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Flores-Hidalgo A, Phero JA. A radiopaque protuberance of the glenoid fossa. Oral Surg Oral Med Oral Pathol Oral Radiol 2025; 140:5-10. [PMID: 39743389 DOI: 10.1016/j.oooo.2024.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2024] [Revised: 11/26/2024] [Accepted: 12/03/2024] [Indexed: 01/04/2025]
Affiliation(s)
- Andres Flores-Hidalgo
- Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Cincinnati School of Medicine, Cincinnati, OH.
| | - James A Phero
- Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Cincinnati School of Medicine, Cincinnati, OH.
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Mordovskiy AV, Epifanov SA, Polyakov AP, Novikova IV. Chondrosarcoma of Temporomandibular Joint: Report of Two Cases. Indian J Otolaryngol Head Neck Surg 2024; 76:4828-4833. [PMID: 39376355 PMCID: PMC11456040 DOI: 10.1007/s12070-024-04883-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Accepted: 07/04/2024] [Indexed: 10/09/2024] Open
Abstract
Chondrosarcoma of the head and neck region is a rare malignant tumor which occurs from 1 to 12% of all of chondrosarcomas. There are only a few case reports of chondrosarcoma in the temporomandibular joint region. This report describes two cases of chondrosarcoma of the temporomandibular joint (TMJ) in a 27-year-old man and a 35-year-old woman. In both cases signs of temporal bone resorption were noticed, and in the first case tumor had intracranial spread. In both cases the tumor was resected in a single block with peritumoral tissues. The aim of this paper is to emphasize the diagnostic and therapeutic difficulty in this pathology.
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Affiliation(s)
- Alexander V. Mordovskiy
- Department of Microsurgery, P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health, 2-nd Botkinsky 3, Moscow, Russia
| | - Sergey A. Epifanov
- Department of Microsurgery, P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health, 2-nd Botkinsky 3, Moscow, Russia
- Department of Maxillofacial Surgeon, National Medical and Surgical Center named after N.I. Pirogov of the Russian Ministry of Health, Nizhnyaya Pervomayskaya 70, Moscow, Russia
| | - Andrey P. Polyakov
- Department of Microsurgery, P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health, 2-nd Botkinsky 3, Moscow, Russia
| | - Irina V. Novikova
- Department of Microsurgery, P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health, 2-nd Botkinsky 3, Moscow, Russia
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Jang BG, Huh KH, Yeom HG, Kang JH, Kim JE, Yoon HJ, Yi WJ, Heo MS, Lee SS. Differentiation between Chondrosarcoma and Synovial Chondromatosis of the Temporomandibular Joint Using CT and MR Imaging. AJNR Am J Neuroradiol 2023; 44:1176-1183. [PMID: 37652584 PMCID: PMC10549951 DOI: 10.3174/ajnr.a7980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 08/03/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND AND PURPOSE Chondrosarcoma and synovial chondromatosis of the temporomandibular joint share overlapping clinical and histopathologic features. We aimed to identify CT and MR imaging features to differentiate chondrosarcoma from synovial chondromatosis of the temporomandibular joint. MATERIALS AND METHODS The CT and MR images of 12 and 35 patients with histopathologically confirmed chondrosarcoma and synovial chondromatosis of the temporomandibular joint, respectively, were retrospectively reviewed. Imaging features including lesion size, center, enhancement, destruction/sclerosis of surrounding bone, infiltration into the tendon of the lateral pterygoid muscle, calcification, periosteal reaction, and osteophyte formation were assessed. A comparison between chondrosarcoma and synovial chondromatosis was performed with a Student t test for quantitative variables and the Fisher exact test or linear-by-linear association test for qualitative variables. Receiver operating characteristic analysis was performed to determine the diagnostic performance for differentiation of chondrosarcoma and synovial chondromatosis based on a composite score obtained by assigning 1 point for each of 9 imaging features. RESULTS High-risk imaging features for chondrosarcoma were the following: lesion centered on the mandibular condyle, destruction of the mandibular condyle, no destruction/sclerosis of the articular eminence/glenoid fossa, infiltration into the tendon of the lateral pterygoid muscle, absent or stippled calcification, periosteal reaction, internal enhancement, and size of ≥30.5 mm. The best cutoff value to discriminate chondrosarcoma from synovial chondromatosis was the presence of any 4 of these high-risk imaging features, with an area under the curve of 0.986 and an accuracy of 95.8%. CONCLUSIONS CT and MR imaging features can distinguish chondrosarcoma from synovial chondromatosis of the temporomandibular joint with improved diagnostic performance when a subcombination of 9 imaging features is used.
