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病例报告:通过细针穿刺细胞学诊断颞下颌关节二水焦磷酸钙沉积症。

Case report: Calcium pyrophosphate dihydrate deposition of the temporomandibular joint diagnosed by fine-needle aspiration cytology.

作者信息

Fuentes-Martinez N, Tani E, Darai-Ramqvist E, Skoog L

机构信息

Department of Cytology, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Diagn Cytopathol. 2018 Jul;46(7):610-612. doi: 10.1002/dc.23895. Epub 2018 Feb 2.

Abstract

Calcium pyrophosphate dihydrate deposition (CPDD) is the accepted name for a disease that mainly occurs in elderly patients. This disease affects many joints in particular the knee joint. CPDD is extremely rare in the temporomandibular joint (TMJ) with only few cases reported in the English literature. Herein, we present a case of an 89 years old woman with a radiological diagnosis of chondrosarcoma of TMJ. Fine-needle aspiration cytology however showed crystals, multinucleated giant cells and macrophages which allowed a correct diagnosis of CPDD.

摘要

二水焦磷酸钙沉积症(CPDD)是一种主要发生在老年患者中的疾病的公认名称。这种疾病会影响多个关节,尤其是膝关节。CPDD在颞下颌关节(TMJ)中极为罕见,英文文献中仅报道了少数病例。在此,我们报告一例89岁女性患者,其影像学诊断为TMJ软骨肉瘤。然而,细针穿刺细胞学检查显示有晶体、多核巨细胞和巨噬细胞,从而得以正确诊断为CPDD。

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