下顎関節突起に生じた軟骨芽細胞腫の1例

Chondroblastoma is a rare benign tumor of the head and neck. We report a case of chondroblastoma of the mandibular condyle. A 56-year-old woman was referred to our department for the treatment of a left mandibular condyle tumor, which was detected on computed tomography (CT). The patient had a 3-mon...

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Published in日本口腔外科学会雑誌 Vol. 58; no. 4; pp. 242 - 246
Main Authors 丹沢, 秀樹, 坂本, 洋右, 鵜澤, 一弘, 神津, 由直, 笠松, 厚志, 皆川, 康之
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.04.2012
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.58.242

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Abstract Chondroblastoma is a rare benign tumor of the head and neck. We report a case of chondroblastoma of the mandibular condyle. A 56-year-old woman was referred to our department for the treatment of a left mandibular condyle tumor, which was detected on computed tomography (CT). The patient had a 3-month history of intermittent pain in the left pre-auricular area, accompanied by episodic trismus and subjective swelling around the lesion. CT and magnetic resonance imaging (MRI) revealed an osteolytic defect in the anterior portion of the left mandibular condyle and a mass extending anterolaterally. The biopsy diagnosis was a chondroblastoma. We performed an en bloc resection that included part of the mandibular ramus. There has been no sign of recurrence for 26 months postoperatively.
AbstractList Chondroblastoma is a rare benign tumor of the head and neck. We report a case of chondroblastoma of the mandibular condyle. A 56-year-old woman was referred to our department for the treatment of a left mandibular condyle tumor, which was detected on computed tomography (CT). The patient had a 3-month history of intermittent pain in the left pre-auricular area, accompanied by episodic trismus and subjective swelling around the lesion. CT and magnetic resonance imaging (MRI) revealed an osteolytic defect in the anterior portion of the left mandibular condyle and a mass extending anterolaterally. The biopsy diagnosis was a chondroblastoma. We performed an en bloc resection that included part of the mandibular ramus. There has been no sign of recurrence for 26 months postoperatively.
Author 皆川, 康之
鵜澤, 一弘
丹沢, 秀樹
笠松, 厚志
坂本, 洋右
神津, 由直
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References 9) Bertoni F, Unni KK, et al : Chondroblastoma of the skull and facial bones. Am J Clin Pathol 88: 1-9, 1987.
16) 小田義直:顎関節領域に発生する腫瘤性病変の鑑別診断. 病理と臨床 27: 218-224, 2009.
12) Hong SM, Park YK, et al : Chondroblastoma of the temporal bone a clinicopathologic study of five cases. J Korean Med Sci 14: 559-564, 1999.
7) Unni KK : Benign chondroblastoma, in Unni KK (ed): Dahlin’s Bone Tumors: General Aspects and Data on 11, 087 Cases. Philadelphia, PA, Lippincott-Raven: 47-57, 1996.
8) Kondoh T, Hamada Y, et al : Chondroblastoma of the mandibular condyle: Report of a case. J Oral Maxillofacial Surg 60: 198-203, 2002.
13) Payne M, Yusuf H, et al : Benign chondroblastoma involving the mandibular condyle, Br J Oral Maxillofacial Surg 25: 250-255, 1987.
14) Gaudet EL, Nuss DW, et al : Chondroblastoma of the temporal bone involving the temporomandibular joint, mandibular condyle, and middle cranial fossa: Case report and review of the literature. J Craniomandibular Pract 22: 160-168, 2004.
2) Fletcher CDM, Unni K, et al : WHO Classification of Tumors, Pathology and Genetics of Tumors of Soft Tissue and Bone. IARC Press, Lyon, 2002, p241-243.
1) Jaffe HL and Lichtenstein L : Benign chondroblastoma of the bone: A reinterpretation of the so-called calcifying or chondromatous giant cell tumor. Am J Pathol 18: 969-991, 1942.
20) Kyriakos M, Land VJ, et al : Metastatic chondroblastoma. Report of a fatal case with a review of the literature on atypical, aggressive, and malignant chondroblastoma. Cancer 55: 1770-1789, 1985.
3) Dahlin DC and Ivins JC : Benign chondroblastoma: A study of 125 cases. Cancer 30: 401-413, 1972.
6) Goodsell JO, Hubinger HL, et al : Benign chondroblastoma of mandibular condyle: Report of case. J Oral Surg 22: 355-363, 1964.
15) Goga D, Fassio E, et al : Chondroblastoma of the temporomandibular region. J Oral Maxillofac Surg 57: 1270-1272, 1999.
