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Temporomandibular joint chondrosarcoma: a case report and literature review

  • Lee, Kyungjin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Seong Hwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 투고 : 2016.01.15
  • 심사 : 2016.04.16
  • 발행 : 2016.10.31

초록

Chondrosarcoma is a malignant tumor that originates from cartilaginous cells and is characterized by cartilage formation. Only 5% to 10% of chondrosarcoma occurs in the head and neck area, and it is uncommon in the temporomandibular joint area. This report describes an unusual case with a rare, large chondrosarcoma in a 47-year-old woman who presented with painless swelling and trismus. Computed tomography showed a large mass approximately $8.5{\times}6.0$ cm in size arising adjacent to the lateral pterygoid plate and condyle. There were features suggestive of bone resorption. The tumor was resected in a single block with perilesional tissues, and a great auricular nerve graft was performed because of facial nerve sacrifice. Microscopic examination of sections stained with H&E revealed chondrocytes with irregular nuclei and heterogeneous hyper chromatic tumor cells embedded in the chondrocyte lacuna. The diagnosis was a grade I chondrosarcoma. There was no evidence of recurrence at the 8-month follow-up, and a reconstruction surgery with fibular osteocutaneous free flap was performed. We report this unusual entity and a review of the literature.

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참고문헌

  1. Schajowicz F. Histological typing of bone tumours. Berlin, New York: Springer-Verlag; 1993:128.
  2. Burkey BB, Hoffman HT, Baker SR, Thornton AF, McClatchey KD. Chondrosarcoma of the head and neck. Laryngoscope 1990;100:1301-5.
  3. Lee SY, Lim YC, Song MH, Seok JY, Lee WS, Choi EC. Chondrosarcoma of the head and neck. Yonsei Med J 2005;46:228-32. https://doi.org/10.3349/ymj.2005.46.2.228
  4. Weiss WW Jr, Bennett JA. Chondrosarcoma: a rare tumor of the jaws. J Oral Maxillofac Surg 1986;44:73-9. https://doi.org/10.1016/0278-2391(86)90017-0
  5. Gallego L, Junquera L, Fresno MF, de Vicente JC. Chondrosarcoma of the temporomandibular joint. A case report and review of the literature. Med Oral Patol Oral Cir Bucal 2009;14:E39-43.
  6. Gingrass RP. Chondrosarcoma of the mandibular joint; report of case. J Oral Surg (Chic) 1954;12:61-3.
  7. Lanier VC Jr, Rosenfeld L, Wilkinson HA 3rd. Chondrosarcoma of the mandible. South Med J 1971;64:711-4. https://doi.org/10.1097/00007611-197106000-00016
  8. Sudo Y, Kusano A, Nagabatake S, Komai M, Idezaki K, Nishijima K. Two cases of chondrosarcoma of the mandible. JJ SS 1972;211:417. (Abstract)
  9. Richter KJ, Freeman NS, Quick CA. Chondrosarcoma of the temporomandibular joint: report of case. J Oral Surg 1974;32:777-81.
  10. Tullio G, D'Errico P. Chondrosarcoma of the mandible. Clinical and histological considerations. Ann Stomatol (Roma) 1974;23:191-206.
  11. Kato Y, Ogino M, Furutani M, Asai H, Hachisuga Y, Igarashi M. Malignant tumor of the mandible: chondrosarcoma. Orthopedic Surg Tokyo 1975;26:313.
  12. Nortje CJ, Farman AG, Grotepass FW, Van Zyl JA. Chondrosarcoma of the mandibular condyle. Report of a case with special reference to radiographic features. Br J Oral Surg 1976;14:101-11. https://doi.org/10.1016/0007-117X(76)90025-1
  13. Cadenat H, Combelles R, Fabert G, Clouet M. Chondrosarcoma of the condyle (author's transl). Rev Stomatol Chir Maxillofac 1979;80:20-2.
  14. Morris MR, Clark SK, Porter BA, Delbecq RJ. Chondrosarcoma of the temporomandibular joint: case report. Head Neck Surg 1987;10:113-7. https://doi.org/10.1002/hed.2890100210
  15. Murayama S, Suzuki I, Nagase M, Shingaki S, Kawasaki T, Nakajima T, et al. Chondrosarcoma of the mandible. Report of case and a survey of 23 cases in the Japanese literature. J Craniomaxillofac Surg 1988;16:287-92. https://doi.org/10.1016/S1010-5182(88)80063-5
  16. Wasenko JJ, Rosenbloom SA. Temporomandibular joint chondrosarcoma: CT demonstration. J Comput Assist Tomogr 1990;14:1002-3. https://doi.org/10.1097/00004728-199011000-00028
  17. Nitzan DW, Marmary Y, Hasson O, Elidan J. Chondrosarcoma arising in the temporomandibular joint: a case report and literature review. J Oral Maxillofac Surg 1993;51:312-5. https://doi.org/10.1016/S0278-2391(10)80182-X
