Cascone Piero, Rivaroli Andrea, Arangio Paolo, Giovannetti Filippo
Maxillo-facial Surgery Department, "La Sapienza" University, Viale Regina Elena, Rome, CAP 00100, Italy.
J Craniofac Surg. 2006 Nov;17(6):1189-92. doi: 10.1097/01.scs.0000246726.38730.67.
In this paper introduces a rare case of chondrocalcinosis of the temporomandibular joint secondary to hyperparathyroidism, diagnosed in a 64-year-old man. The patient complained of symptoms characterized by the presence of a swelling in the left pretragic preauricular region, accompanied by a limitation of the mandibular movements. Radiographic examinations suggested a diagnosis of synovial chondromatosis. Subsequently definitive histological analysis removed mass stated for a chondrocalcinosis of the left temporomandibular joint. The differential diagnosis is very hard, in this case it has been difficult for the rarity of the pathology described in literature; the exact diagnosis can be only formulated on histologic and citologic examination of the mass excised.
本文介绍了一例罕见的继发于甲状旁腺功能亢进的颞下颌关节软骨钙质沉着症，患者为一名64岁男性。患者主诉症状为左耳前耳屏前区域肿胀，并伴有下颌运动受限。影像学检查提示滑膜软骨瘤病的诊断。随后，对切除的肿物进行明确的组织学分析，确诊为左颞下颌关节软骨钙质沉着症。鉴别诊断非常困难，在这种情况下，由于文献中描述的病理情况罕见，诊断变得困难；只有对切除的肿物进行组织学和细胞学检查才能做出准确诊断。
