顎関節に発生したびまん型腱滑膜巨細胞腫の1例

Tenosynovial giant-cell tumors are classified into diffuse and localized types. The diffuse type develops primarily in major joints and rarely in the temporomandibular joint. We report a diffuse-type tenosynovial giant-cell tumor that developed in the temporomandibular joint, along with a discussion...

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Published in日本口腔外科学会雑誌 Vol. 63; no. 4; pp. 204 - 209
Main Authors 吉田, 俊一, 大山, 定男, 莇生田, 整治, 小川, 千晴, 船田, 信顕, 内田, 育宏
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.04.2017
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.63.204

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Abstract Tenosynovial giant-cell tumors are classified into diffuse and localized types. The diffuse type develops primarily in major joints and rarely in the temporomandibular joint. We report a diffuse-type tenosynovial giant-cell tumor that developed in the temporomandibular joint, along with a discussion of the literature. A 27-year-old woman visited our hospital because of pain in the right temporomandibular joint and difficulty in mouth opening as chief complaints. Radiological examination showed a lesion in the right side of the temporomandibular joint. The histopathological diagnosis on biopsy was a tenosynovial giant-cell tumor of the diffuse type, and we performed tumor excision with the patient under general anesthesia. There has been no evidence of recurrence as of 3 years 2 months after the operation. However, continuous strict follow-up is needed in consideration of the high recurrence rates.
AbstractList Tenosynovial giant-cell tumors are classified into diffuse and localized types. The diffuse type develops primarily in major joints and rarely in the temporomandibular joint. We report a diffuse-type tenosynovial giant-cell tumor that developed in the temporomandibular joint, along with a discussion of the literature. A 27-year-old woman visited our hospital because of pain in the right temporomandibular joint and difficulty in mouth opening as chief complaints. Radiological examination showed a lesion in the right side of the temporomandibular joint. The histopathological diagnosis on biopsy was a tenosynovial giant-cell tumor of the diffuse type, and we performed tumor excision with the patient under general anesthesia. There has been no evidence of recurrence as of 3 years 2 months after the operation. However, continuous strict follow-up is needed in consideration of the high recurrence rates.
Author 吉田, 俊一
内田, 育宏
船田, 信顕
大山, 定男
莇生田, 整治
小川, 千晴
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  fullname: 大山, 定男
  organization: 東京都立駒込病院口腔外科
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  fullname: 莇生田, 整治
  organization: 慶應義塾大学医学部歯科・口腔外科教室
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  fullname: 小川, 千晴
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  fullname: 船田, 信顕
  organization: 都立駒込病院病理科
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  fullname: 内田, 育宏
  organization: 日野市立病院歯科口腔外科
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References 18) 亀田典章:骨・関節.小池盛雄,恒吉正澄,他 編著;組織病理アトラス.第5版,文光堂,東京,2012,359-360.
6) 五嶋孝博,元井紀子:腱鞘巨細胞腫および色素性絨毛結節性滑膜炎の診療.第1版,科学評論社,東京,2002, 896-903頁
10) Stojadinovic S, Reinert S, et al : Destruction of the glenoid joint fossa by a tenosynovial giant cell tumor of the skull base: a case report. J Oral Maxillofac Surg 28: 132-134, 1999.
20) Schwartz HS, Unni KK, et al : Pigmented villonodular synovitis. a retrospective review of affected large joints. Clin orthop 247: 243, 1989.
4) Jaffe HL, Lichtenstein L, et al : Pigmented villonodular synovitis,bursitis and tenosynovitis. Arch Patol 31: 731-765, 1941.
15) Guo L, Qasem S, et al : tenosynovial giant cell tumor presenting as a parotid gland mass: expanding the differential diagnosis of giant cell-rich lesions in salivary glands. J Cytol 31: 224-226, 2014.
14) Pina S, Femandez M, et al : Recurrent temporal bone tenosynovial giant cell tumor with chondroid metaplasia: the use of imaging to assess recurrence. Neuroradiol J 27: 97-101, 2014.
22) Yoon HJ, Cho YA, et al : Malignant pigmented villonodular synovitis of the temporomandibular joint with lung metastasis: a case report and review of the literatur. Oooojournal 111: 30-36, 2011.
7) Beekman F : Giant-cell tumors of the tendon sheaths.Snn Surg 62: 738-745, 1915.
9) Omura S, Mizuki N, et al : Diffuse variant tenosynovial giant cell tumor of the temporomandibular joint: report of a case. J Oral Maxillofac Surg 56: 991-996, 1998.
12) Tel A, Spinzia M, et al : Diffuse tenosynovial giant cell tumour of the temporomandibular joint. J Oral Maxillofac Surg 41: 321-323, 2012.
1) Fletcher CD, Bridge JA, et al : Tenosynovial giant cell tumour, diffuse type. In Somerthausen N, Rijn M, eds ; WHO classification of tumors of soft tissue and bone. IARC Press Lyon, 2013, p102-103.
2) Jennifer MB, Andrew LF, et al : Clusterin is expressed in nomal synoviocytes and in tenosynovial giant cell tumors of localized and diffuse type. Am J Surg Pathol 33: 1225-1229, 2009
