Diagnosis of Waldenstrom Macroglobulinemia Using Postoperative Histopathology During Routine Total Knee Arthroplasty

Author:

Anibas Jakob J.1ORCID,Spence Dominque B.2ORCID,Reyes Michael23,Skelly William45ORCID,Cheppalli Naga Suresh45ORCID

Affiliation:

1. University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

2. University of New Mexico School of Medicine, Albuquerque, New Mexico

3. Department of Pathology and Laboratory Medicine, New Mexico VA Medical Center, Albuquerque, New Mexico

4. VAMC, Albuquerque, New Mexico

5. Department of Orthopedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque, New Mexico

Abstract

Case: We present a 63-year-old patient diagnosed with Waldenstrom macroglobulinemia (WM) through histopathology of bone tissue after total knee arthroplasty for routine osteoarthritis. The patient, surgical team, and the pathologist were unaware of this diagnosis before the surgery. Conclusion: The cost-effectiveness of routine histopathologic examination of bone cuts and synovial samples after total joint arthroplasty continues to be a source of debate. Our case highlights an example of the utility of histopathology because it led to the early detection of WM, resulting in prompt treatment to improve quality of life.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference12 articles.

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5. Is there value in pathology specimens in routine total hip and knee arthroplasty?;Koss;Cureus.,2021

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