咬合異常を生じた顎関節滑膜軟骨腫症
A 44-year-old female patient complained of spontaneous articular pain in her left temporomandibular joint. Her mandible had shifted toward the right, and she exhibited a crossbite. A large radiopaque body was seen in the posterior of the condylar head on radiography. Computed tomography revealed tha...
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| Published in | Shika Hoshasen Vol. 57; no. 2; pp. 81 - 85 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本歯科放射線学会
2018
Japanese Society for Oral and Maxillofacial Radiology |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0389-9705 2185-6311 |
| DOI | 10.11242/dentalradiology.57.81 |
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| Abstract | A 44-year-old female patient complained of spontaneous articular pain in her left temporomandibular joint. Her mandible had shifted toward the right, and she exhibited a crossbite. A large radiopaque body was seen in the posterior of the condylar head on radiography. Computed tomography revealed that the posterior of the left condyle was occupied by a radiopaque lesion measuring 15×20 mm. The left external auditory canal had been narrowed by the lesion. Several small radiopaque bodies were observed around the left condyle. Both the large mass and small radiopaque bodies were found to be located in a region of joint effusion in the upper joint space on magnetic resonance imaging （MRI）. The mandibular fossa exhibited a rough surface on both CT and MRI. Surgical enucleation of the lesion was performed. The histopathological diagnosis was synovial osteochondromatosis. |
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| AbstractList | A 44-year-old female patient complained of spontaneous articular pain in her left temporomandibular joint. Her mandible had shifted toward the right, and she exhibited a crossbite. A large radiopaque body was seen in the posterior of the condylar head on radiography. Computed tomography revealed that the posterior of the left condyle was occupied by a radiopaque lesion measuring 15×20 mm. The left external auditory canal had been narrowed by the lesion. Several small radiopaque bodies were observed around the left condyle. Both the large mass and small radiopaque bodies were found to be located in a region of joint effusion in the upper joint space on magnetic resonance imaging （MRI）. The mandibular fossa exhibited a rough surface on both CT and MRI. Surgical enucleation of the lesion was performed. The histopathological diagnosis was synovial osteochondromatosis. A 44-year-old female patient complained of spontaneous articular pain in her left temporomandibular joint. Her mandible had shifted toward the right, and she exhibited a crossbite. A large radiopaque body was seen in the posterior of the condylar head on radiography. Computed tomography revealed that the posterior of the left condyle was occupied by a radiopaque lesion measuring 15×20 mm. The left external auditory canal had been narrowed