Pigmented villonodular synovitis of the distal radioulnar joint.
METHODS
A 32-year-old female patient underwent surgical synovectomy in the right distal radioulnar joint because of local recurrence of pigmented villonodular synovitis (PVNS) after previous surgery. 7 weeks after her second surgery she received fractionated radiation therapy (RT) to a total dose of 36.0 Gy given in five weekly fractions of 2.0 Gy. Apart from a mild skin erythema the patient had no early morbidity related to the use of RT. After a follow-up of 36 months no local recurrence was detected.


CONCLUSIONS
In accordance with literature data the hitherto course of the presented case corroborates that RT is a safe and effective treatment option for the prevention of PVNS recurrence.
Tselis
Nikolaos
N
Strahlenklinik Klinikum Offenbach, Starkenburgring 66, 63069 Offenbach am Main, Germany. ntselis@hotmail.com
Heyd
Reinhard
R
Zamboglou
Nikolaos
N
D000328:Adult; D003131:Combined Modality Therapy; D019583:Dose Fractionation, Radiation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D011182:Postoperative Care; D011879:Radiotherapy Dosage; D012008:Recurrence; D000074402:Synovectomy; D013586:Synovitis, Pigmented Villonodular / Q000175:diagnosis / Q000532:radiotherapy* / Q000601:surgery; D013997:Time Factors; D014955:Wrist Joint / Q000601:surgery