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罕见双侧滑膜软骨瘤病的外科治疗

Surgical treatment of a rare bilateral synovial chondromatosis.

作者信息

Barretto Matheus Dantas de Araújo, Kaba Shajadi Carlos Pardo, Elias Fernando Melhem, Deboni Maria Cristina Zindel

机构信息

Universidade de São Paulo (USP), Faculdade de Odontologia, Departamento de Cirurgia Prótese e Traumatologia Maxilofaciais. São Paulo, SP, Brazil.

Universidade de São Paulo (USP), Hospital Universitário, Divisão de Odontologia. São Paulo, SP, Brazil.

出版信息

Autops Case Rep. 2020 Sep 2;10(4):e2020183. doi: 10.4322/acr.2020.183.

DOI:10.4322/acr.2020.183
PMID:33344313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7703291/
Abstract

Synovial chondromatosis (SC) in the temporomandibular joint (TMJ) is an uncommon entity, mostly when the involvement is bilateral. The authors report a rare case of bilateral SC, with a follow-up of 13 months, and a literature review. A 60-year-old Caucasian woman, with the chief complaint of pain for 6 years in the bilateral pre-auricular region, had a progressive clacking and discomfort on the left side during mouth opening. The panoramic image was suggestive of SC. The bilateral lesion was surgically removed by direct access. Histopathological examination confirmed the clinical diagnosis of bilateral SC. This article shows the importance of a multidisciplinary approach for the early diagnosis and appropriate treatment. Also, it encourages the referral of such cases to professionals with a greater familiarity with this entity.

摘要

颞下颌关节滑膜软骨瘤病（SC）并不常见，双侧受累时更为罕见。作者报告了一例罕见的双侧SC病例，随访13个月，并进行了文献综述。一名60岁的白人女性，主要抱怨双侧耳前区疼痛6年，张口时左侧有进行性弹响和不适。全景片提示为SC。通过直接入路手术切除双侧病变。组织病理学检查证实了双侧SC的临床诊断。本文显示了多学科方法对早期诊断和适当治疗的重要性。此外，它鼓励将此类病例转诊给更熟悉该疾病的专业人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/c40436564246/autopsy-10-4-e2020183-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/226e71b7e0ac/autopsy-10-4-e2020183-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/8b61d3c33e48/autopsy-10-4-e2020183-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/34c361164a6d/autopsy-10-4-e2020183-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/08e747e0cab5/autopsy-10-4-e2020183-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/3b03b2723884/autopsy-10-4-e2020183-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/c40436564246/autopsy-10-4-e2020183-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/226e71b7e0ac/autopsy-10-4-e2020183-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/8b61d3c33e48/autopsy-10-4-e2020183-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/34c361164a6d/autopsy-10-4-e2020183-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/08e747e0cab5/autopsy-10-4-e2020183-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/3b03b2723884/autopsy-10-4-e2020183-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e37/7703291/c40436564246/autopsy-10-4-e2020183-gf06.jpg

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本文引用的文献

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Simultaneous pigmented villonodular synovitis and synovial chondromatosis of the hip: case report.髋关节同时发生色素沉着绒毛结节性滑膜炎和滑膜软骨瘤病：病例报告
J Hip Preserv Surg. 2018 Oct 31;5(4):443-447. doi: 10.1093/jhps/hny034. eCollection 2018 Dec.
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Diagnostic accuracy of synovial chondromatosis of the temporomandibular joint on magnetic resonance imaging.颞下颌关节滑膜软骨瘤病的磁共振成像诊断准确性。
PLoS One. 2019 Jan 3;14(1):e0209739. doi: 10.1371/journal.pone.0209739. eCollection 2019.
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A systematic literature review of synovial chondromatosis and pigmented villonodular synovitis of the hip.
髋关节滑膜软骨瘤病和色素沉着绒毛结节性滑膜炎的系统文献综述。
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Synovial Chondromatosis of the Temporomandibular Joint Successfully Treated by Surgery.手术成功治疗颞下颌关节滑膜软骨瘤病
Head Neck Pathol. 2015 Dec;9(4):525-9. doi: 10.1007/s12105-015-0626-0. Epub 2015 Apr 26.
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Surgical treatment of synovial chondromatosis of the temporomandibular joint with erosion of the skull base: a case report and review of the literature.颞下颌关节滑膜软骨瘤病伴颅底侵蚀的手术治疗：1例报告并文献复习
Int J Oral Maxillofac Surg. 2014 May;43(5):600-5. doi: 10.1016/j.ijom.2013.10.019. Epub 2013 Dec 4.
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