case_images: PMC11217717_01
case_images: Photograph showing swelling on the extensor aspect near right wrist.
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case_images: PMC11217717_01_f1000research-12-155275-g0000.jpg
case_images: f1
case_images: A 37-year-old male visited the outpatient department of orthopedics with complaints of pain and swelling in the right wrist that has lasted for two years ( Figure 1).
case_images: Anteroposterior X-ray right wrist demonstrated lytic lesions of carpal bones and base of 3
  rd and 4
  th metacarpal bones.
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case_images: PMC11217717_01_f1000research-12-155275-g0001.jpg
case_images: f2
case_images: The X-ray showed lytic lesions of carpal bones of right wrist and lytic lesions of the base of 3 rd and 4 th metacarpals ( Figure 2).
case_images: Photomicrograph FNAC - PVNS: Smear showed small isolated groups and sheets of synoviocytes (Papanicolaou Stain, 4x).
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case_images: PMC11217717_01_f1000research-12-155275-g0002.jpg
case_images: f3
case_images: Multinucleate giant cells, lymphocytes, and rare stromal fragments too were seen ( Figures 3- 5).
case_images: Photomicrograph FNAC - PVNS: Cytology smear showed macrophages containing pigments which were dark and brown.. Rare place showed multinucleate giant cells (Papanicolaou Stain, 40x).
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case_images: PMC11217717_01_f1000research-12-155275-g0004.jpg
case_images: f5
case_images: Multinucleate giant cells, lymphocytes, and rare stromal fragments too were seen ( Figures 3- 5).