10) Kurt AM, Unni KK, et al : Chondroblastoma of bone. Hum Pathol 20: 965-976, 1989.
17) Nakamura Y, Becker LE, et al : S-100 protein in tumors of cartilage and bone. Cancer 52: 1820-1824, 1983.
18) Monda L and Wick MR : S-100 protein immunostaining in the differential diagnosis of chondroblastoma. Hum Pathol 16: 287-293, 1985.
5) Spahr J, Elzay RP, et al : Chondroblastoma of the temporomandibular joint arising from articular cartilage: A previously unreported presentation of an uncommon neoplasm. Oral Surg 54: 430, 1982.
11) Ishikawa E, Tsuboi K, et al : Chondroblastoma of the temporal base with high mitotic activity. Neurol Med Chir 42: 516-520, 2002.
19) Bui P, Ivan D, et al : Chondroblastoma of the temporomandibular joint: report of a case and literature review. J Oral Maxillofac Surg 67: 405-409, 2009.
4) Bloem JL and Mulder JD : Chondroblastoma: Clinical and radiological study of 104 cases. Skeletal Radiol 14: 1-9, 1985.
References_xml – reference: 8) Kondoh T, Hamada Y, et al : Chondroblastoma of the mandibular condyle: Report of a case. J Oral Maxillofacial Surg 60: 198-203, 2002.
– reference: 13) Payne M, Yusuf H, et al : Benign chondroblastoma involving the mandibular condyle, Br J Oral Maxillofacial Surg 25: 250-255, 1987.
– reference: 14) Gaudet EL, Nuss DW, et al : Chondroblastoma of the temporal bone involving the temporomandibular joint, mandibular condyle, and middle cranial fossa: Case report and review of the literature. J Craniomandibular Pract 22: 160-168, 2004.
– reference: 7) Unni KK : Benign chondroblastoma, in Unni KK (ed): Dahlin’s Bone Tumors: General Aspects and Data on 11, 087 Cases. Philadelphia, PA, Lippincott-Raven: 47-57, 1996.
– reference: 9) Bertoni F, Unni KK, et al : Chondroblastoma of the skull and facial bones. Am J Clin Pathol 88: 1-9, 1987.
– reference: 2) Fletcher CDM, Unni K, et al : WHO Classification of Tumors, Pathology and Genetics of Tumors of Soft Tissue and Bone. IARC Press, Lyon, 2002, p241-243.
– reference: 18) Monda L and Wick MR : S-100 protein immunostaining in the differential diagnosis of chondroblastoma. Hum Pathol 16: 287-293, 1985.
– reference: 5) Spahr J, Elzay RP, et al : Chondroblastoma of the temporomandibular joint arising from articular cartilage: A previously unreported presentation of an uncommon neoplasm. Oral Surg 54: 430, 1982.
– reference: 6) Goodsell JO, Hubinger HL, et al : Benign chondroblastoma of mandibular condyle: Report of case. J Oral Surg 22: 355-363, 1964.
– reference: 12) Hong SM, Park YK, et al : Chondroblastoma of the temporal bone a clinicopathologic study of five cases. J Korean Med Sci 14: 559-564, 1999.
– reference: 20) Kyriakos M, Land VJ, et al : Metastatic chondroblastoma. Report of a fatal case with a review of the literature on atypical, aggressive, and malignant chondroblastoma. Cancer 55: 1770-1789, 1985.
– reference: 10) Kurt AM, Unni KK, et al : Chondroblastoma of bone. Hum Pathol 20: 965-976, 1989.
– reference: 11) Ishikawa E, Tsuboi K, et al : Chondroblastoma of the temporal base with high mitotic activity. Neurol Med Chir 42: 516-520, 2002.
– reference: 16) 小田義直:顎関節領域に発生する腫瘤性病変の鑑別診断. 病理と臨床 27: 218-224, 2009.
– reference: 3) Dahlin DC and Ivins JC : Benign chondroblastoma: A study of 125 cases. Cancer 30: 401-413, 1972.
– reference: 1) Jaffe HL and Lichtenstein L : Benign chondroblastoma of the bone: A reinterpretation of the so-called calcifying or chondromatous giant cell tumor. Am J Pathol 18: 969-991, 1942.
– reference: 15) Goga D, Fassio E, et al : Chondroblastoma of the temporomandibular region. J Oral Maxillofac Surg 57: 1270-1272, 1999.
– reference: 17) Nakamura Y, Becker LE, et al : S-100 protein in tumors of cartilage and bone. Cancer 52: 1820-1824, 1983.
– reference: 4) Bloem JL and Mulder JD : Chondroblastoma: Clinical and radiological study of 104 cases. Skeletal Radiol 14: 1-9, 1985.
– reference: 19) Bui P, Ivan D, et al : Chondroblastoma of the temporomandibular joint: report of a case and literature review. J Oral Maxillofac Surg 67: 405-409, 2009.
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SubjectTerms 下顎関節突起
切除術
軟骨芽細胞腫
Title 下顎関節突起に生じた軟骨芽細胞腫の1例
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