Chondrosarcoma of the Temporomandibular Disc: Behavior Over a 28-Year Observation Period

MacIntosh, Robert Bruce; Khan, Faisal; Waligora, Bret M.

doi:10.1016/j.joms.2014.09.020

Cited by 15 publications

(10 citation statements)

References 28 publications

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“…The reported 5-year survival rate is 44% to 54.6%, and 10-year rate is 28%32. Murayama et al15 reported that 8 of 20 patients died 5 months to 6 years after primary treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, chondrosarcoma of the jaw is uncommon in the head and neck, but when present, it and primarily occurs at the anterior maxilla in the head and neck area or in the nasal cartilage. Chondrosarcoma in the temporomandibular joint (TMJ) area is exceptionally rare, and only 30 cases have been reported in the literature234567891011121314151617181920212223242526272829303132333435363738. Treatment of chondrosarcoma of the TMJ is often challenging and might be related to the presence of associated vital structures, which include the facial nerve, parotid gland, and the close proximity to the cranial base.…”

Section: Introductionmentioning

confidence: 99%

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Temporomandibular joint chondrosarcoma: a case report and literature review

Lee

Kim

et al. 2016

J Korean Assoc Oral Maxillofac Surg

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Chondrosarcoma is a malignant tumor that originates from cartilaginous cells and is characterized by cartilage formation. Only 5% to 10% of chondrosarcoma occurs in the head and neck area, and it is uncommon in the temporomandibular joint area. This report describes an unusual case with a rare, large chondrosarcoma in a 47-year-old woman who presented with painless swelling and trismus. Computed tomography showed a large mass approximately 8.5×6.0 cm in size arising adjacent to the lateral pterygoid plate and condyle. There were features suggestive of bone resorption. The tumor was resected in a single block with perilesional tissues, and a great auricular nerve graft was performed because of facial nerve sacrifice. Microscopic examination of sections stained with H&E revealed chondrocytes with irregular nuclei and heterogeneous hyper chromatic tumor cells embedded in the chondrocyte lacuna. The diagnosis was a grade I chondrosarcoma. There was no evidence of recurrence at the 8-month follow-up, and a reconstruction surgery with fibular osteocutaneous free flap was performed. We report this unusual entity and a review of the literature.

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“…The reported 5-year survival rate is 44% to 54.6%, and 10-year rate is 28%32. Murayama et al15 reported that 8 of 20 patients died 5 months to 6 years after primary treatment.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint chondrosarcoma: a case report and literature review

Lee

Kim

et al. 2016

J Korean Assoc Oral Maxillofac Surg

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“…To the authors' knowledge, only two cases of chondrosarcoma were reported arising from areas other than the mandibular condyle, with one from the glenoid fossa 35 and the other from the articular disc. 39 Although there were case reports describing displacement of the masseter muscle, medial pterygoid muscle, and LPM, 5,9,11 the imaging features of infiltration into the tendon of the LPM in the pterygoid fovea has never been mentioned in the previous reports. The present study investigated the infiltration into the tendon of the LPM in the pterygoid fovea and revealed positive findings in all nine chondrosarcomas.…”

Section: Discussionmentioning

confidence: 99%

“…23 There were two cases of recurrence. 31,39 In one of the two recurrent cases, positive margins after surgery had been revealed and 1 year after the surgery, recurrent LPM, lateral pterygoid muscle; SI, signal intensity; score 1, no uptake; score 2, uptake less than or equal to that of mediastinal blood pool; score 3, uptake more than that of mediastinal blood pool but less than or equal to that of the liver; score 4, uptake moderately increased compared with that of the liver; score 5, uptake markedly increased compared with that of the liver. 19 46/F/SPT --/-/-/--/-/-Sx -/-/-Lanier 1971 chondrosarcoma was detected, and additional surgery with adjuvant radiotherapy was undertaken.…”

