Juxta-articular tumoral calcinosis associated with the temporomandibular joint: a case report and concise review
Autor: | Raymond Chung Wen Wong, Kanglun Hong, Jing Li Lum, Melvin Kang Ming Liew, Yang Sha |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
musculoskeletal diseases
Tumoral calcinosis medicine.medical_specialty Radiography Elbow Connective tissue Case Report Condyle Temporomandibular joint 03 medical and health sciences 0302 clinical medicine Edema Humans Medicine 030212 general & internal medicine General Dentistry business.industry Calcinosis Soft tissue 030206 dentistry Middle Aged medicine.disease lcsh:RK1-715 medicine.anatomical_structure lcsh:Dentistry Oral and maxillofacial surgery Female Radiology Calcifying mass Tomography X-Ray Computed business |
Zdroj: | BMC Oral Health, Vol 19, Iss 1, Pp 1-7 (2019) BMC Oral Health |
ISSN: | 1472-6831 |
Popis: | Background Tumoral calcinosis is an uncommon clinicopathological condition which is characterized by the formation of calcium salt deposition in intra-articular or peri-articular soft tissues. It usually presents as a focal growth of hard tissue, either solitary or multiple, beneath the skin and connective tissue. Diagnostic techniques mainly include clinical and radiographic evaluation. The most commonly involved locations include the hip, elbow, shoulder and knee. Involvement of the head and neck regions are far less common. There have been 5 case reports of temporomandibular joint involvement in the literature so far. Case presentation We present a case report which describes the diagnosis and management of a 59 year old female patient with chronic right temporomandibular joint pain and localized bony hard swelling over the right pre-auricular region. Patient retained normal range of motion and mouth opening. Computed tomography taken showed a radio-opaque juxta-articular ovoid mass over the right pre-auricular region in close proximity but not fused to the mandibular condyle. Surgical excision was performed for this swelling via a pre-auricular approach under general anaesthesia. Histological examination performed confirmed the diagnosis of tumoral calcinosis. Pain at the right temporomandibular joint was resolved after the surgery. Serum calcium and phosphate levels were normal in this patient. Conclusion Surgical excision is the primary treatment modality for tumoral calcinosis. Tumoral calcinosis may be associated with elevated serum calcium and phosphate levels. In patients with elevated serum electrolytes, it is important to consider the overall systemic health in management of this condition. Management of serum electrolytes levels plays a role in reducing recurrence rates. This case report and review aims to discuss the diagnosis, treatment and overall systemic management of this rare condition. |
Databáze: | OpenAIRE |
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