Neuhaus J, DuBois SG. Clinical features and outcomes in patients with Ewing sarcoma and regional node involvement. Paedtr Blood Cancer. 2012;59:617–20.CrossRef
46.
Zurück zum Zitat Gottumukkala RV, Gee MS, Hampilos PJ, Greer M-L. Current and emerging roles of whole-body MRI in evaluation of pediatric cancer patients. Radiographics. 2019;39:516–34.CrossRefPubMed Gottumukkala RV, Gee MS, Hampilos PJ, Greer M-L. Current and emerging roles of whole-body MRI in evaluation of pediatric cancer patients. Radiographics. 2019;39:516–34.CrossRefPubMed
Metadaten
Titel
Ewing sarcoma of Hoffa fat pad in the knee: a case report and review of the literature on primary intraarticular sarcomas and Hoffa fat pad masses
verfasst von
Rajendra Kumar
Laura M. Warmke
Wei-Li Wong
Publikationsdatum
09.12.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 7/2023
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-022-04239-7

Weitere Artikel der Ausgabe 7/2023

Skeletal Radiology 7/2023 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.