Chondroma Arising from the Temporomandibular Joint: A Case Report

Periarticular chondromas are common in the humerus and femur but rarely occur in the temporomandibular joint. We report a case of a chondroma in the anterior part of the ear. One year prior to his visit, a 53-year-old man became aware of swelling in the right cheek region which gradually increased i...

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Main Authors: Masayoshi Hijiya, Masamitsu Kono, Katsuya Okuda, Shunji Tamagawa, Takuro Iyo, Tetsuya Kinoshita, Hideki Sakatani, Masanobu Hiraoka, Fumiyoshi Kojima, Shin-Ichi Murata, Muneki Hotomi
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/5/842
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author Masayoshi Hijiya
Masamitsu Kono
Katsuya Okuda
Shunji Tamagawa
Takuro Iyo
Tetsuya Kinoshita
Hideki Sakatani
Masanobu Hiraoka
Fumiyoshi Kojima
Shin-Ichi Murata
Muneki Hotomi
author_facet Masayoshi Hijiya
Masamitsu Kono
Katsuya Okuda
Shunji Tamagawa
Takuro Iyo
Tetsuya Kinoshita
Hideki Sakatani
Masanobu Hiraoka
Fumiyoshi Kojima
Shin-Ichi Murata
Muneki Hotomi
author_sort Masayoshi Hijiya
collection DOAJ
description Periarticular chondromas are common in the humerus and femur but rarely occur in the temporomandibular joint. We report a case of a chondroma in the anterior part of the ear. One year prior to his visit, a 53-year-old man became aware of swelling in the right cheek region which gradually increased in size. In the anterior part of the right ear, there was a palpable 25 mm tumor, elastic and hard, with poor mobility and without tenderness. A contrast-enhanced computed tomography CT showed a mass lesion with diffuse calcification or ossification in the upper pole of the parotid gland and areas of poor contrast within. A magnetic resonance imaging showed a low-signal mass lesion at the parotid gland with some high signals in both T1 and T2. Fine-needle aspiration cytology did not lead to diagnosis. Using a nerve monitoring system, the tumor was resected with normal tissue of the upper pole of the parotid gland in the same way as for a benign parotid tumor. Distinguishing between pleomorphic adenoma, including diffuse microcalcification of the parotid gland and cartilaginous tumors of the temporomandibular joint, may be sometimes difficult. In such cases, surgical resection may be a beneficial treatment option.
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spelling doaj.art-87f9eaf92b854e458046e04dfb2ce5712023-11-18T02:21:01ZengMDPI AGMedicina1010-660X1648-91442023-04-0159584210.3390/medicina59050842Chondroma Arising from the Temporomandibular Joint: A Case ReportMasayoshi Hijiya0Masamitsu Kono1Katsuya Okuda2Shunji Tamagawa3Takuro Iyo4Tetsuya Kinoshita5Hideki Sakatani6Masanobu Hiraoka7Fumiyoshi Kojima8Shin-Ichi Murata9Muneki Hotomi10Department of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Human Pathology, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Human Pathology, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8510, JapanPeriarticular chondromas are common in the humerus and femur but rarely occur in the temporomandibular joint. We report a case of a chondroma in the anterior part of the ear. One year prior to his visit, a 53-year-old man became aware of swelling in the right cheek region which gradually increased in size. In the anterior part of the right ear, there was a palpable 25 mm tumor, elastic and hard, with poor mobility and without tenderness. A contrast-enhanced computed tomography CT showed a mass lesion with diffuse calcification or ossification in the upper pole of the parotid gland and areas of poor contrast within. A magnetic resonance imaging showed a low-signal mass lesion at the parotid gland with some high signals in both T1 and T2. Fine-needle aspiration cytology did not lead to diagnosis. Using a nerve monitoring system, the tumor was resected with normal tissue of the upper pole of the parotid gland in the same way as for a benign parotid tumor. Distinguishing between pleomorphic adenoma, including diffuse microcalcification of the parotid gland and cartilaginous tumors of the temporomandibular joint, may be sometimes difficult. In such cases, surgical resection may be a beneficial treatment option.https://www.mdpi.com/1648-9144/59/5/842chondromahead and necktemporomandibular jointparotid glands
spellingShingle Masayoshi Hijiya
Masamitsu Kono
Katsuya Okuda
Shunji Tamagawa
Takuro Iyo
Tetsuya Kinoshita
Hideki Sakatani
Masanobu Hiraoka
Fumiyoshi Kojima
Shin-Ichi Murata
Muneki Hotomi
Chondroma Arising from the Temporomandibular Joint: A Case Report
Medicina
chondroma
head and neck
temporomandibular joint
parotid glands
title Chondroma Arising from the Temporomandibular Joint: A Case Report
title_full Chondroma Arising from the Temporomandibular Joint: A Case Report
title_fullStr Chondroma Arising from the Temporomandibular Joint: A Case Report
title_full_unstemmed Chondroma Arising from the Temporomandibular Joint: A Case Report
title_short Chondroma Arising from the Temporomandibular Joint: A Case Report
title_sort chondroma arising from the temporomandibular joint a case report
topic chondroma
head and neck
temporomandibular joint
parotid glands
url https://www.mdpi.com/1648-9144/59/5/842
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