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Affiliation(s)
- B G Jang
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - K H Huh
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - H G Yeom
- Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute (H.G.Y.), School of Dentistry, Wonkwang University, Iksan, Korea
| | - J H Kang
- Department of Oral and Maxillofacial Radiology (J.H.K.), Seoul National University Dental Hospital, Seoul, Korea
| | - J E Kim
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - H J Yoon
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - W J Yi
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - M S Heo
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
| | - S S Lee
- From the Department of Oral and Maxillofacial Radiology and Dental Research Institute (B.G.J., K.H.H., J.E.K., H.J.Y., W.J.Y., M.S.H., S.S.L.), School of Dentistry, Seoul National University, Seoul, Korea
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Oh HJ, Yoon HJ, Huh KH, Kim B, Kwon IJ, Kim SM, Park JY, Choi SW, Lee JH. Surgical management and final outcomes of chondrosarcoma of the temporomandibular joint: case series and comprehensive literature review. World J Surg Oncol 2023; 21:253. [PMID: 37596637 PMCID: PMC10439660 DOI: 10.1186/s12957-023-03143-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 08/08/2023] [Indexed: 08/20/2023] Open
Abstract
BACKGROUND Surgical management for chondrosarcoma of the temporomandibular joint (TMJ) is challenging due to the anatomical location involving the facial nerve and the functional joint. The purpose of this case series was to analyze the largest number of TMJ chondrosarcoma cases reported from a single institution and to review the literature about chondrosarcoma involving the TMJ. METHODS Ten TMJ chondrosarcoma patients at Seoul National University Dental Hospital were included in this study. Radiographic features, surgical approaches, histopathologic subtypes, and treatment modalities were evaluated. All case reports of TMJ chondrosarcoma published in English from 1954 to 2021 were collected under PRISMA guidelines and comprehensively reviewed. RESULTS The lesions were surgically resected in all 10 patients with efforts to preserve facial nerve function. Wide excision including margins of normal tissue was performed to ensure adequate resection margins. All TMJs were reconstructed with a metal condyle except one, which was reconstructed with vascularized costal bone. At last follow-up, all patients were still alive, and there had been no recurrence. Among 47 cases (patients from the literature and our cases), recurrence was specified in 43 and occurred in four (9.5%). CONCLUSIONS For surgical management of TMJ chondrosarcoma, wide excision must consider preservation of the facial nerve. Reconstruction using a metal condyle prosthesis and a vascularized free flap is reliable. A more conservative surgical approach correlates with a favorable prognosis for facial nerve recovery. Nevertheless, wide excision is imperative to prevent tumor recurrence. In cases in which the glenoid fossa is unaffected by the tumor, it is deemed unnecessary to reconstruct the glenoid fossa within an oncological setting.
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Affiliation(s)
- Hyun Jun Oh
- Oral Oncology Clinic, National Cancer Center, Goyang, Korea
| | - Hye-Jung Yoon
- Department of Oral Pathology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | - Kyung-Hoe Huh
- Department of Oral and Maxillofacial Radiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | - Bongju Kim
- Dental Life Science Research Institute, Innovation Research & Support Center for Dental Science, Seoul National University Dental Hospital, Seoul, Korea
| | - Ik-Jae Kwon
- Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | - Soung Min Kim
- Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | - Joo Yong Park
- Oral Oncology Clinic, National Cancer Center, Goyang, Korea
| | - Sung Weon Choi
- Oral Oncology Clinic, National Cancer Center, Goyang, Korea
| | - Jong-Ho Lee
- Oral Oncology Clinic, National Cancer Center, Goyang, Korea.
- Dental Life Science Research Institute, Innovation Research & Support Center for Dental Science, Seoul National University Dental Hospital, Seoul, Korea.
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Al Hayek M, Yousfan A. Monophasic synovial sarcoma in the temporomandibular joint region: A case report and review of the literature. Int J Surg Case Rep 2023; 105:107998. [PMID: 36966715 PMCID: PMC10066519 DOI: 10.1016/j.ijscr.2023.107998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 03/16/2023] [Accepted: 03/17/2023] [Indexed: 03/29/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Synovial sarcoma is a malignant neoplasm that arises from soft tissue and makes up 5 % to 10 % of all types of sarcoma. It is most common between the ages of 15 and 40; it typically develops in the lower extremities; just 3 % to 10 % of cases arise in the head and neck. The usual main areas in the head and neck are the parapharyngeal, hypopharyngeal, and paraspinal. CASE PRESENTATION An 18-year-old woman presented with a painful mass in the left pre-auricular area. CLINICAL DISCUSSION Magnetic resonance imaging showed a well-defined lobular mass localized superior and anterior to the left ear. Incisional biopsy showed spindle cell sarcoma. A preauricular incision was done to remove the tumor with the superficial lobe of the parotid gland during the procedure, and histological examination revealed a high-grade spindle cell sarcoma the differential diagnosis included a monophasic synovial sarcoma. Immunohistochemistry was done for a full evaluation and the panel supported diagnosing a monophasic synovial sarcoma. CONCLUSION Synovial sarcoma is a malignant tumor that is rare to develop in the temporomandibular region, which makes it a significant challenge to diagnose and differentiate it from other lesions, it should be considered in all patients with a mass in this region. The cornerstone to identify synovial sarcoma is Immunohistochemistry (IHC), and molecular genetic analyses. Total surgical excision, with or without radiation and chemotherapy, is currently the best option for treatment. We present a review of the literature after the case presentation.
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Affiliation(s)
- Mohammad Al Hayek
- Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
| | - Abdulmajeed Yousfan
- Department of Otolaryngology, Al Mouwasat University Hospital, Damascus University, Damascus, Syrian Arab Republic
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Quan H, Sreekissoon S, Wang Y. Synovial sarcoma of the head and neck: A review of reported cases on the clinical characteristics and treatment methods. Front Cell Dev Biol 2022; 10:1077756. [PMID: 36684451 PMCID: PMC9853006 DOI: 10.3389/fcell.2022.1077756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 12/12/2022] [Indexed: 01/08/2023] Open
Abstract
Synovial sarcoma (SS) is a high-grade soft-tissue sarcoma that occurs predominantly in older children and young adults in their thirties. It is usually very challenging to diagnose and treat synovial sarcoma in the head and neck region. The purpose of this review is to investigate the clinical manifestations and different treatment methods in the management of primary synovial sarcoma of the head and neck. HNSS has an aggressive nature and poor prognosis. Surgical resection, radiotherapy, and chemotherapy are the primary treatment methods. Typically, surgical resection with negative margins remains the foundation of therapy, which is not very easily achieved in the head and neck due to its complex anatomical structure and the presence of many blood vessels and nerves. However, synovial sarcoma has a high recurrence rate, so aggressive management and close follow-up are warranted for the optimal outcome.
