Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
tumor topic hub

Pigmented Villonodular Synovitis (PVNS) / Tenosynovial Giant Cell Tumor (TGCT)

Benign proliferative synovial lesion; localized or diffuse type. Common in knee (80%) and hip; presents with pain, swelling, recurrent effusion. MRI: low-signal intensity on T2 due to hemosiderin deposition. Treatment: synovectomy (arthroscopic/open); recurrence common in diffuse type. Targeted therapy: CSF1R inhibitors (pexidartinib) for unresectable cases.

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Benign proliferative synovial lesion; localized or diffuse type. Common in knee (80%) and hip; presents with pain, swelling, recurrent effusion. MRI: low-signal intensity on T2 due to hemosiderin deposition. Treatment: synovectomy (arthroscopic/open); recurrence common in diffuse type. Targeted therapy: CSF1R inhibitors (pexidartinib) for unresectable cases.
MCQs

High-yield practice questions

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Question 1

What is the most common site affected by diffuse pigmented villonodular synovitis (PVNS)?

Question 2

Which imaging modality is considered the investigation of choice for diagnosing pigmented villonodular synovitis (PVNS)?

Question 3

What histological features are characteristic of pigmented villonodular synovitis (PVNS)?

Question 4

Which of the following statements is true regarding the treatment of diffuse pigmented villonodular synovitis (PVNS)?

Question 5

Which of the following is a common clinical feature of diffuse pigmented villonodular synovitis (PVNS)?

Question 6

What is the typical duration before diagnosis for diffuse pigmented villonodular synovitis (PVNS)?

Question 7

What is the main molecular basis for the development of pigmented villonodular synovitis (PVNS)?

Question 8

Which of the following is a characteristic of localized tenosynovial giant cell tumor (TGCT)?

Question 9

What is the role of CSF1R inhibitors in the management of pigmented villonodular synovitis (PVNS)?

Question 10

What is the typical signal intensity of pigmented villonodular synovitis (PVNS) on T2-weighted MRI sequences?