by the lesion. Several small radiopaque bodies were observed around the left condyle. Both the large mass and small radiopaque bodies were found to be located in a region of joint effusion in the upper joint space on magnetic resonance imaging （MRI）. The mandibular fossa exhibited a rough surface on both CT and MRI. Surgical enucleation of the lesion was performed. The histopathological diagnosis was synovial osteochondromatosis. A 44-year-old female patient complained of spontaneous articular pain in her left temporomandibular joint. Her mandible had shifted toward the right, and she exhibited a crossbite. A large radiopaque body was seen in the posterior of the condylar head on radiography. Computed tomography revealed that the posterior of the left condyle was occupied by a radiopaque lesion measuring 15×20 mm. The left external auditory canal had been narrowed by the lesion. Several small radiopaque bodies were observed around the left condyle. Both the large mass and small radiopaque bodies were found to be located in a region of joint effusion in the upper joint space on magnetic resonance imaging （MRI）. The mandibular fossa exhibited a rough surface on both CT and MRI. Surgical enucleation of the lesion was performed. The histopathological diagnosis was synovial osteochondromatosis. |
| Author | 住友, 伸一郎 藤下, 昌己 飯田, 幸弘 吉田, 洋康 松岡, 正登 勝又, 明敏 中尾, 寿奈 野尻, みのり 永山, 元彦 福井, 達真 |
| Author_FL | Nakao Juna Sumitomo Shinichiro Yoshida Hiroyasu Iida Yukihiro Fujishita Masami Matsuoka Masato Fukui Tatsumasa Nojiri Minori Nagayama Motohiko Katsumata Akitoshi |
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| References | 1．中島頼俊，井上農夫男，門脇 繁，中村芳幸，Mohiuddin Ahmed，進藤正信．顎関節に生じた滑膜性骨軟骨腫症の1例．日口外誌．1993；39：607-609 15．片山良子，栗田賢一，福田幸太，近藤倫弘，杉田好彦，前田初彦．滑膜性骨軟骨腫症と関節円板の石灰化を併発した顎関節部ピロリン酸カルシウム結晶沈着症の1例．日口外誌．2012；58：366-370 18．村上賢一郎，山村 功，松本忠士．顎関節腫瘍の診断と治療 症例を中心として 下顎頭骨軟骨腫に合併して下関節腔に発現した滑膜骨軟骨腫症．口腔腫瘍．2000；12：387-390 19．五十嵐千浪，小林 馨，今中正浩，山本 昭，亀井和利，近藤寿郎，瀬戸皖一，石橋克禮．顎関節滑膜性軟骨腫症8例の画像所見と文献的考察．口科誌．1996；45：462-469 3．川島 渉，高山賢一，倉木美穂，井上智裕，川上哲司，桐田忠昭．治療経過中に病期の進行を認めた顎関節滑膜性軟骨腫症の1例．日口外誌．2010；56：511-514 17．木賀紀文，東條 格，新田哲也，田島卓也，西森繁範，藤田茂之．顎関節円板の大部分に骨化を認めた顎関節滑膜骨軟骨腫症の1例．日口外誌．2005；51：204-207 12．伊藤康弘，足立守安，鍋島弘充，豊田理恵，押村 進，中山和久．顎関節に発生した滑膜性骨軟骨腫症の1例．日口外誌．1997；43：499-501 8．牧 泉，栗田賢一，外山正彦，小木信美，深野英夫，河合 幹．顎関節に発生した大きな滑膜軟骨腫症1例．日口外誌．1996；42：553-556 21．Deboice A, Roche Y. Synovial chondromatosis of the temporomandibular joint possibly secondary to trauma. Int J Oral Maxillofac Surg. 1991；20：90-92. 6．島末 洋，宮内美和，平岡美里，重石英生，信森 剛，西 裕美，南 正彦，小川郁子，工藤保誠，高田 隆，鎌田伸之．顎関節に発生した滑膜性骨軟骨腫症の2例．広大歯誌．2007；39：57-61 4．柴田考典，須永芳弘，柴田 肇，吉澤信夫．側頭骨の下顎窩および関節隆起の骨吸収を示す腫瘍ないし腫瘍類似疾患．口腔腫瘍．2000；12：378-382 10．岩城 太，古谷昌裕，平木紳一郎，大西正信，森岡 聡，村上賢一郎．中頭蓋底の骨吸収を伴った顎関節滑膜性軟骨腫症の1例．日口外誌．1994；40：179-181 13．古田治彦，久保誼修，北郷明成，堀内 薫，白数力也．顔面非対称を伴った顎関節滑膜性骨軟骨腫症に対して下顎枝垂直骨切り術を応用した1症例．日顎変形誌．2001；11：209-214 11．儀武啓幸，佐藤文明，木野孔司．中頭蓋窩への進展を伴う顎関節滑膜軟骨腫症の1例．日顎誌．2012；24：17-21 9．青山 繁，木野孔司，君島 裕，渋谷智明，天笠光雄，茅野照雄．顎関節のピロリン酸カルシウム結晶沈着症（偽痛風）を伴う滑膜軟骨腫症の1例．日口外誌．1999；45：387-389 14．北岡栄一郎，鎌田伸之，山之内浩司，藤澤健司，林 良夫，長山 勝．