Diffuse-type tenosynovial giant cell tumor of the temporomandibular joint with skull base invasion: a report of cases with literature review

被引：8

作者：

Liu, Ying ^{[1
]}

Fan, Bao-hua ^{[2
]}

Tan, Yi-ran ^{[1
]}

Zhu, Dong-wang ^{[1
]}

Dong, Min-jun ^{[3
]}

Wang, Li-zhen ^{[4
]}

Li, Jiang ^{[4
]}

Sun, Jian ^{[1
]}

Zhang, Chen-ping ^{[1
]}

Ji, Tong ^{[1
]}

Yang, Wen-jun ^{[1
]}

Abdelrehem, Ahmed ^{[5
]}

Wu, Yi-qun ^{[2
]}

Zhong, Lai-ping ^{[1
]}

机构：

[1] Shanghai Jiao Tong Univ, Coll Stomatol, Peoples Hosp 9, Sch Med,Dept Oral & Maxillofacial Head & Neck Onc, 639 Zhizaoju Rd, Shanghai 200011, Peoples R China

[2] Shanghai Jiao Tong Univ, Sch Med, Peoples Hosp 9, Dept Neurosurg, 639 Zhizaoju Rd, Shanghai 200011, Peoples R China

[3] Shanghai Jiao Tong Univ, Sch Med, Peoples Hosp 9, Dept Radiol, Shanghai, Peoples R China

[4] Shanghai Jiao Tong Univ, Peoples Hosp 9, Sch Med, Dept Oral Pathol,Coll Stomatol, Shanghai, Peoples R China

[5] Alexandria Univ, Fac Dent, Dept Craniomaxillofacial & Plast Surg, Alexandria, Egypt

来源：

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY | 2021年 / 131卷 / 01期

关键词：

PIGMENTED VILLONODULAR SYNOVITIS; TENDON SHEATH; RADIOTHERAPY; SYNOVECTOMY; MANAGEMENT; KNEE;

D O I：

10.1016/j.oooo.2020.08.013

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objectives. The aim of this study was to retrospectively analyze the clinical characteristics, surgical treatment, and prognosis of patients with diffuse-type tenosynovial giant cell tumor (D-TGCT) involving the temporomandibular joint (TMJ) and the skull base. Study Design. A retrospective study was performed in patients with D-TGCT involving the TMJ and the skull base at our institute from April 2009 to August 2018. Data on clinical characteristics, surgical treatment, and prognosis were collected and analyzed. A literature search on D-TGCT involving the TMJ was conducted and the data analyzed. Results. The study included 22 patients (14 males and 8 females), with an average age of 44 years. The main symptoms were headache and hearing limitation, accompanied by a swelling in the TMJ area. Magnetic resonance imaging (MRI) showed low signals on T1- and T2-weighted images. All lesions were completely removed. Temporal bone flap, titanium mesh, and temporal muscle flap were used for reconstruction. The recurrence rate was 4.5%. In the literature, 115 cases were reported. Surgery alone was performed in 88 cases; postoperative radiotherapy was performed in 19 cases; the tumor recurrence rates were 9.1% and 15.8% for the 2 procedures, respectively. All patients were alive at the end of the follow-up period. Conclusions. D-TGCT involving the TMJ and the skull base is a locally aggressive but benign lesion necessitating complete resection and has a good prognosis.

引用

页码：16 / 26

页数：11

共 29 条

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