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Affiliation(s)
- Hongzhi Quan
- Department of Oral Maxillofacial Surgery, Xiangya Stomatological Hospital and School of Stomatology, Central South University, Changsha, Hunan, China
| | - Senjeet Sreekissoon
- Department of Oral Maxillofacial Surgery, Xiangya Stomatological Hospital and School of Stomatology, Central South University, Changsha, Hunan, China
| | - Yan Wang
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China
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Iro S, Slimani F. Diagnostic and therapeutic difficulty of chondrosarcoma of the temporomandibular joint: Two cases report. ORAL AND MAXILLOFACIAL SURGERY CASES 2021. [DOI: 10.1016/j.omsc.2021.100212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Chondrosarcoma of the Temporomandibular Joint: Systematic Review and Survival Analysis of Cases Reported to Date. Head Neck Pathol 2021; 15:923-934. [PMID: 33751416 PMCID: PMC8384949 DOI: 10.1007/s12105-021-01313-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 02/19/2021] [Indexed: 10/21/2022]
Abstract
The purpose of this systematic review was to summarize the available data on TMJ chondrosarcomas and to perform a survival analysis of cases reported to date. This review was conducted in accordance with the PRISMA. Two authors performed an electronic search of case reports of TMJ chondrosarcoma published until August 02, 2020. Forty-seven studies reporting 53 cases were included. Chondrosarcomas of the TMJ were more prevalent in women, with a male:female ratio of 1:1.4. Survival curves were significantly associated with histological diagnosis (p = 0.004), reconstructive surgery (p = 0.024), recurrence (p < 0.001), and distant metastasis (p = 0.001). Only distant metastasis was independently associated with survival (p = 0.017). TMJ chondrosarcomas presented with low recurrence and higher survival rates than other chondrosarcomas. Synovial subtype, absence of reconstructive surgery, and presence of local recurrence or distant metastasis were associated with poorer prognosis.
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9
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Biphasic synovial Sarcoma with extensive calcification in the temporomandibular joint region: A rare case report and literature review. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2020; 121:592-598. [DOI: 10.1016/j.jormas.2020.02.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 12/11/2019] [Accepted: 02/12/2020] [Indexed: 11/21/2022]
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Imaging features of chondrosarcoma of the temporomandibular joint: report of nine cases and literature review. Clin Radiol 2020; 75:878.e1-878.e12. [PMID: 32843140 DOI: 10.1016/j.crad.2020.07.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 07/09/2020] [Indexed: 11/20/2022]
Abstract
AIM To investigate the imaging features of chondrosarcoma of the temporomandibular joint (TMJ) and review the literature. MATERIALS AND METHODS Computed tomography (CT), magnetic resonance imaging (MRI), and integrated positron-emission tomography (PET)/CT images of nine patients with histopathologically confirmed chondrosarcoma of the TMJ were reviewed retrospectively. Imaging features regarding the direction of lesion growth, bone destruction, infiltration into the tendon of the lateral pterygoid muscle (LPM) in the pterygoid fovea, enhancement pattern, calcification, periosteal reaction, markedly hyperintense T2 signal area, and qualitative PET signal intensity were evaluated. RESULTS Seven of nine patients (77.8%) presented with lesion growth that was outward from the medulla of the mandibular condyle. Infiltration into the tendon of LPM in the pterygoid fovea was observed in all cases, and 77.8% (7/9) of them demonstrated >50% infiltration. All the lesions showed a mixed peripheral and internal enhancement, and revealed a markedly hyperintense T2 signal intensity area, which showed no enhancement. Although five of nine cases demonstrated higher FDG uptake compared with that of the liver, the other four cases showed less FDG uptake than that of the liver. CONCLUSION Chondrosarcoma of the TMJ demonstrated several imaging features, including outward growth from the mandibular condyle, resultant infiltration into the tendon of LPM in the pterygoid fovea, various patterns of internal enhancement, and a markedly hyperintense T2 signal intensity area. These imaging features may be helpful to differentiate chondrosarcoma from other lesions of the TMJ.
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Le QV, Nguyen DV, Nguyen HV, Hoang TD, Ngo DQ, Ngo TT. Surgery and radiation management for chondrosarcoma of the temporo-mandibular joint: A Vietnamese case report. Int J Surg Case Rep 2019; 66:211-214. [PMID: 31869705 PMCID: PMC6931127 DOI: 10.1016/j.ijscr.2019.11.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 11/21/2019] [Accepted: 11/28/2019] [Indexed: 12/03/2022] Open
Abstract
The temporo-mandibular joint chondrosarcoma is extremely rare, and can be misdiagnosed as parotid gland tumor. Surgery is standard treatment with the aim of preserving the temporo-mandibular joint function. Adjuvant radiation is used in certain cases to improve local control. Introduction Chondrosarcoma is a malignant tumor originated from cartilage cells. The most common sites of chondrosarcoma are pelvis, femur and ribs. The temporo-mandibular joint (TMJ) chondrosarcoma is extremely rare, with approximately 30 cases reported in worldwide. Presentation of case In this report, we present a case of chondrosarcoma in the left TMJ, which was successfully treated with surgery and radiation therapy. A 47 year-old women was admitted to our hospital with a mass in left pre-auricular region. On examination and para-clinical test results, the initial diagnosis was parotid gland cancer. In operation, the lesion was a mass originating from the left TMJ. Tumor resection was performed with close margin. The post-operative pathological result was well-differentiated chondrosarcoma. She was indicated adjuvant radiation therapy due to inadequate surgical therapy. There was no evidence of recurrence after 6 months follow-up. Conclusion The TMJ chondrosarcoma is needed to distinguish from other diseases especially parotid gland tumor. Surgery and adjuvant radiation therapy are standard care with the aim of preserving joint function.
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Affiliation(s)
- Quang Van Le
- Department of Oncology, Hanoi Medical University, Hanoi, Viet Nam; Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Viet Nam.
| | - Dang Van Nguyen
- Department of Oncology, Hanoi Medical University, Hanoi, Viet Nam; Department of Head and Neck Radiation, Vietnam National Cancer Hospital, Hanoi, Viet Nam.
| | - Hung Van Nguyen
- Department of Oncology, Hanoi Medical University, Hanoi, Viet Nam; Department of Head and Neck Radiation, Vietnam National Cancer Hospital, Hanoi, Viet Nam.
| | - Thanh Duc Hoang
- Department of Oncology, Hanoi Medical University, Hanoi, Viet Nam.
| | - Duy Quoc Ngo
- Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Viet Nam.
| | - Tung Thanh Ngo
- Department of Head and Neck Radiation, Vietnam National Cancer Hospital, Hanoi, Viet Nam.
