A case of tenosynovial giant cell tumor secondary to synovial chondromatosis in the temporomandibular joint

Synovial chondromatosis (SC) is a condition in which benign nodular cartilaginous proliferation arises in joint synovium, bursae, or tendon sheaths, though rarely occurs in the temporomandibular joint (TMJ). A tenosynovial giant cell tumor (TGCT) is a benign type of tumor that mainly affects the fin...

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Published inJournal of oral and maxillofacial surgery, medicine, and pathology Vol. 35; no. 6; pp. 572 - 576
Main Authors Morishima, Hiromitsu, Nogami, Shinnosuke, Igarashi, Ayano, Imoto, Kazuhiro, Saito, Shizu, Chiba, Masatoshi, Kumamoto, Hiroyuki, Takahashi, Tetsu, Yamauchi, Kensuke
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.11.2023
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ISSN2212-5558
DOI10.1016/j.ajoms.2023.03.009

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Abstract Synovial chondromatosis (SC) is a condition in which benign nodular cartilaginous proliferation arises in joint synovium, bursae, or tendon sheaths, though rarely occurs in the temporomandibular joint (TMJ). A tenosynovial giant cell tumor (TGCT) is a benign type of tumor that mainly affects the fingers and knees, with rare occurrence in the TMJ also noted. Reported here is a case of TGCT secondary to SC in the TMJ. The patient was a 49-year-old woman who had been aware of joint noises during occlusion for a long period. After a few years, she visited our department with pain in the left TMJ. T2-weighted MR imaging showed joint effusion in the area corresponding to the upper joint cavity. One year after the initial visit, the patient underwent endoscopy-assisted excision of the tumor and a histopathological diagnosis of TGCT was confirmed. Mouth opening range was maintained at 45 mm with no evidence of recurrence at one year after surgery.
AbstractList Synovial chondromatosis (SC) is a condition in which benign nodular cartilaginous proliferation arises in joint synovium, bursae, or tendon sheaths, though rarely occurs in the temporomandibular joint (TMJ). A tenosynovial giant cell tumor (TGCT) is a benign type of tumor that mainly affects the fingers and knees, with rare occurrence in the TMJ also noted. Reported here is a case of TGCT secondary to SC in the TMJ. The patient was a 49-year-old woman who had been aware of joint noises during occlusion for a long period. After a few years, she visited our department with pain in the left TMJ. T2-weighted MR imaging showed joint effusion in the area corresponding to the upper joint cavity. One year after the initial visit, the patient underwent endoscopy-assisted excision of the tumor and a histopathological diagnosis of TGCT was confirmed. Mouth opening range was maintained at 45 mm with no evidence of recurrence at one year after surgery.
Author Saito, Shizu
Igarashi, Ayano
Imoto, Kazuhiro
Kumamoto, Hiroyuki
Nogami, Shinnosuke
Takahashi, Tetsu
Morishima, Hiromitsu
Chiba, Masatoshi
Yamauchi, Kensuke
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  surname: Morishima
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  organization: Division of Oral and Maxillofacial Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Miyagi, Japan
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  email: s-nogami@dent.tohoku.ac.jp, bnr32panda@yahoo.co.jp
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  givenname: Ayano
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  givenname: Shizu
  surname: Saito
  fullname: Saito, Shizu
  organization: Division of Oral and Maxillofacial Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Miyagi, Japan
– sequence: 6
  givenname: Masatoshi
  surname: Chiba
  fullname: Chiba, Masatoshi
  organization: Division of Oral and Maxillofacial Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Miyagi, Japan
– sequence: 7
  givenname: Hiroyuki
  orcidid: 0000-0002-8489-8828
  surname: Kumamoto
  fullname: Kumamoto, Hiroyuki
  organization: Division of Oral Pathology, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Miyagi, Japan
– sequence: 8
  givenname: Tetsu
  orcidid: 0000-0002-1686-7544
  surname: Takahashi
  fullname: Takahashi, Tetsu
  organization: Department of Dentistry and Oral Surgery, Minami Tohoku Fukushima Hospital, 3-1-13 Arai-Kita, 960-2102 Fukushima, Japan
– sequence: 9
  givenname: Kensuke
  surname: Yamauchi
  fullname: Yamauchi, Kensuke
  organization: Division of Oral and Maxillofacial Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575 Miyagi, Japan
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Snippet Synovial chondromatosis (SC) is a condition in which benign nodular cartilaginous proliferation arises in joint synovium, bursae, or tendon sheaths, though...
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SubjectTerms Synovial chondromatosis
Temporomandibular joint
Tenosynovial giant cell tumor
Title A case of tenosynovial giant cell tumor secondary to synovial chondromatosis in the temporomandibular joint
URI https://dx.doi.org/10.1016/j.ajoms.2023.03.009
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