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Synovial Chondromatosis of the Left Temporomandibular Joint Superficially Resembling Chondrosarcoma: A Case Report

Tomoaki Shibuya, D.D.S., Ph.D.; Koji Kino, D.D.S., Ph.D; Norihiko Okada, D.D.S., Ph.D; Teruo Amagasa, D.D.S., Ph.D.

Volume 18 Issue 4 October 2000

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Abstract:

A 25 year-old woman was referred to the clinic complaining of pain in the left temporomandibular joint (TMJ) and trismus. According to the x-ray images, a solitary mass was observed in the anterior pouch of the lower joint cavity. The mass was removed by means of a synovectomy and a diskectomy. Upon light microscopic examination, the tissue removed showed high cellular activity. As a differential diagnosis, we had to consider the possibility of chondrosarcoma based on the histopathological features; however, since no invasive nor metastatic finding was recognized, we made a diagnosis of synovial chondromatosis despite its rare existence. Although there has been no sign of recurrence at present, we plan to carefully follow up with the patient.

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