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Fan J, Heimann A, Wu M. Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration. Diagn Cytopathol 2019; 47:803-807. [PMID: 30908901 DOI: 10.1002/dc.24181] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 02/20/2019] [Accepted: 03/12/2019] [Indexed: 12/11/2022]
Abstract
Tophaceous pseudogout is a calcium pyrophosphate dihydrate crystal (CPPD) deposition disease that frequently affects elderly patient in the temporomandibular joint (TMJ). A diagnosis of CPPD deposition disease in the TMJ is challenging due to its mimicking of other benign and malignant entities. Surgical exploration followed by histologic examination is by far the most frequently used diagnostic modality. We present a case of an 87-year-old female who presented with a right TMJ mass. A final diagnosis of tophaceous pseudogout was made on cellular material obtained by ultrasound-guided fine-needle aspiration (US-guided FNA). Based on our case and current available literature, ultrasound-guided FNA is a reliable tool for diagnosing tophaceous pseudogout of the TMJ.
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Affiliation(s)
- Jun Fan
- Department of Pathology, Stony Brook University Hospital, Stony Brook, New York
| | - Alan Heimann
- Department of Pathology, Stony Brook University Hospital, Stony Brook, New York
| | - Maoxin Wu
- Department of Pathology, Stony Brook University Hospital, Stony Brook, New York
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Fukada K, Okamoto T, Shibata N, Ando T. A case of chondrosarcoma in the temporomandibular joint. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2018. [DOI: 10.1016/j.ajoms.2017.07.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Bottini GB, Steiner C, Melchardt T, Gaggl A. Multiple myeloma of the mandibular condyle: a rare presentation. Br J Oral Maxillofac Surg 2017; 55:1046-1047. [PMID: 29122338 DOI: 10.1016/j.bjoms.2017.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 09/11/2017] [Indexed: 10/18/2022]
Affiliation(s)
- G B Bottini
- Department of Oral and Maxillofacial Surgery, Paracelsus Private Medical University Hospital of Salzburg, Austria.
| | - C Steiner
- Department of Oral and Maxillofacial Surgery, Paracelsus Private Medical University Hospital of Salzburg, Austria.
| | - T Melchardt
- Department of Internal Medicine III-Oncology, Paracelsus Private Medical University Hospital of Salzburg, Austria.
| | - A Gaggl
- Department of Oral and Maxillofacial Surgery, Paracelsus Private Medical University Hospital of Salzburg, Austria.
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15
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Lee K, Kim SH, Kim SM, Myoung H. Temporomandibular joint chondrosarcoma: a case report and literature review. J Korean Assoc Oral Maxillofac Surg 2016; 42:288-294. [PMID: 27847738 PMCID: PMC5104872 DOI: 10.5125/jkaoms.2016.42.5.288] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Revised: 03/16/2016] [Accepted: 04/16/2016] [Indexed: 12/26/2022] Open
Abstract
Chondrosarcoma is a malignant tumor that originates from cartilaginous cells and is characterized by cartilage formation. Only 5% to 10% of chondrosarcoma occurs in the head and neck area, and it is uncommon in the temporomandibular joint area. This report describes an unusual case with a rare, large chondrosarcoma in a 47-year-old woman who presented with painless swelling and trismus. Computed tomography showed a large mass approximately 8.5×6.0 cm in size arising adjacent to the lateral pterygoid plate and condyle. There were features suggestive of bone resorption. The tumor was resected in a single block with perilesional tissues, and a great auricular nerve graft was performed because of facial nerve sacrifice. Microscopic examination of sections stained with H&E revealed chondrocytes with irregular nuclei and heterogeneous hyper chromatic tumor cells embedded in the chondrocyte lacuna. The diagnosis was a grade I chondrosarcoma. There was no evidence of recurrence at the 8-month follow-up, and a reconstruction surgery with fibular osteocutaneous free flap was performed. We report this unusual entity and a review of the literature.
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Affiliation(s)
- Kyungjin Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea
| | - Seong Hwan Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea
| | - Soung-Min Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.; Dental Research Institute, Seoul National University, Seoul, Korea
| | - Hoon Myoung
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.; Dental Research Institute, Seoul National University, Seoul, Korea
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16
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Oh KY, Yoon HJ, Lee JI, Hong SP, Hong SD. Chondrosarcoma of the temporomandibular joint: a case report and review of the literature. Cranio 2016; 34:270-8. [PMID: 26088960 DOI: 10.1179/2151090315y.0000000016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Chondrosarcoma is the second most common sarcoma arising in the bone, but it rarely involves the temporomandibular joint (TMJ). To date, 30 cases of TMJ chondrosarcoma have been reported in the English literature, and the authors report an additional case arising from a cystic lesion in a 60-year-old female patient. CLINICAL PRESENTATION The clinical and radiological diagnosis of the lesion was initially synovial cyst, and periodic check-ups were done after aspiration of the lesion. After three years, the patient perceived swelling of the lesion, and surgical excision was performed. The final diagnosis was grade I chondrosarcoma. CONCLUSION When clinicians detect a cystic lesion in the radiographic imaging of the TMJ, chondrosarcoma should be included in the differential diagnosis. In addition, computed tomography (CT) as well as magnetic resonance imaging (MRI) is recommended for the accurate diagnosis and proper preoperative planning in TMJ chondrosarcoma.