  18. Merrill RG, Yih WY, Shamloo J. Synovial chondrosarcoma of the temporomandibular joint: a case report. J Oral Maxillofac Surg 1997;55:1312-6. https://doi.org/10.1016/S0278-2391(97)90191-9
  19. Giraud O, Lockhart R, Dichamp J, Capelle L, Kujas M, Dupuis HJ, et al. Chondrosarcoma of the temporomandibular joint. Apropos of a case and review of the literature. Rev Stomatol Chir Maxillofac 1997;98:2-6.
  20. Sesenna E, Tullio A, Ferrari S. Chondrosarcoma of the temporomandibular joint: a case report and review of the literature. J Oral Maxillofac Surg 1997;55:1348-52. https://doi.org/10.1016/S0278-2391(97)90200-7
  21. Ichikawa T, Miyauchi M, Nikai H, Yoshiga K. Synovial chondrosarcoma arising in the temporomandibular joint. J Oral Maxillofac Surg 1998;56:890-4. https://doi.org/10.1016/S0278-2391(98)90022-2
  22. Batra PS, Estrem SA, Zitsch RP, McDonald R, Ditto J. Chondrosarcoma of the temporomandibular joint. Otolaryngol Head Neck Surg 1999;120:951-4. https://doi.org/10.1016/S0194-5998(99)70348-7
  23. Mostafapour SP, Futran ND. Tumors and tumorous masses presenting as temporomandibular joint syndrome. Otolaryngol Head Neck Surg 2000;123:459-64. https://doi.org/10.1067/mhn.2000.109662
  24. Angiero F, Vinci R, Sidoni A, Stefani M. Mesenchymal chondrosarcoma of the left coronoid process: report of a unique case with clinical, histopathologic, and immunohistochemical findings, and a review of the literature. Quintessence Int 2007;38:349-55.
  25. Yun KI, Park MK, Kim CH, Park JU. Chondrosarcoma in the mandibular condyle: case report. J Korean Assoc Oral Maxillofac Surg 2008;34:95-8.
  26. Oliveira RC, Marques KD, Mendonça AR, Mendonca EF, Silva MR, Batista AC, et al. Chondrosarcoma of the temporomandibular joint: a case report in a child. J Orofac Pain 2009;23:275-81.
  27. Garzino-Demo P, Tanteri G, Boffano P, Ramieri G, Pacchioni D, Maletta F, et al. Chondrosarcoma of the temporomandibular joint: a case report and review of the literature. J Oral Maxillofac Surg 2010;68:2005-11. https://doi.org/10.1016/j.joms.2009.09.077
  28. Gonzalez-Perez LM, Sanchez-Gallego F, Perez-Ceballos JL, Lopez-Vaquero D. Temporomandibular joint chondrosarcoma: case report. J Craniomaxillofac Surg 2011;39:79-83. https://doi.org/10.1016/j.jcms.2010.03.018
  29. Ramos-Murguialday M, Lasa-Menendez V, Ignacio Iriarte-Ortabe J, Couce M. Chondrosarcoma of the mandible involving angle, ramus, and condyle. J Craniofac Surg 2012;23:1216-9. https://doi.org/10.1097/SCS.0b013e3182565b80
  30. Abu-Serriah M, Ahluwalia K, Shah KA, Bojanic S, Saeed N. A novel approach to chondrosarcoma of the glenoid fossa of the temporomandibular joint: a case report. J Oral Maxillofac Surg 2013;71:208-13. https://doi.org/10.1016/j.joms.2012.04.005
  31. Giorgione C, Passali FM, Varakliotis T, Sibilia M, Ottaviani F. Temporo-mandibular joint chondrosarcoma: case report and review of the literature. Acta Otorhinolaryngol Ital 2015;35:208-11.
  32. MacIntosh RB, Khan F, Waligora BM. Chondrosarcoma of the temporomandibular disc: behavior over a 28-year observation period. J Oral Maxillofac Surg 2015;73:465-74. https://doi.org/10.1016/j.joms.2014.09.020
  33. Saito K, Unni KK, Wollan PC, Lund BA. Chondrosarcoma of the jaw and facial bones. Cancer 1995;76:1550-8. https://doi.org/10.1002/1097-0142(19951101)76:9<1550::AID-CNCR2820760909>3.0.CO;2-S
  34. Saini R, Abd Razak NH, Ab Rahman S, Samsudin AR. Chondrosarcoma of the mandible: a case report. J Can Dent Assoc 2007;73:175-8.
  35. Nomura T, Kobayashi T, Shingaki S, Saito C. A case of chondrosarcoma arising in the temporomandibular joint. Case Rep Otolaryngol 2015;2015:832532.
  36. Evans HL, Ayala AG, Romsdahl MM. Prognostic factors in chondrosarcoma of bone: a clinicopathologic analysis with emphasis on histologic grading. Cancer 1977;40:818-31. https://doi.org/10.1002/1097-0142(197708)40:2<818::AID-CNCR2820400234>3.0.CO;2-B
  37. Koch BB, Karnell LH, Hoffman HT, Apostolakis LW, Robinson RA, Zhen W, et al. National cancer database report on chondrosarcoma of the head and neck. Head Neck 2000;22:408-25. https://doi.org/10.1002/1097-0347(200007)22:4<408::AID-HED15>3.0.CO;2-H
  38. Harwood AR, Cummings BJ, Fitzpatrick PJ. Radiotherapy for unusual tumors of the head and neck. J Otolaryngol 1984;13:391-4.

피인용 문헌

  1. Imaging features of chondrosarcoma of the temporomandibular joint: report of nine cases and literature review vol.75, pp.11, 2016, https://doi.org/10.1016/j.crad.2020.07.016