Tumors and diseases of the joint

G. Petur Nielsen, Andrew E. Rosenberg, John X. O'Connell, Susan V. Kattapuram, Alan L. Schiller

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


A variety of different diseases affect the synovium, including infection, noninfectious immunologic inflammatory conditions, degenerative arthroses, crystal deposits, trauma, and tumors. Tumors of the synovium are relatively uncommon. Any mesenchymal tumor may arise in the synovium, but most recapitulate its normal counterpart including synoviocytes, blood vessels, fat, and fibrous tissue. These tumors can arise in any synovial lined structures both within joints and in extraarticular locations. Most synovial tumors are benign. Malignant tumors are rare but important to recognize because many are aggressive and must be treated appropriately. Among common nonneoplastic conditions that affect the synovium and surrounding structures are crystal deposits such as monosodium urate crystals, calcium pyrophosphate dihydrate crystals, and hydroxyapatite crystals. These crystal deposits may be asymptomatic or cause severe pain or chronic joint destruction. Their accurate identification is important to guide appropriate therapy.

Original languageEnglish (US)
Pages (from-to)37-52
Number of pages16
JournalSeminars in Diagnostic Pathology
Issue number1
StatePublished - Feb 2011
Externally publishedYes


  • Crystal deposition
  • Synovium
  • Tumors

ASJC Scopus subject areas

  • Pathology and Forensic Medicine


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