Synovial Sarcoma of the Temporomandibular Joint and Infratemporal Fossa: A Case Report.
| Autor: | Lucchesi MB; Private Practitioner, Rua Elizabeth Jesus de Freitas, Avaré, São Paulo, Brazil. Electronic address: dra.mairalucchesi@gmail.com., SantAna E; Private Practitioner, Oral and Maxillofacial Surgery, Bauru, São Paulo, Brazil., Mello Junior EJF; Private Practitioner, Head and Neck Surgical Oncology, Bauru, São Paulo, Brazil., Conti PCR; Full Professor, Department of Prosthetics, Bauru School of Dentistry, Bauru, São Paulo, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2024 Nov; Vol. 82 (11), pp. 1365-1372. Date of Electronic Publication: 2024 Aug 07. |
| DOI: | 10.1016/j.joms.2024.07.018 |
| Abstrakt: | Temporomandibular joint (TMJ) and infratemporal fossa (ITF) tumors, even though rare, present diagnostic complexities due to their nonspecific symptoms. Synovial sarcoma comprises 5-10% of adult soft-tissue sarcomas and is uncommon in the head and neck and exceptionally rare in the TMJ/ITF region. We presented a case of monophasic synovial sarcoma affecting the left TMJ/ITF in a 24-year-old man with severe preauricular pain who was misdiagnosed with temporomandibular disorder for 3 years. When in-depth evaluations uncovered a 40 mm tumor adjacent to the TMJ, extensive resection and immediate reconstruction were conducted, followed by postoperative radiotherapy and adjuvant chemotherapy. Magnetic resonance imaging photos of the early stage and after 3 years of tumor progression, initial signs and symptoms, and intraoperative images allowed tumor evolution assessment. (Copyright © 2024 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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