Section: Discussionmentioning

confidence: 99%

Imaging features of chondrosarcoma of the temporomandibular joint: report of nine cases and literature review

et al. 2020

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To investigate the imaging features of chondrosarcoma of the temporomandibular joint (TMJ) and review the literature. MATERIALS AND METHODS: Computed tomography (CT), magnetic resonance imaging (MRI), and integrated positron-emission tomography (PET)/CT images of nine patients with histopathologically confirmed chondrosarcoma of the TMJ were reviewed retrospectively. Imaging features regarding the direction of lesion growth, bone destruction, infiltration into the tendon of the lateral pterygoid muscle (LPM) in the pterygoid fovea, enhancement pattern, calcification, periosteal reaction, markedly hyperintense T2 signal area, and qualitative PET signal intensity were evaluated. RESULTS: Seven of nine patients (77.8%) presented with lesion growth that was outward from the medulla of the mandibular condyle. Infiltration into the tendon of LPM in the pterygoid fovea was observed in all cases, and 77.8% (7/9) of them demonstrated >50% infiltration. All the lesions showed a mixed peripheral and internal enhancement, and revealed a markedly hyperintense T2 signal intensity area, which showed no enhancement. Although five of nine cases demonstrated higher FDG uptake compared with that of the liver, the other four cases showed less FDG uptake than that of the liver. CONCLUSION: Chondrosarcoma of the TMJ demonstrated several imaging features, including outward growth from the mandibular condyle, resultant infiltration into the tendon of LPM in the pterygoid fovea, various patterns of internal enhancement, and a markedly hyperintense T2 signal intensity area. These imaging features may be helpful to differentiate chondrosarcoma from other lesions of the TMJ.

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“…Osteotomy of the zygomatic arch, mandible condyle, and coronoid process has been performed for surgical access to the middle cranial fossa [ 17 , 20 ]. The mandibular condylar process is temporarily resected to the access of the infratemporal fossa and excised the chondrosarcoma [ 21 ]. After osteotomy of the mandible condyle, the internal maxillary artery, pterygoid muscle, and mandibular nerve can be accessed [ 17 ].…”

Section: Case Presentationmentioning

confidence: 99%

Calcium pyrophosphate dihydrate deposition disease in the temporomandibular joint: diagnosis and treatment

Kwon

Seok

Lee

et al. 2018

Maxillofac Plast Reconstr Surg

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BackgroundCalcium pyrophosphate dihydrate deposition disease (CPDD) is a rare disease in the temporomandibular joint (TMJ) space. It forms a calcified crystal mass and induces a limitation of joint movement.Case presentationThe calcified mass in our case was occupied in the left TMJ area and extended to the infratemporal and middle cranial fossa. For a complete excision of this mass, we performed a vertical ramus osteotomy and resected the mass around the mandibular condyle. The calcified mass in the infratemporal fossa was carefully excised, and the segmented mandible was anatomically repositioned. Scanning electronic microscopy (SEM)/energy-dispersive X-ray spectroscopy (EDS) microanalysis was performed to evaluate the calcified mass. The result of SEM/EDS showed that the crystal mass was completely composed of calcium pyrophosphate dihydrate. This result strongly suggested that the calcified mass was CPDD in the TMJ area.ConclusionsCPDD in the TMJ is a rare disease and is difficult to differentially diagnose from other neoplasms. A histological examination and quantitative microanalysis are required to confirm the diagnosis. In our patient, CPDD in the TMJ was successfully removed via the extracorporeal approach. SEM/EDS microanalysis was used for the differential diagnosis.

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Chondrosarcoma of the Temporomandibular Disc: Behavior Over a 28-Year Observation Period

Cited by 15 publications

References 28 publications

Temporomandibular joint chondrosarcoma: a case report and literature review

Temporomandibular joint chondrosarcoma: a case report and literature review

Imaging features of chondrosarcoma of the temporomandibular joint: report of nine cases and literature review

Calcium pyrophosphate dihydrate deposition disease in the temporomandibular joint: diagnosis and treatment

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