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題名 | Extra-articular Diffuse Tenosynovial Giant Cell Tumor of the Temporomandibular Joint--A Case Report=顳顎關節腱鞘滑膜巨細胞瘤--病例報告 |
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作者 | 林鴻穎; 林倩伶; 劉天仁; 鄭世榮; Lin, Horng-ying; Lin, Chien-ling; Liu, Tien-jen; Cheng, Shih-jung; |
期刊 | 臺灣口腔顎面外科學會雜誌 |
出版日期 | 20140900 |
卷期 | 25:3 2014.09[民103.09] |
頁次 | 頁203-210 |
分類號 | 416.954 |
語文 | eng |
關鍵詞 | 腱鞘滑膜巨細胞瘤; 顳下頜關節; 關節外; 彌漫性; 色素沉著絨毛結節性滑膜炎; Tenosynovial giant cell tumor; Temporomandibular joint; Extra-articular; Diffuse; Pigmented villonodular synovitis; |
中文摘要 | 腱鞘滑膜巨細胞瘤是相當少見的良性腫瘤,通常發生於四肢關節,可分成侷限性和廣泛性兩種。顳顎關節之腱鞘滑膜巨細胞瘤極為罕見,且通常為廣泛性的關節侵犯破壞。本文描述一位41歲男性,患有顳顎關節外腱鞘滑膜巨細胞瘤,其臨床表徵為一緩慢且局限性之腫瘤,但於病理型態上則呈現廣泛型型態。手術經由廣泛性切除合併部份的關節囊及腮腺切除,術後追蹤一年半無局部復發現象。本文描述此腫瘤的臨床及病理組織型態,以及可做為鑑別診斷之影像檢查及細針穿刺細胞檢查,同時回顧相關文獻。 |
英文摘要 | Tenosynovial giant cell tumors are rare proliferative benign lesions, and are more common in the joints of extremities. Two variants have been distinguished: a localized and a diffuse type. Tumors involving the temporomandibular joint are extremely rare and are often associated with diffuse articular destruction. We present a case of purely extra-articular tenosynovial giant cell tumor of the temporomandibular joint in a 41-year-old man. The clinical patterns and imaging features are indolent which present like a localized type, but it is a diffuse type based on operative findings and histopathologic features. Total excision with partial capsulectomy and parotidectomy was done and no local recurrence was observed during an eighteen-month follow-up period. We characterized the clinical and histopathological features and described the imaging tools and fine-needle aspiration cytology used for the differential diagnosis and operative methods along with a review of the literature. |
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