Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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A case report of an unusual temporomandibular joint mass: Nodular fasciitis

  • Han-Sol Lee (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University) ;
  • Kyu-Young Oh (Department of Oral Pathology, College of Dentistry, Dankook University) ;
  • Ju-Hee Kang (Department of Oral and Maxillofacial Radiology, Seoul National University Dental Hospital) ;
  • Jo-Eun Kim (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University) ;
  • Kyung-Hoe Huh (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University) ;
  • Won-Jin Yi (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University) ;
  • Min-Suk Heo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University) ;
  • Sam-Sun Lee (Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University)
  • Received : 2022.10.06
  • Accepted : 2022.11.25
  • Published : 2023.03.31
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Abstract

Nodular fasciitis (NF) is a benign myofibroblastic proliferation that grows very rapidly, mimicking a sarcoma on imaging. It is treated by local excision, and recurrence has been reported in only a few cases, even when excised incompletely. The most prevalent diagnoses of temporomandibular joint(TMJ) masses include synovial chondromatosis, pigmented villonodular synovitis, and sarcomas. Cases of NF in the TMJ are extremely rare, and only 3 cases have been reported to date. Due to its destructive features and rarity, NF has often been misdiagnosed as a more aggressive lesion, which could expose patients to unnecessary and invasive treatment approaches beyond repair. This report presents a case of NF in the TMJ, focusing on various imaging features, along with a literature review aiming to determine the hallmark features of NF in the TMJ and highlight the diagnostic challenges.

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References

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