Orthonotes
Orthonotes
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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.