Pigmented Villonodular Synovitis of the Temporomandibular Joint Presenting as a Middle Cranial Fossa Tumor

Liu, Yuan‐Kai; Chan, J. K. C.; Chang, Chih‐Ju; Huang, Jing-Shan

doi:10.1016/j.joms.2011.02.031

Cited by 20 publications

(15 citation statements)

References 30 publications

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“…Some authors advocate that the majority of tumors affecting the TMJ are extraarticular, more infiltrative, extend to the temporal bone, and have higher recurrence rates 1,5 . By defi- Skull base involvement and intracranial extension have been previously described [3][4][5][6] as has a case presenting as a middle cranial fossa mass 7 . The rare malignant form of TGCT with metastatic lesions in the lungs and lymph nodes has also been documented 8 .…”

Section: Discussionmentioning

confidence: 95%

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Recurrent Temporal Bone Tenosynovial Giant Cell Tumor with Chondroid Metaplasia: The Use of Imaging to Assess Recurrence

et al. 2014

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SUMMARY -Tenosynovial giant cell tumor (TGCT) is a benign proliferative lesion of unclear etiology. It is predominantly monoarticular and involves the synovium of the joint, tendon sheath, and bursa. TGCT of the temporomandibular joint (TMJ) is rare and aggressive resulting in destruction of surrounding structures. The diagnosis may be suggested by imaging, mainly by the MR features and PET/CT, and confirmed by histopathology. We describe the case of a 50-year-old man who presented with right-sided hearing loss, tinnitus and TMJ pain. Pathology revealed tenosynovial giant cell tumor with chondroid metaplasia. Six years later he developed a recurrence, which was documented to our knowledge for the first time with CT, MR and FDG PET/CT imaging.

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Section: Discussionmentioning

confidence: 95%

“…Radiation therapy may be considered when vital structures are involved and to prevent recurrence 4,8 . We suggest that MR and PET/CT, when available, should be strongly considered in the follow-up to monitor tumor recurrence 7 .…”

Section: Discussionmentioning

confidence: 99%

Recurrent Temporal Bone Tenosynovial Giant Cell Tumor with Chondroid Metaplasia: The Use of Imaging to Assess Recurrence

et al. 2014

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“…Painful or painless preauricular mass with swelling, sensation of heat, trismus and TMJ clicking are common symptoms related to TGCT-d (13). Due to non-specific clinical symptoms, the diagnosis is, many times, a parotid mass or TMD, and years may elapse until a proper diagnosis is reached (14).…”

Section: Discussionmentioning

confidence: 99%

“…The possibility of misdiagnosis on these cases should draw the attention of clinicians to consider a patient's complete examination before establishing the etiology and proper treatment, especially facing unspecific symptoms. Furthermore, TGCT-d should be included in the differential diagnosis, despite its rarity (13,15).…”

Section: Discussionmentioning

confidence: 99%

Chondroid Tenosynovial Giant Cell Tumor of the Temporomandibular Joint: A Rare Case Report

et al. 2017

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Tenosynovial giant cell tumor of diffuse type (TGCT-d) or pigmented villonodular synovitis (PVNS) is a locally aggressive lesion that mostly affects the joints of long bones. Chondroid tenosynovial giant cell tumor (CTGCT) or PVNS with chondroid metaplasia is a rare distinct subset of synovial tumors that has a predilection for the TMJ. We report a rare case of CTGCT in the TMJ, initially misdiagnosed as temporomandibular disorder (TMD). A 51-year-old woman was referred to the surgeon with the chief complaint of TMJ pain for 5 years and a past history of an unsuccessful TMD treatment. Extraoral examination revealed discrete preauricular swelling and restricted mandibular range of motion. Panoramic radiograph and computerized tomography showed destruction of the mandibular fossa and condyle. Histologically, the tumor was composed by large mononuclear cells with prominent eosinophilic cytoplasm and grooved nuclei, small histiocytoid cells, osteoclast-like multinucleated cells, brown pigmentation and areas of chondroid metaplasia. Morphological and immunohistochemical characteristics lead to the final diagnosis of CTGCT. The rarity of CTGCT could be attributed to the lack of recognition of this lesion, with cases diagnosed as chondroblastomas, synovial chodromatosis and chondrosarcoma. The patient received immediate reconstruction and recurrence was found 22 months after initial intervention. TGCT-d and CTGCT of the TMJ can present similar symptoms to TMD, but clinicians must distinguish both lesions by complete examination, imaging and, when necessary, histopathologic evaluation.

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“…Lapayowker et al5 first described PVNS of the TMJ in 1973. According to one literature search, since 1973, a total of 45 PVNS patients with TMJ involvement have been reported to date6.…”

Section: Introductionmentioning

confidence: 99%

Pigmented villonodular synovitis of the temporomandibular joint - computed tomography and magnetic resonance findings: a case report

Kim

Cho

Seo

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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Pigmented villonodular synovitis (PVNS) is a benign but locally aggressive and destructive disease originating in the synovial membranes. It is a proliferative disorder of unknown etiology. Involvement of the temporomandibular joint (TMJ) is very rare. Computed tomography clearly reveals areas of lytic bone erosion and sclerosis, and also clearly defines the extent of the tumor which is the focal areas of hyperdensity within the soft-tissue mass. Magnetic resonance images invariably show profound hypointensity on both T1- and T2-weighted sequences due to hemosiderin pigmentation. Additionally, high signal intensity on T2-weighted images may indicate cystic loculation of the joint fluid. This case study describes a rare case of PVNS of the TMJ with bone destruction of the mandibular condyle. Complete surgical excision of the lesion was performed through a preauricular approach with temporal extension. During the 10-year follow-up, two more operations were performed due to local recurrence and the fracture of the reconstruction plate. Total joint reconstruction with Biomet was finally performed, and the absence of disease was confirmed with a biopsy report showing fibrosis with hyalinization and mild inflammation of the excised soft tissue from the old lesion.

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Pigmented Villonodular Synovitis of the Temporomandibular Joint Presenting as a Middle Cranial Fossa Tumor

Cited by 20 publications

References 30 publications

Recurrent Temporal Bone Tenosynovial Giant Cell Tumor with Chondroid Metaplasia: The Use of Imaging to Assess Recurrence

Recurrent Temporal Bone Tenosynovial Giant Cell Tumor with Chondroid Metaplasia: The Use of Imaging to Assess Recurrence

Chondroid Tenosynovial Giant Cell Tumor of the Temporomandibular Joint: A Rare Case Report

Pigmented villonodular synovitis of the temporomandibular joint - computed tomography and magnetic resonance findings: a case report

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