Large B cell lymphoma of the subtalar and talonavicular joint synovium.
We present the unique case of a 68-year-old man with a background of rheumatoid arthritis, who underwent left subtalar and talonavicular arthrodesis due to degenerative changes and chronic pain. Histology of the synovium demonstrated large B cell lymphoma. The patient subsequently underwent R-CHOP chemotherapy and radiotherapy to the affected area. This is the first described case of a primary large B cell lymphoma of the subtalar and talonavicular joints, without bony involvement.
Departmentof Trauma and Orthopaedic Surgery, Barnet Hospital, Barnet, Hertfordshire, UK. davidgeorge@doctors.org.uk
David Alexander
DA
George
Arash
A
Afsharpad
Mihai Daniel
MD
Chifu
Pinak
P
Ray
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D011859:Radiography; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D013583:Synovial Membrane / Q000473:pathology*; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000473:pathology*