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Lipoma Arborescens: A Rare Tumor Of The Knee

o a layer of synovial cells. Enlarged or congested hyperaemic capillaries may be present. High power histological sections show large adipocytes and few other features. The overlying synovial cells may appear enlarged and reactive with abundant eosinophilic cytoplasm.

Medical management with intra-articular injection of radio-active compounds such as Yttrium 90 or steroids may lead to resolution of symptoms in the short to medium term. In the case described above, Yttrium treatment gave relief of symptoms for 2 years before surgical treatment was required. The surgical treatment of lipoma arborescens is complete excision. Formal open synovectomy is held to be curative with only a single case of recurrence having been reported. Open synovectomy does however carry some short-term morbidity. Arthroscopic synovectomy has been described with no recurrence at short durations of follow up.
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