Metastatic carcinoma of the mandibular condyle presenting as temporomandibular joint syndrome

Rubin, Mitchell M.; Jui, Vivian; Cozzi, Gerard M.

doi:10.1016/0278-2391(89)90286-3

Cited by 26 publications

(14 citation statements)

References 5 publications

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“…Rubin et al (14) reported that symptoms of TMJ dysfunction, including pain, trismus and mandibular deviation, coupled with swelling and radiographic evidence of a destructive lesion or pathological fracture, may suggest the presence of a malignancy, either primary or metastatic. A tumor occurring in the TMJ often obstructs the opening of the jaws; however, in the present study, the tumor in the mandibular fossa caused TMJ dislocation by pushing the condyle out of the fossa (3).…”

Section: Discussionmentioning

confidence: 99%

“…A tumor occurring in the TMJ often obstructs the opening of the jaws; however, in the present study, the tumor in the mandibular fossa caused TMJ dislocation by pushing the condyle out of the fossa (3). The literature review revealed 11 cases of occlusal abnormality and/or TMJ dislocation due to metastasis (5 males and 6 females; age range, 49-85 years; mean age ± standard deviation, 63.7±9.6 years), 4 of which were cases of TMJ dislocation (Table I) (5,(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). Condylar destruction, including pathological fracture, was often observed using conventional radiography in cases of occlusal abnormality, whereas it was not observed in cases of TMJ dislocation (16)(17)(18)22).…”

Section: Discussionmentioning

confidence: 99%

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Temporomandibular dislocation caused by pancreatic cancer metastasis: A case report

et al. 2017

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Abstract. Metastasis-induced dislocation of the temporomandibular joint (TMJ) is rare. The present study describes a case of TMJ dislocation caused by metastasis from pancreatic cancer, and discusses this in the context of literature on occlusal abnormality and/or dislocation due to metastasis. In the present case, unilateral TMJ dislocation was suspected when the patient first presented; destructive bone changes were not observed on conventional radiographs, and magnetic resonance imaging (MRI) revealed a tumorous lesion. The present case suggests that healthcare professionals should consider whether a malignant disease is present in cases of occlusal abnormality and/or dislocation of the TMJ, and that, in patients with TMJ dislocation that cannot easily be repositioned, additional imaging examinations, including MRI, should be performed as soon as possible, regardless of whether destructive bone changes are present. Metastasis to the TMJ is typically associated with generalized skeletal metastasis in the final stage of malignancy. Therefore, it is crucial to consider the possibility of cervical spine metastasis in order to decrease the risk of cervical fracture when attempting reduction of a TMJ dislocation, particularly in patients with a history of cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Temporomandibular dislocation caused by pancreatic cancer metastasis: A case report

et al. 2017

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“…(Table 4) [27]. Radiographic manifestation on the initial stage is due to the fact that 30~50% of mineral content must be lost before the radiograph can reveal a lytic lesion, implying that initial radiographs may appear normal even if some resorption had already occurred [61].…”

Section: Discussionmentioning

confidence: 99%

“…Prognosis of condylar metastasis is usually poor [21,27,49,62]. Most patients died within one year after diagnosis of metastasis of serious complications resulting from disease deterioration [62].…”

Section: Discussionmentioning

confidence: 99%

Clinical manifestations and diagnostic approach to metastatic cancer of the condyle

Jung

2017

Oral Biol Res

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·············································································································································································Metastatic malignancy on the mandibular condyle is a very rare, but life-threatening condition that is frequently misdiagnosed as temporomandibular joint disorder (TMD) and other dental diseases. The researchers report on a patient who was referred with an initial diagnosis of TMD, due to symptoms resembling TMD, such as limited mouth opening with pain on the temporomandibular joint (TMJ) and mandibular deviation during mouth opening. However, the final diagnosis was malignant condylar metastasis. The researchers reviewed available literature on malignant condylar metastatic cases focusing on initially misdiagnosed cases to find additional diagnostic information. The analysis revealed that some aspects of malignant condylar metastasis were overlooked, which frequently led to misdiagnosis and incorrect treatment. Further understanding of condylar metastasis might lead to early detection of occult primary cancer, possibly preventing further metastasis.

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“…Metastatic foci are situated predominantly in the red marrow of all bones. The spine is most often involved, followed by the ribs, pelvis, proximal ends of long bones, sternum and skull 4,10 . The rarity of metastases to the TMJ can be explained by the isolated nature of its blood supply 10 .…”

Section: Discussionmentioning

confidence: 99%

Metastatic adenocarcinoma of the temporomandibular joint from the cardia of the stomach: a case report

Smolka

Brekenfeld

Büchel

et al. 2004

International Journal of Oral and Maxillofacial Surgery

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Metastatic carcinoma of the mandibular condyle presenting as temporomandibular joint syndrome

Cited by 26 publications

References 5 publications

Temporomandibular dislocation caused by pancreatic cancer metastasis: A case report

Temporomandibular dislocation caused by pancreatic cancer metastasis: A case report

Clinical manifestations and diagnostic approach to metastatic cancer of the condyle

Metastatic adenocarcinoma of the temporomandibular joint from the cardia of the stomach: a case report

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