[颞下颌关节色素沉着绒毛结节性滑膜炎伴中颅窝侵犯]

[Pigmented villonodular synovitis of the temporomandibular joint with invasion of middle cranial fossa].

作者信息

Stojadinovic S, Reinert S, Wildförster U, Jundt G, Machtens E

机构信息

Klinik für Mund-, Kiefer- und Gesichtschirurgie, Ruhr-Universität Bochum.

出版信息

Mund Kiefer Gesichtschir. 1998 Sep;2(5):279-81. doi: 10.1007/s100060050075.

DOI:10.1007/s100060050075

PMID:9816829

Abstract

A 63-year-old man is presented in whom a tenosynovail giant-cell tumor destroyed the right temporomandibular joint and fossa and showed extensive intracranial growth. Because of uncharacteristic complaints, a symptomatic treatment was performed elsewhere. The lesion was finally resected under endotracheal anesthesia. After 20 months free of recurrence the patient's outcome is very satisfying. Differential diagnosis and therapy are discussed.

摘要

一名63岁男性患者，其腱鞘巨细胞瘤破坏了右侧颞下颌关节和颞下窝，并呈现广泛的颅内生长。由于症状不典型，患者在其他地方接受了对症治疗。最终在气管内麻醉下切除了病变。在无复发的20个月后，患者的预后非常令人满意。文中讨论了鉴别诊断和治疗方法。