Concluded Case

Soft tissue neoplasm(Synovial sarcoma?)of left knee joint

40 yr male came with c/o swelling in rt popliteal area for 8 months.he had h/o trauma 8 months back.initially swelling was 3cm,but recently over 3 months it has attained the present size(14x 10 cm). H/0 mild pain,difficulty in standing,no comorbidities. I advised for MRI of that area(will post after report) Let’s discuss the D/d- traumatic haematoma, bakers cyst, Synovial neoplasm?

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Concluded answer

Mri report came to be synovial sarcoma? with cystic degeneration. Referred to orthopaedic dept

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Swelling increased to present size and h/o trauma before onset of swelling which is more of in calf region rather in popliteal fossa in my opinion it is intramural hematoma as ruptured muscle fibers Simple xray is enough to see it Yes MRI will be most helpful It will need surgical disorganization

Thanx dr Md Altaf Hussain
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Popliteal cyst .. This condition develops when joint fluid leaks out from the joint cavity into the tissues behind the knee. Other causes include infections, bleeding, trauma, and rarely, tumors.. MRI would be conclusive.

? BECKER'S CYST .. ? LIPOMA .. ? UNDERLYING BONE..SOFT TISSUE PATHOLOGY .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH.. X-RAY STUDY .. USG..STUDY .. FNAC..HPE..STUDY .. SURGICAL INTERVENTION WITH BIOPSY STUDY ..

Thank you doctor
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40/M..case of swelling at popliteal fossa. -traumatic history present. -bakers cyst cause degenerative change and also blow to knee joint and if cartilage tear bakers cyst can form too. -tense swelling at popliteal fossa. sos gastrocnemius bursitis-meniscal cyst?? wonderful case.plz update with MRI report sir..

Thanks for ur appreciation Dr Shivraj Agarwal Sir..
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Congratulations! Doctor @Diptanu Deb sir
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Backers cyst Lipoma Fibroma Malignancy Ad Surgical removal Send for HPE

History of trauma 8months back with swelling of,3,cms size and attained the present size of 14 cms , a haematoma would regress over a period , here we have think of either popliteal aneurysm secondary to trauma, or a large baker's cyst, which can be made out US scan, there can be expansile pulsation.

Thank you doctor
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Need evaluation Usg will reveal if it is cystic Otherwise chances soft tissue sarcoma Need xrays Further comments after MRI report

Most probably it is haemotoma , about 15 years back I came across a boy 16 yes age had swelling a firm one at calf nothing came out on aspiration , given small incision lot of haematoma extracted then gush of blood comes out any how pack applied then open Ether anaesthesia given as there was no anaesthetist extending incision upward popliteal artery found perforated we just given two stitch and covered it with bone wax ,drainage put in which was removed on fifth day
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Simply it's Becker's cyst Investigations and surgical treatment

Thanks Dr. Pushker Bhomia, Dr. Pranab Bera, Dr. Diptanu Deb, Dr. Shivraj Agrawal
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Lt calf swelling Usg mri Hypertrophy of muscle Backers cyst Sarcoma

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