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Pigmented Villonodular Synovitis of the Temporomandibular Joint

Pigmented Villonodular Synovitis of the Temporomandibular Joint Abstract Pigmented villonodular synovitis is a proliferative disorder affecting the synovium and may be an aggressive local process with bone destruction and invasion of contiguous structures. Involvement of the temporomandibular joint is very rare. We report a rare case of pigmented villonodular synovitis of the temporomandibular joint that invaded the infratemporal fossa with bone destruction of the mandibular condyle. Magnetic resonance imaging was effective in delineating the extent of the lesion in the infratemporal fossa. Fine-needle aspiration cytology showed multinucleated giant cells and round or spindle-shaped cells with hemosiderin deposits. The tumor was resected en bloc through a combined temporocervical and infratemporal fossa approach. The postoperative histological diagnosis was a variant of pigmented villonodular synovitis. Fine-needle aspiration cytology and magnetic resonance imaging proved to be useful in the preoperative diagnosis of pigmented villonodular synovitis of the temporomandibular joint and in the preoperative planning that is required to obtain adequate surgical margins. Arch Otolaryngol Head Neck Surg. 1997;123:536-539 References 1. Jaffe HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovitis, bursitis and tenosynovitis . Arch Pathol . 1941;31:731-765. 2. Goldman AB, DiCarlo EF. Pigmented Villonodular synovitis: diagnosis and differential diagnosis . Radiol Clin North Am . 1988;26:1327-1347. 3. Enzinger FM, Weiss SW. Benign tumors and tumorlike lesions of synovial tissue . In: Soft Tissue Tumors . 3rd ed. St Louis, Mo: Mosby-Year Book Inc; 1995:735-755. 4. Barnard JDW. Pigmented villonodular synovitis in the temporomandibular joint: a case report . Br J Oral Surg . 1975;13:183-187.Crossref 5. Takagi M, Ishikawa G. Simultaneous villonodular synovitis and synovial chondromatosis of the temporomandibular joint: report of case . J Oral Surg . 1981;39:699-701. 6. O'Sullivan TJ, Alport EC, Whiston HG. Pigmented villonodular synovitis of the temporomandibular joint . J Otolaryngol . 1984:13:123-126. 7. Dawiskiba S, Eriksson L, Elner A, Johansen CC, Hansson LG, Westesson PL. Diffuse pigmented villonodular synovitis of the temporomandibular joint diagnosed by fine-needle aspiration cytology . Diagn Cytopathol . 1989;5:301-304.Crossref 8. Youssef RE, Roszkowski MJ, Richter KJ. Pigmented villonodular synovitis of the temporomandibular joint . J Oral Maxillofac Surg . 1996; 54:224-227.Crossref 9. Shapiro S, Kessler S, McMenomey SO. Pathologic quiz case 1 . Arch Otolaryngol Head Neck Surg . 1996:122:194, 196.Crossref 10. Steinbach LS, Neumann CH, Stoller DW, et al. MRI of the knee in diffuse pigmented villonodular synovitis . Clin Imaging . 1989;13:305-316.Crossref 11. Mirra JM. Chondroblastoma . In: Mirra JM, Picci P, Gold RH, eds. Bone Tumors: Clinical, Radiologic, and Pathologic Correlations . Philadelphia, Pa: Lea & Febiger; 1989:589-623. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Pigmented Villonodular Synovitis of the Temporomandibular Joint

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1997.01900050092012
Publisher site
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Abstract

Abstract Pigmented villonodular synovitis is a proliferative disorder affecting the synovium and may be an aggressive local process with bone destruction and invasion of contiguous structures. Involvement of the temporomandibular joint is very rare. We report a rare case of pigmented villonodular synovitis of the temporomandibular joint that invaded the infratemporal fossa with bone destruction of the mandibular condyle. Magnetic resonance imaging was effective in delineating the extent of the lesion in the infratemporal fossa. Fine-needle aspiration cytology showed multinucleated giant cells and round or spindle-shaped cells with hemosiderin deposits. The tumor was resected en bloc through a combined temporocervical and infratemporal fossa approach. The postoperative histological diagnosis was a variant of pigmented villonodular synovitis. Fine-needle aspiration cytology and magnetic resonance imaging proved to be useful in the preoperative diagnosis of pigmented villonodular synovitis of the temporomandibular joint and in the preoperative planning that is required to obtain adequate surgical margins. Arch Otolaryngol Head Neck Surg. 1997;123:536-539 References 1. Jaffe HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovitis, bursitis and tenosynovitis . Arch Pathol . 1941;31:731-765. 2. Goldman AB, DiCarlo EF. Pigmented Villonodular synovitis: diagnosis and differential diagnosis . Radiol Clin North Am . 1988;26:1327-1347. 3. Enzinger FM, Weiss SW. Benign tumors and tumorlike lesions of synovial tissue . In: Soft Tissue Tumors . 3rd ed. St Louis, Mo: Mosby-Year Book Inc; 1995:735-755. 4. Barnard JDW. Pigmented villonodular synovitis in the temporomandibular joint: a case report . Br J Oral Surg . 1975;13:183-187.Crossref 5. Takagi M, Ishikawa G. Simultaneous villonodular synovitis and synovial chondromatosis of the temporomandibular joint: report of case . J Oral Surg . 1981;39:699-701. 6. O'Sullivan TJ, Alport EC, Whiston HG. Pigmented villonodular synovitis of the temporomandibular joint . J Otolaryngol . 1984:13:123-126. 7. Dawiskiba S, Eriksson L, Elner A, Johansen CC, Hansson LG, Westesson PL. Diffuse pigmented villonodular synovitis of the temporomandibular joint diagnosed by fine-needle aspiration cytology . Diagn Cytopathol . 1989;5:301-304.Crossref 8. Youssef RE, Roszkowski MJ, Richter KJ. Pigmented villonodular synovitis of the temporomandibular joint . J Oral Maxillofac Surg . 1996; 54:224-227.Crossref 9. Shapiro S, Kessler S, McMenomey SO. Pathologic quiz case 1 . Arch Otolaryngol Head Neck Surg . 1996:122:194, 196.Crossref 10. Steinbach LS, Neumann CH, Stoller DW, et al. MRI of the knee in diffuse pigmented villonodular synovitis . Clin Imaging . 1989;13:305-316.Crossref 11. Mirra JM. Chondroblastoma . In: Mirra JM, Picci P, Gold RH, eds. Bone Tumors: Clinical, Radiologic, and Pathologic Correlations . Philadelphia, Pa: Lea & Febiger; 1989:589-623.

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: May 1, 1997

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