顎関節に発生した滑膜性軟骨腫症の1例．日口外誌．2003；43：513-516 20．Milgram JW. Synovial osteochondromatosis. A histopathological study of thirty cases. J Bon Joint Surg. 1977；59-A：798-801. 2．亀井和利，近藤寿郎，小早川元博，津山昌嗣，鈴木 聡，瀬戸皖一．関節鏡視下に全摘出術をおこなった顎関節滑膜軟骨腫症の1例．日口外誌．1995；41：820-822 16．横溝尚子，田代三恵，須田 聡，斎藤健一，原 彰，岡部貞夫．側頭骨に進展した顎関節滑膜性軟骨腫症の1例．口科誌．1996；52：76-81 5．榎本明史，飯田征二，足立忠史，相川友直，小泉英彦，古郷幹彦．MR画像で継時的変化を観察した顎関節滑膜軟骨腫症の1例．日口外誌．2008；54：59-63 7．林 解平，岩佐昌典，大野屋雅寛，石井保雄．顎関節synovial chondromatosisの1例．日顎誌．1994；6：47-53 |
| References_xml | – reference: 20．Milgram JW. Synovial osteochondromatosis. A histopathological study of thirty cases. J Bon Joint Surg. 1977；59-A：798-801. – reference: 1．中島頼俊，井上農夫男，門脇 繁，中村芳幸，Mohiuddin Ahmed，進藤正信．顎関節に生じた滑膜性骨軟骨腫症の1例．日口外誌．1993；39：607-609． – reference: 3．川島 渉，高山賢一，倉木美穂，井上智裕，川上哲司，桐田忠昭．治療経過中に病期の進行を認めた顎関節滑膜性軟骨腫症の1例．日口外誌．2010；56：511-514． – reference: 2．亀井和利，近藤寿郎，小早川元博，津山昌嗣，鈴木 聡，瀬戸皖一．関節鏡視下に全摘出術をおこなった顎関節滑膜軟骨腫症の1例．日口外誌．1995；41：820-822． – reference: 18．村上賢一郎，山村 功，松本忠士．顎関節腫瘍の診断と治療 症例を中心として 下顎頭骨軟骨腫に合併して下関節腔に発現した滑膜骨軟骨腫症．口腔腫瘍．2000；12：387-390． – reference: 5．榎本明史，飯田征二，足立忠史，相川友直，小泉英彦，古郷幹彦．MR画像で継時的変化を観察した顎関節滑膜軟骨腫症の1例．日口外誌．2008；54：59-63． – reference: 16．横溝尚子，田代三恵，須田 聡，斎藤健一，原 彰，岡部貞夫．側頭骨に進展した顎関節滑膜性軟骨腫症の1例．口科誌．1996；52：76-81． – reference: 14．北岡栄一郎，鎌田伸之，山之内浩司，藤澤健司，林 良夫，長山 勝．顎関節に発生した滑膜性軟骨腫症の1例．日口外誌．2003；43：513-516．． – reference: 9．青山 繁，木野孔司，君島 裕，渋谷智明，天笠光雄，茅野照雄．顎関節のピロリン酸カルシウム結晶沈着症（偽痛風）を伴う滑膜軟骨腫症の1例．日口外誌．1999；45：387-389． – reference: 21．Deboice A, Roche Y. Synovial chondromatosis of the temporomandibular joint possibly secondary to trauma. Int J Oral Maxillofac Surg. 1991；20：90-92. – reference: 8．牧 泉，栗田賢一，外山正彦，小木信美，深野英夫，河合 幹．顎関節に発生した大きな滑膜軟骨腫症1例．日口外誌．1996；42：553-556． – reference: 11．儀武啓幸，佐藤文明，木野孔司．中頭蓋窩への進展を伴う顎関節滑膜軟骨腫症の1例．日顎誌．2012；24：17-21． – reference: 7．林 解平，岩佐昌典，大野屋雅寛，石井保雄．顎関節synovial chondromatosisの1例．日顎誌．1994；6：47-53． – reference: 15．片山良子，栗田賢一，福田幸太，近藤倫弘，杉田好彦，前田初彦．滑膜性骨軟骨腫症と関節円板の石灰化を併発した顎関節部ピロリン酸カルシウム結晶沈着症の1例．日口外誌．2012；58：366-370． – reference: 6．島末 洋，宮内美和，平岡美里，重石英生，信森 剛，西 裕美，南 正彦，小川郁子，工藤保誠，高田 隆，鎌田伸之．顎関節に発生した滑膜性骨軟骨腫症の2例．広大歯誌．2007；39：57-61． – reference: 4．柴田考典，須永芳弘，柴田 肇，吉澤信夫．側頭骨の下顎窩および関節隆起の骨吸収を示す腫瘍ないし腫瘍類似疾患．口腔腫瘍．2000；12：378-382． – reference: 10．岩城 太，古谷昌裕，平木紳一郎，大西正信，森岡 聡，村上賢一郎．中頭蓋底の骨吸収を伴った顎関節滑膜性軟骨腫症の1例．日口外誌．1994；40：179-181． – reference: 13．古田治彦，久保誼修，北郷明成，堀内 薫，白数力也．顔面非対称を伴った顎関節滑膜性骨軟骨腫症に対して下顎枝垂直骨切り術を応用した1症例．日顎変形誌．2001；11：209-214． – reference: 17．木賀紀文，東條 格，新田哲也，田島卓也，西森繁範，藤田茂之．顎関節円板の大部分に骨化を認めた顎関節滑膜骨軟骨腫症の1例．日口外誌．2005；51：204-207． – reference: 19．五十嵐千浪，小林 馨，今中正浩，山本 昭，亀井和利，近藤寿郎，瀬戸皖一，石橋克禮．顎関節滑膜性軟骨腫症8例の画像所見と文献的考察．口科誌．1996；45：462-469． – reference: 12．伊藤康弘，足立守安，鍋島弘充，豊田理恵，押村 進，中山和久．顎関節に発生した滑膜性骨軟骨腫症の1例．日口外誌．1997；43：499-501． |
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| SubjectTerms | Computed tomography CT Diagnostic imaging Magnetic resonance imaging MRI Synovial osteochondromatosis Temporomandibular joint 滑膜性骨軟骨腫症 画像診断 顎関節 |
| Title | 咬合異常を生じた顎関節滑膜軟骨腫症 |
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| ispartofPNX | 歯科放射線, 2018, Vol.57(2), pp.81-85 |
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