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Affiliation(s)
- Kyu-Young Oh
- a Department of Oral Pathology, School of Dentistry and Dental Research Institute , Seoul National University , Seoul , Republic of Korea
| | - Hye-Jung Yoon
- a Department of Oral Pathology, School of Dentistry and Dental Research Institute , Seoul National University , Seoul , Republic of Korea
| | - Jae-Il Lee
- a Department of Oral Pathology, School of Dentistry and Dental Research Institute , Seoul National University , Seoul , Republic of Korea
| | - Sam-Pyo Hong
- a Department of Oral Pathology, School of Dentistry and Dental Research Institute , Seoul National University , Seoul , Republic of Korea
| | - Seong-Doo Hong
- a Department of Oral Pathology, School of Dentistry and Dental Research Institute , Seoul National University , Seoul , Republic of Korea
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17
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Çakmak Ö, Tarhan H, Küçük Ü, İlbey YÖ. Prostatic adenocarcinoma with initial metastatic spread to the mandible. Turk J Urol 2015; 41:149-51. [PMID: 26516599 DOI: 10.5152/tud.2015.36043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Prostate cancer is one of the commonest types of malignancy in males. Although prostate cancer has a propensity to metastasize to the bone, metastasis to the mandible is rare. Because of their uncommon incidence, the diagnosis of mandibular metastasis, especially those originating from the prostate, may represent a challenge both for urologists and dentists. Here we present a case of prostatic adenocarcinoma with initial metastatic spread to the mandible.
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Affiliation(s)
- Özgür Çakmak
- Clinic of Urology, Tepecik, Training and Research, Hospital, İzmir, Turkey
| | - Hüseyin Tarhan
- Clinic of Urology, Tepecik, Training and Research, Hospital, İzmir, Turkey
| | - Ülkü Küçük
- Clinic of Pathology, Tepecik, Training and Research, Hospital, İzmir, Turkey
| | - Yusuf Özlem İlbey
- Clinic of Urology, Tepecik, Training and Research, Hospital, İzmir, Turkey
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18
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Magnetic resonance imaging of the maxilla and mandible: signal characteristics and features in the differential diagnosis of common lesions. Top Magn Reson Imaging 2015; 24:23-37. [PMID: 25654419 DOI: 10.1097/rmr.0000000000000045] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The maxilla and mandible are among the most difficult areas of the body to image with magnetic resonance techniques owing to the geometry of the jaws as well as the frequent susceptibility artifacts from dental restorations or appliances. This chapter briefly reviews the essentials of imaging techniques and basic anatomy and discusses the most common inflammatory conditions, benign and malignant lesions of the jaws, and temporomandibular joint. This review emphasizes and illustrates specific magnetic resonance features that facilitate characterization and diagnostic differentiation of these lesions. As the focus of this review is on the differentiation of infection and benign and malignant disease, a discussion of internal derangements and associated inflammatory disorders of the temporomandibular joint is beyond the scope of this review and is not discussed.
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19
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Pahwa S, Bhalla AS, Roychaudhary A, Bhutia O. Multidetector computed tomography of temporomandibular joint: A road less travelled. World J Clin Cases 2015; 3:442-449. [PMID: 25984518 PMCID: PMC4419107 DOI: 10.12998/wjcc.v3.i5.442] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 01/19/2015] [Accepted: 03/18/2015] [Indexed: 02/05/2023] Open
Abstract
This article reviews the imaging anatomy of temporomandibular joint (TMJ), describes the technique of multi-detector computed tomography (MDCT) of the TMJ, and describes in detail various osseous pathologic afflictions affecting the joint. Traumatic injuries affecting the mandibular condyle are most common, followed by joint ankylosis as a sequel to arthritis. The congenital anomalies are less frequent, hemifacial microsomia being the most commonly encountered anomaly involving the TMJ. Neoplastic afflictions of TMJ are distinctly uncommon, osteochondroma being one of the most common lesions. MDCT enables comprehensive evaluation of osseous afflictions of TMJ, and is a valuable tool for surgical planning. Sagittal, coronal and 3D reformatted images well depict osseous TMJ lesions, and their relationship to adjacent structures.
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20
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Valentini V, Giovannetti F, Priore P, Raponi I, Terenzi V, Cassoni A. Mini invasive transoral approach to the glenoid fossa: Benign lesion removal using endoscopy. Laryngoscope 2015; 125:2054-7. [PMID: 25684623 DOI: 10.1002/lary.25191] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Revised: 01/06/2015] [Accepted: 01/12/2015] [Indexed: 11/10/2022]
Abstract
OBJECTIVE We describe an endoscopic transoral approach for treating benign lesions of the glenoid fossa with or without infratemporal fossa involvement. STUDY DESIGN Description and validation of surgical technique on living humans. METHODS Excision of benign lesions arising from the glenoid fossa was achieved in five patients through a transoral endoscopic approach. Using 0- and 45-degree angled 4-mm optics, the entire middle skull base and infratemporal fossa were explored without damaging the nearby neurovascular structures. RESULTS Three of the five patients had complete removal of osteochondroma. In the remaining two patients, the lesion removed was diagnosed as osteoma. In one patient, postoperative numbness of the alveolar nerve was observed. No infections were reported. The surgical approach utilized was determined to be valid not only for glenoid fossa exposure but also for management of the middle skull base and infratemporal fossa. CONCLUSION The described approach to the glenoid fossa offers direct and minimally invasive access to benign lesions within this region. Further use of this approach will allow us to determine its potential in treating malignancies. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- Valentino Valentini
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
| | - Filippo Giovannetti
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
| | - Paolo Priore
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
| | - Ingrid Raponi
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
| | - Valentina Terenzi
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
| | - Andrea Cassoni
- Department of Maxillo-Facial Surgery, Sapienza University of Rome, Rome, Italy
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21
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A case of chondrosarcoma arising in the temporomandibular joint. Case Rep Otolaryngol 2015; 2015:832532. [PMID: 25688316 PMCID: PMC4321848 DOI: 10.1155/2015/832532] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2014] [Revised: 12/28/2014] [Accepted: 12/28/2014] [Indexed: 11/22/2022] Open
Abstract
Chondrosarcoma is a malignant tumor originating in cartilaginous cells. And there are only few reports of the case of chondrosarcoma in temporomandibular joint.