21) Byers PD, Cotton RE, et al : The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br 50: 290-305, 1968.
17) 濱田 傑:顎関節疾患.白砂兼光,古郷幹彦 編著;口腔外科学.第3版,医歯薬出版,東京,2010,348-349.
11) Gong Zc, Lin Zq, et al : Extra-articular diffuse tenosynovial giant cell tumor of the infratemporal fossa: report of a case and literature review. J Oral Maxillofac Surg 39: 820-838, 2010.
3) 元井 亨:びまん型腱滑膜巨細胞腫.深山正久,猪狩 亨,他 編著;病理診断クイックリファレンス.Vol 33,文光堂,東京,2015,273頁
8) Bredell M, Schucknecht B, et al : Tenosynovial, diffuse type giant cell tumor of the temporomandibular joint, diagnosis and management of a rare tumor. J clin Med Res 7: 262-266, 2015.
13) He D, Yang C, et al : Navigation-guided resection for a tenosynovial giant cell tumor involving the temporomandibular joint and skull base. J Craniofac Surg 23: 521-523, 2012.
19) John RG and Syaron WW : Tenosynovial giant cell tumor, diffuse type; Soft tissue tumors. 4th ed, Mosby, st louis, 2001, p1047-1054.
5) Ray RA, Morton CC, et al : Cytogenetic evidence of clonality in a case of pigmented villonodular synovitis. Cancer 67: 121, 1991.
16) Bredell M, Schucknecht B, et al : Tenosynovial, diffuse type giant cell tumor of the temporomandibular joint,diagnosis and management of a rare tumor. J Clin Med Res 7: 262-266, 2015.
References_xml – reference: 4) Jaffe HL, Lichtenstein L, et al : Pigmented villonodular synovitis,bursitis and tenosynovitis. Arch Patol 31: 731-765, 1941.
– reference: 11) Gong Zc, Lin Zq, et al : Extra-articular diffuse tenosynovial giant cell tumor of the infratemporal fossa: report of a case and literature review. J Oral Maxillofac Surg 39: 820-838, 2010.
– reference: 6) 五嶋孝博,元井紀子:腱鞘巨細胞腫および色素性絨毛結節性滑膜炎の診療.第1版,科学評論社,東京,2002, 896-903頁.
– reference: 9) Omura S, Mizuki N, et al : Diffuse variant tenosynovial giant cell tumor of the temporomandibular joint: report of a case. J Oral Maxillofac Surg 56: 991-996, 1998.
– reference: 19) John RG and Syaron WW : Tenosynovial giant cell tumor, diffuse type; Soft tissue tumors. 4th ed, Mosby, st louis, 2001, p1047-1054.
– reference: 13) He D, Yang C, et al : Navigation-guided resection for a tenosynovial giant cell tumor involving the temporomandibular joint and skull base. J Craniofac Surg 23: 521-523, 2012.
– reference: 5) Ray RA, Morton CC, et al : Cytogenetic evidence of clonality in a case of pigmented villonodular synovitis. Cancer 67: 121, 1991.
– reference: 16) Bredell M, Schucknecht B, et al : Tenosynovial, diffuse type giant cell tumor of the temporomandibular joint,diagnosis and management of a rare tumor. J Clin Med Res 7: 262-266, 2015.
– reference: 18) 亀田典章:骨・関節.小池盛雄,恒吉正澄,他 編著;組織病理アトラス.第5版,文光堂,東京,2012,359-360.
– reference: 15) Guo L, Qasem S, et al : tenosynovial giant cell tumor presenting as a parotid gland mass: expanding the differential diagnosis of giant cell-rich lesions in salivary glands. J Cytol 31: 224-226, 2014.
– reference: 17) 濱田 傑:顎関節疾患.白砂兼光,古郷幹彦 編著;口腔外科学.第3版,医歯薬出版,東京,2010,348-349.
– reference: 21) Byers PD, Cotton RE, et al : The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br 50: 290-305, 1968.
– reference: 12) Tel A, Spinzia M, et al : Diffuse tenosynovial giant cell tumour of the temporomandibular joint. J Oral Maxillofac Surg 41: 321-323, 2012.
– reference: 1) Fletcher CD, Bridge JA, et al : Tenosynovial giant cell tumour, diffuse type. In Somerthausen N, Rijn M, eds ; WHO classification of tumors of soft tissue and bone. IARC Press Lyon, 2013, p102-103.
– reference: 7) Beekman F : Giant-cell tumors of the tendon sheaths.Snn Surg 62: 738-745, 1915.
– reference: 8) Bredell M, Schucknecht B, et al : Tenosynovial, diffuse type giant cell tumor of the temporomandibular joint, diagnosis and management of a rare tumor. J clin Med Res 7: 262-266, 2015.
– reference: 10) Stojadinovic S, Reinert S, et al : Destruction of the glenoid joint fossa by a tenosynovial giant cell tumor of the skull base: a case report. J Oral Maxillofac Surg 28: 132-134, 1999.
– reference: 20) Schwartz HS, Unni KK, et al : Pigmented villonodular synovitis. a retrospective review of affected large joints. Clin orthop 247: 243, 1989.
– reference: 2) Jennifer MB, Andrew LF, et al : Clusterin is expressed in nomal synoviocytes and in tenosynovial giant cell tumors of localized and diffuse type. Am J Surg Pathol 33: 1225-1229, 2009.
– reference: 22) Yoon HJ, Cho YA, et al : Malignant pigmented villonodular synovitis of the temporomandibular joint with lung metastasis: a case report and review of the literatur. Oooojournal 111: 30-36, 2011.
– reference: 3) 元井 亨:びまん型腱滑膜巨細胞腫.深山正久,猪狩 亨,他 編著;病理診断クイックリファレンス.Vol 33,文光堂,東京,2015,273頁.
– reference: 14) Pina S, Femandez M, et al : Recurrent temporal bone tenosynovial giant cell tumor with chondroid metaplasia: the use of imaging to assess recurrence. Neuroradiol J 27: 97-101, 2014.
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SubjectTerms びまん型
腱滑膜巨細胞腫
顎関節
Title 顎関節に発生したびまん型腱滑膜巨細胞腫の1例
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