Pigmented Villonodular Synovitis of the Temporomandibular Joint

Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: a case and literature review

“…An extensive review of the literature produced 26 previously reported cases of PVNS found within the TMJ 1-3,7-10,12, [14][15][16][17][20][21][22]25,[28][29][30][31][32][33][35][36][37] ( Table 1). The most common presenting symptom was a preauricular mass or swelling, which occurred in 92% (24 of 26) of cases.…”

“…26 The first documentation of PVNS in the temporomandibular joint (TMJ) was reported in 1973 by Lapayowker et al, who reported two cases 22 . To date, 26 cases of PVNS affecting the TMJ have been reported in the English literature [1][2][3][7][8][9][10]12,[14][15][16][17]20,21,25,[28][29][30][31][32][33][35][36][37][38] (Table 1).…”

Extra-articular pigmented villonodular synovitis of the temporomandibular joint

“…For instance, the lesion described by Franchi et al (1994) consisted of a 1.5 X 1 cm reddish-brown mass adherent to the external surface of the capsule of the left temporomandibular joint and therefore presented as a parotid swelling, and in the case reported by Dawiskiba (1989), the lesion was lateral to the right temporomandibular joint. The extra-articular location of these lesions was also supported by the fact that on radiological examination, the temporomandibular joint was usually preserved, but erosion of the juxta-articular bone could be detected in the more advanced cases (Lapayowker et al, 1973;Miyamoto et al, 1977). Moreover, many of these reported lesions showed extensive local infiltration into surrounding tissue.…”

“…The location of the lesion, namely, the temporomandibular joint, is of particular interest, as the occurrence of pigmented villonodular synovitis in this region is extremely rare. The first two cases were reported by Lapayowker et al in 1973. Since then, additional cases have been described, mostly in the form of single case reports (Barnard, 1975;Miyamoto et al, 1977;Raibley, 1977;Makek and Drommer, 1978;Takagi and Ishikawa, 1981;Rickert and Shapiro, 1982;Gallia et al, 1982;Curtin et al, 1983;O'Sullivan et al, 1984;Dawiskiba et al, 1989), and reviewed by Eisig et al (1992). A number of additional case reports were also published recently (Syed et al, 1993;Franchi et al, 1994;Ohira, 1994;Shapiro et al, 1996;Youssef et al, 1996;Yu et al, 1997;Tanaka et al, 1997).…”

Extra-Articular Pigmented Villonodular Synovitis

“…PVNS dissect through the joint capsule or the tendon sheath and extend along fascial planes as a soft tissue mass. 10,11 Invasion of the bone is seen with intraarticular, bursal, or tendon sheath involvement as lytic clusters of well-marginated cyst-like lucencies. [12][13][14] The extension takes place through the perivascular foramina, the ligamentous attachment to the bone, or through the chondro-osseous junction.…”