We discuss a case of chondrosarcoma in temporomandibular joint in a 28-year-old man. Tumor was in contact with the dura, but en bloc resection was performed. After surgical resection of the tumor, face defect was reconstructed by rectus abdominis-free flap. And there is no recurrence after ten years from the resection.
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22
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MacIntosh RB, Khan F, Waligora BM. Chondrosarcoma of the temporomandibular disc: behavior over a 28-year observation period. J Oral Maxillofac Surg 2014; 73:465-74. [PMID: 25577455 DOI: 10.1016/j.joms.2014.09.020] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Revised: 09/24/2014] [Accepted: 09/24/2014] [Indexed: 11/16/2022]
Abstract
Chondrosarcoma of the head and neck occurs infrequently, with a recorded prevalence of only 5 to 12% of all such tumors; this in total represents only 17 to 22% of all monostotic bone malignancies. Chondrosarcomas arising in the region of the temporomandibular joint are especially rare, with only 28-including subsets-recorded in the 6 decades since the first report in 1954. The lesion described in the present report would appear to be the first arising solely from the disc itself, and the postoperative period of observation is the longest on record. The patient's course over 27 years shows the need for ongoing vigilance in the management of this tumor.
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Affiliation(s)
- Robert B MacIntosh
- Clinical Professor, Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry, Detroit, MI.
| | - Faisal Khan
- Chief Resident, Department of Oral and Maxillofacial Surgery, St John Health System, Detroit, MI
| | - Bret M Waligora
- Senior Student, University of Detroit Mercy School of Dentistry, Detroit, MI
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23
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Abstract
OBJECTIVES To familiarize the physician with the clinical and radiographic features associated with primary tumors of the temporomandibular joint (TMJ) and to demonstrate the use of the neurotologic skull base techniques in the surgical extirpation of TMJ tumors. STUDY DESIGN This was a retrospective chart review spanning the years 1988 to 2012. SETTING Tertiary care academic medical center. PATIENTS Any patient with diagnosis of a primary TMJ tumor who received surgical management at our institution. INTERVENTION The surgical approaches used included preauricular infratemporal fossa, postauricular infratemporal fossa, and pterional infratemporal fossa. MAIN OUTCOME MEASURES The most critical assessment measures were postoperative patient morbidity and evidence of disease at follow-up visits. RESULTS The surgical approach was tailored according to the radiographic mapping of the size and location of the tumor. Trismus and jaw discomfort were the most common postoperative complications. Conductive hearing loss occurred only in patients who underwent oversewing of the cartilaginous ear canal. CONCLUSION The presenting signs and symptoms of extremely rare primary TMJ tumors are those often seen by otolaryngologists. Contemporary neurotologic skull base surgical techniques can optimize the successful extirpation of these lesions.
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24
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Kumar Reddy DS, Kishore Kumar RV, Gali R, Kannubaddy SR, Rao M, Akheel M. Central chondrosarcoma of a pediatric mandibular condyle: A case report and review. Ann Maxillofac Surg 2014; 4:85-9. [PMID: 24987606 PMCID: PMC4073470 DOI: 10.4103/2231-0746.133076] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Chondrosarcoma of mandibular condyle is an extremely rare clinical entity with only 18 cases reported till date. We report a rare case of central myxoid chondrosarcoma in a 7 year old male child with a complaint of slow growing bony hard swelling of left mandibular condyle. Panoramic radiography and CT scan revealed a 5×3cm osteosclerotic and osteolytic lesion with cortical perforation on the medial side of the left mandibular condyle with a cortical expansion of lateral side. Segmental mandibulectomy with disarticulation of the left condyle was done. To the best of our knowledge it is the first case of chondrosarcoma of the paediatric mandibular condyle to be reported. The etiopathogenesis, clinical, radiological diagnosis and various treatment modalities of chondrosarcoma are discussed.
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Affiliation(s)
- D Sathya Kumar Reddy
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - R V Kishore Kumar
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Rajasekhar Gali
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Sridhar Reddy Kannubaddy
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Mallikarjuna Rao
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Mohammad Akheel
- Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
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25
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Uchiyama Y, Matsumoto K, Murakami S, Kanesaki T, Matsumoto A, Kishino M, Furukawa S. MRI in a case of osteosarcoma in the temporomandibular joint. Dentomaxillofac Radiol 2013; 43:20130280. [PMID: 24247589 DOI: 10.1259/dmfr.20130280] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Osteosarcoma of the temporomandibular joint (TMJ) is rare. We report a case of osteosarcoma in the TMJ of a 62-year-old female, pre-operatively diagnosed to have a benign tumour, and discuss the usefulness and limits of MRI using a TMJ coil as a diagnosis.
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Affiliation(s)
- Y Uchiyama
- Department of Oral and Maxillofacial Radiology, Osaka University Graduate School of Dentistry, Osaka, Japan
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26
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Synovial chondromatosis of the temporomandibular joint: clinical, cytologic, histologic, radiologic, therapeutic aspects, and differential diagnosis of an uncommon lesion. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 117:e269-74. [PMID: 23850367 DOI: 10.1016/j.oooo.2013.04.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2013] [Revised: 04/09/2013] [Accepted: 04/24/2013] [Indexed: 12/20/2022]
Abstract
Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is a rare disorder with an indolent clinical course that leads to nonspecific symptoms, dysfunction, and anatomic distortion of the TMJ. We describe a case of SC in an 82-year-old male that presented as an incidental 2 cm cystic tumor of the left TMJ, during diagnostic work-up for unrelated symptoms. A fine needle aspiration of the lesion yielded fragments of abnormal mature cartilage and myxoid fluid. The diagnosis of SC was suggested after correlating the clinical and pathologic findings. Open TMJ surgery was performed for definitive diagnosis and therapy. This manuscript describes the clinical, radiologic, cytologic, and pathologic features of this entity, and relates the differential diagnosis to other cartilaginous lesions and neoplasms of the TMJ. Awareness of this disorder is important to provide adequate care and avoid overtreatment.
