Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Case reports
A case of localized tenosynovial giant cell tumor in the temporomandibular joint
Yuki SUGAIShinnosuke NOGAMIMasatoshi CHIBAYuki TSUBOIHiroyuki KUMAMOTOTetsu TAKAHASHI
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2023 Volume 69 Issue 5 Pages 266-270

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Abstract

Tenosynovial giant cell tumor (TSGCT) is a benign tumor that mainly affects the joints of the fingers and knees, and is considered to be extremely rare in the temporomandibular joint. In this report, we describe a case of localized TSGCT in the temporomandibular joint. The patient, a 48-year-old male, had been suffering from pain in the right temporomandibular joint and right ear for several years, and had been treated by a general practitioner based on a diagnosis of temporomandibular joint arthrosis. CT images showed a soft tissue shadow in the posterior portion of the right mandibular head, but there was no evidence of destruction of the surrounding tissue or mandibular head resorption. MR images showed a nodular lesion between the right-side mandibular head and external auditory canal with low-signal area on T1-weighted and T2-weighted images. Two years after the first admission, the patient underwent enucleation of the tumor, and a diagnosis of TSGCT was obtained by histopathological examination. Two years have passed since the surgery.

 The aperture has remained at 40 mm, with no evidence of recurrence.

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© 2023 Japanese Society of Oral and Mxillofacial Surgeons
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