Pigmented villonodular synovitis of the temporomandibular joint: CT imaging findings
The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ). Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confi...
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| Published in | Clinical imaging Vol. 38; no. 1; pp. 6 - 10 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.01.2014
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0899-7071 1873-4499 1873-4499 |
| DOI | 10.1016/j.clinimag.2013.08.011 |
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| Abstract | The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ).
Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed.
Among the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively.
Based on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension. |
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| AbstractList | The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ).OBJECTIVEThe purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ).Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed.STUDY DESIGNEight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed.Among the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively.RESULTSAmong the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively.Based on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension.CONCLUSIONSBased on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension. Objective The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ). Study design Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed. Results Among the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively. Conclusions Based on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension. The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ). Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed. Among the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively. Based on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension. Objective: The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ). Abstract Objective The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the temporomandibular joint (TMJ). Study design Eight subjects with PVNS were examined with both pre and post contrast CT scans. All lesions were histopathologically confirmed through surgery. CT appearances of the lesions were reviewed. Results Among the eight subjects, 8 (100%) demonstrated soft tissue mass and enhancement after contrast administration, 6 (75%) appeared as all or focal areas of noncontrast hyperdensity, 6 (75%) had widening of the joint spaces. Bony erosion of the mandibular condyles and articular surfaces were found in 7 (87.5%) and 6 (75%) subjects, respectively. Conclusions Based on the CT findings, PVNS of the TMJ is characterized by hyperdensity soft tissue mass and further increase in density after contrast administration, bony destruction of the mandibular condyles and skull base, and intracranial extension. |
| Author | Yu, Qiang Le, Wei-Jie Li, Ming-Hua Shi, Hui-Min |
| Author_xml | – sequence: 1 givenname: Wei-Jie surname: Le fullname: Le, Wei-Jie email: aesop.le@163.com organization: Department of Radiology, Shanghai 6th People’s Hospital, Affiliated to Shanghai JiaoTong University, No. 600 Yi Shan RD, 200233 Shanghai, China – sequence: 2 givenname: Ming-Hua surname: Li fullname: Li, Ming-Hua email: liminhua@online.sh.cn organization: Department of Radiology, Shanghai 6th People’s Hospital, Affiliated to Shanghai JiaoTong University, No. 600 Yi Shan RD, 200233 Shanghai, China – sequence: 3 givenname: Qiang surname: Yu fullname: Yu, Qiang email: yuqiang6155@163.com organization: Department of Radiology, Shanghai 9th People’s Hospital, Affiliated to Shanghai JiaoTong University medical school, No. 639 Zhi Zao Ju RD, 200011 Shanghai, China – sequence: 4 givenname: Hui-Min surname: Shi fullname: Shi, Hui-Min email: shihuimin@msn.com organization: Department of Radiology, Shanghai 9th People’s Hospital, Affiliated to Shanghai JiaoTong University medical school, No. 639 Zhi Zao Ju RD, 200011 Shanghai, China |
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| Snippet | The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the... Abstract Objective The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS)... Objective The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the... Objective: The purpose of this study was to determine the characteristic computed tomography (CT) findings of pigmented villonodular synovitis (PVNS) of the... |
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| SubjectTerms | Adult Age Female Humans Male Medical imaging Middle Aged Pain PVNS Radiology Studies Synovitis, Pigmented Villonodular - diagnostic imaging Temporomandibular Joint - diagnostic imaging Temporomandibular Joint Disorders - diagnostic imaging TMJ Tomography, X-Ray Computed |
| Title | Pigmented villonodular synovitis of the temporomandibular joint: CT imaging findings |
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