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27
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Qiu YT, Yang C, Chen MJ, Qiu WL. Metastatic Spread to the Mandibular Condyle as Initial Clinical Presentation: Radiographic Diagnosis and Surgical Experience. J Oral Maxillofac Surg 2013; 71:809-20. [DOI: 10.1016/j.joms.2012.07.026] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2012] [Revised: 07/08/2012] [Accepted: 07/12/2012] [Indexed: 12/11/2022]
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28
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Kodama Y, Seo K, Hayashi T, Kobayashi T, Niwano M, Koyama T, Murayama M, Takagi R. Orofacial pain related to traumatic neuroma in a patient with multiple TMJ operations. Cranio 2012; 30:183-7. [PMID: 22916670 DOI: 10.1179/crn.2012.028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The diagnosis of orofacial pain associated with temporomandibular disorders after repeated temporomandibular joint (TMJ) surgeries can be quite difficult. This case report describes a 52-year-old woman who had previously undergone five TMJ surgeries and developed divergent pain caused by a trigger point in the left preauricular area. Computed tomography and magnetic resonance imaging could not be used to identify a lesion because of metallic artifacts from a TMJ prosthesis. However, sonography indicated the location of the suspected lesion. Moreover, a neurological examination performed with local anesthesia was clinically effective in ruling out other diagnoses of orofacial pain. Ultimately, a histopathological examination of a biopsy specimen from the painful site confirmed the lesion to be a traumatic neuroma. This case report suggests the value of including traumatic neuroma in the differential diagnosis of patients with a history of previous TMJ surgery who present with orofacial pain in the region of the TMJ.
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Affiliation(s)
- Yasumitsu Kodama
- Division of Oral and Maxillofacial Surgery, Niigata Graduate School of Medical and Dental Sciences 5274, 2-Banchou, Gakkouchoudoori, chuuouku, Niigata, 951-8514 Japan.
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29
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Ramos-Murguialday M, Lasa-Menéndez V, Ignacio Iriarte-Ortabe J, Couce M. Chondrosarcoma of the Mandible Involving Angle, Ramus, and Condyle. J Craniofac Surg 2012; 23:1216-9. [DOI: 10.1097/scs.0b013e3182565b80] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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30
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Abu-Serriah M, Ahluwalia K, Shah KA, Bojanic S, Saeed N. A novel approach to chondrosarcoma of the glenoid fossa of the temporomandibular joint: a case report. J Oral Maxillofac Surg 2012; 71:208-13. [PMID: 22749519 DOI: 10.1016/j.joms.2012.04.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Revised: 04/02/2012] [Accepted: 04/03/2012] [Indexed: 01/19/2023]
Affiliation(s)
- Muammar Abu-Serriah
- Department of Oral & Maxillofacial Surgery, John Radcliffe Hospital, Oxford, England.
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31
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Zweifel D, Ettlin D, Schuknecht B, Obwegeser J. Tophaceuos calcium pyrophosphate dihydrate deposition disease of the temporomandibular joint: the preferential site? J Oral Maxillofac Surg 2011; 70:60-7. [PMID: 21855194 DOI: 10.1016/j.joms.2011.06.207] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2011] [Revised: 06/17/2011] [Accepted: 06/18/2011] [Indexed: 02/07/2023]
Affiliation(s)
- Daniel Zweifel
- Department of Craniomaxillofacial and Oral Surgery, University Hospital Zurich, Zurich, Switzerland.
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32
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Primary cervical tracheal monophasic synovial sarcoma confirmed by SYT–SSX gene rearrangement. The Journal of Laryngology & Otology 2011; 125:651-4. [DOI: 10.1017/s0022215110002975] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractObjective:To review the existing diagnostic modalities and treatment for primary tracheal synovial sarcoma, and to report a case of primary cervical synovial sarcoma arising in the trachea.Design:Retrospective.Setting:Head and neck surgery unit at a tertiary university centre.Patient:One case of primary cervical tracheal monophasic synovial sarcoma diagnosed by SYT–SSX gene rearrangement.Intervention:This patient underwent surgical resection of the synovial sarcoma, together with tracheal resection and primary anastomosis assisted by laryngeal-releasing manoeuvres, without complication.Main outcome measures:Clinical, radiographical, pathological and surgical information were collected.Result:One year post-operatively, there was no evidence of recurrence.Conclusion:Synovial sarcoma arising in the trachea is very rare. Diagnosis is confirmed by demonstrating the SYT–SSX gene rearrangement. The first-line treatment is surgery.
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33
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González-Pérez LM, Sánchez-Gallego F, Pérez-Ceballos JL, López-Vaquero D. Temporomandibular joint chondrosarcoma: Case report. J Craniomaxillofac Surg 2011; 39:79-83. [DOI: 10.1016/j.jcms.2010.03.018] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2009] [Revised: 03/13/2010] [Accepted: 03/15/2010] [Indexed: 10/19/2022] Open
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34
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Garzino-Demo P, Tanteri G, Boffano P, Ramieri G, Pacchioni D, Maletta F, Bianchi CC, Bianchi SD, Berrone S. Chondrosarcoma of the Temporomandibular Joint: A Case Report and Review of the Literature. J Oral Maxillofac Surg 2010; 68:2005-11. [DOI: 10.1016/j.joms.2009.09.077] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2009] [Revised: 08/02/2009] [Accepted: 09/23/2009] [Indexed: 11/15/2022]
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35
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Kruse AL, Luebbers HT, Obwegeser JA, Edelmann L, Graetz KW. Temporomandibular disorders associated with metastases to the temporomandibular joint: a review of the literature and 3 additional cases. ACTA ACUST UNITED AC 2010; 110:e21-8. [DOI: 10.1016/j.tripleo.2010.02.031] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Revised: 02/13/2010] [Accepted: 02/21/2010] [Indexed: 10/19/2022]
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36
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Kalish LH, Ng T, Kalnins I, Da Cruz MJ. Pseudogout mimicking an infratemporal fossa tumor. Head Neck 2009; 32:127-32. [PMID: 19283846 DOI: 10.1002/hed.21059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The infratemporal fossa is a well-concealed, complex anatomical space. Neoplasms arising in this area are heterogenous in nature and have an insidious onset and usually present late. METHODS AND RESULTS We present a case of a 71-year-old woman who presented with worsening facial pain, trismus, and a large mass in her infratemporal fossa with minimal associated temporomandibular joint destruction. She underwent a surgical excision of the mass, which revealed a pseudogout deposit. CONCLUSION The clinical and radiological features of patients with tophaceous pseudogout frequently mimic those of a benign or malignant neoplasm of the infratemporal fossa, often resulting in more radical surgery.
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Affiliation(s)
- Larry H Kalish
- Department of Otorhinolaryngology, Westmead Hospital, Sydney, Australia.
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37
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Jay A, Hutchison I, Piper K, Farthing PM, Richards PS. Synovial sarcoma presenting as a parotid mass: Case report and review of literature. Head Neck 2008; 30:1654-9. [DOI: 10.1002/hed.20822] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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38
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Naqvi AH, Abraham JL, Kellman RM, Khurana KK. Calcium pyrophosphate dihydrate deposition disease (CPPD)/Pseudogout of the temporomandibular joint - FNA findings and microanalysis. Cytojournal 2008; 5:8. [PMID: 18426573 PMCID: PMC2346483 DOI: 10.1186/1742-6413-5-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2007] [Accepted: 04/21/2008] [Indexed: 11/10/2022] Open
Abstract
We report a case of a Calcium pyrophosphate dihydrate deposition disease (CPPD) presenting as a mass in the parotid and temporomandibular joint (TMJ) that simulated a parotid tumor. A 35 year-old man presented with pain in the left ear area. A CT Scan of the area showed a large, calcified mass surrounding the left condylar head, and extending into the infratemporal fossa. FNA of the mass showed birefringent crystals, most of which were rhomboid with occasional ones being needle shaped, embedded in an amorphous pink substance. Scanning electron microscopy (SEM) with energy dispersive x-ray spectroscopy (EDS) of these crystals showed peaks corresponding to calcium and phosphorus. SEM/EDS is a rapid method of diagnosing calcium pyrophosphate dihydrate deposition disease (CPPD) and an alternative to more commonly used method of special staining of cell block sections coupled with polarizing microscopy.
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Affiliation(s)
- Asghar H Naqvi
- Department of Pathology, SUNY-Upstate Medical University, Syracuse, NY 13210, USA.
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39
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Luo CW, Liu CJ, Chang KM. Synovial sarcoma of the temporomandibular joint area: report of a case. ACTA ACUST UNITED AC 2007; 104:e62-5. [PMID: 17703967 DOI: 10.1016/j.tripleo.2007.05.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2007] [Revised: 05/09/2007] [Accepted: 05/10/2007] [Indexed: 10/22/2022]
Abstract
Synovial cell sarcoma is a relatively rare tumor of mesenchymal origin. It is a high-grade neoplasm that microscopically shows a monophasic or biphasic cellular pattern and includes epithelial features as well as supporting tissue features. Surgical excision is the primary mode of treatment. Postoperative radiotherapy and chemotherapy also is seen to be helpful. Between 3% and 10% of cases originate in the head and neck. A review of relevant literature shows less than 10 cases of synovial cell sarcoma of the temporomandibular joint area reported in the English literature. We report an additional case of biphasic synovial cell sarcoma arising in the temporomandibular joint area, which caused ear pain, tinnitus, and hearing loss, and we further discuss the clinical features, histopathology, differential diagnosis, and treatment modality.
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Affiliation(s)
- Chin-Wan Luo
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan
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40
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Miles BA, Schwartz-Dabney C, Sinn DP, Kessler HP. Bilateral Metastatic Breast Adenocarcinoma Within the Temporomandibular Joint: A Case Report. J Oral Maxillofac Surg 2006; 64:712-8. [PMID: 16546656 DOI: 10.1016/j.joms.2005.12.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2004] [Indexed: 10/24/2022]
Affiliation(s)
- Brett A Miles
- Division Oral and Maxillofacial Surgery, Parkland Memorial Hospital, The University of Texas Southwestern Medical Center, Dallas, TX 75235-9109, USA.
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41
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Abstract
Temporomandibular joint (TMJ) internal derangement is fairly prevalent in patients presenting with facial pain. MR imaging has become the primary modality for the assessment of the temporomandibular joint. A review of the normal anatomy and the key imaging findings of the different pathologic entities affecting this joint are presented. A reading algorithm to facilitate a systematic interpretation of the TMJ imaging study also is provided.
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Affiliation(s)
- Vijay M Rao
- Department of Radiology, Thomas Jefferson University Hospital, 132 South 10th Street, 1072 Main Building, Philadelphia, PA 19107, USA
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42
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Abstract
Technologic advances in MR imaging have had a decisive effect on the capacity of investigators to image the TMJ. This article provides a description of the normal anatomy and function of this joint. emphasizing the key imaging findings of internal derangement. A reading algorithm is given to achieve a systematic approach to the interpretation of a temporomandibular MR imaging study. Finally, a summary of key imaging findings of other miscellaneous pathologic processes involving this joint is provided.
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Affiliation(s)
- Vijay M Rao
- Department of Radiology, Thomas Jefferson University Hospital, 132 South 10th Street, 1072 Main Building, Philadelphia, PA 19107, USA.
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