A case of Langerhans' cell histiocytosis of the mandibular condyle
This report describes a 42-year-old man with Langerhans' cell histiocytosis of the mandibular condyle. The patient was referred to our hospital in 2005 for a further evaluation of pain in the left temporomandibular joint (TMJ) on mouth opening. This symptom was noted by his general practitioner...
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| Published in | Japanese Journal of Oral and Maxillofacial Surgery Vol. 54; no. 4; pp. 271 - 275 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japanese Society of Oral and Maxillofacial Surgeons
2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.54.271 |
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| Abstract | This report describes a 42-year-old man with Langerhans' cell histiocytosis of the mandibular condyle. The patient was referred to our hospital in 2005 for a further evaluation of pain in the left temporomandibular joint (TMJ) on mouth opening. This symptom was noted by his general practitioner. The patient was prescribed an analgesic treatment because a temporomandibular disorder was suspected on the basis of his symptoms at presentation. However, the treatment had no effect on his symptoms. Computed tomography a month after presentation showed a region of bone resorption in the left mandibular condyle. Fine needle aspiration biopsy did not lead to a diagnosis. Subsequently, open biopsy yielded a diagnosis of Langerhans' cell histiocytosis. Two years two months after presentation, there is no evidence of recurrence. |
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| AbstractList | This report describes a 42-year-old man with Langerhans' cell histiocytosis of the mandibular condyle. The patient was referred to our hospital in 2005 for a further evaluation of pain in the left temporomandibular joint (TMJ) on mouth opening. This symptom was noted by his general practitioner. The patient was prescribed an analgesic treatment because a temporomandibular disorder was suspected on the basis of his symptoms at presentation. However, the treatment had no effect on his symptoms. Computed tomography a month after presentation showed a region of bone resorption in the left mandibular condyle. Fine needle aspiration biopsy did not lead to a diagnosis. Subsequently, open biopsy yielded a diagnosis of Langerhans' cell histiocytosis. Two years two months after presentation, there is no evidence of recurrence. |
| Author | TANI, Kazutoshi YOSHIDA, Masatsugu SHIMAZU, Shinji FUJIMORI, Masaki MATSUDA, Mitsuyoshi IKEHATA, Masahiro |
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| References | 2) Lichtenstein, L.: Histiocytosis X: Integration of eosinophilic granuloma of bone, Letterer-Siwe disease and Hand-Schuller-Christian disease as related manifestations of single nasological entity. Arch Pathol 56: 84-102 1953. 14) Wong, G. B., Pharoah, M. J., et al.: Eosinophilic granuloma of the mandibular condyle: report of three cases and review of the literature. J Maxillofac Surg 55: 870-878 1997. 11) Zachariades, N., Anestasea-Vlachou, K., et al.: Uncommon manifestations of histiocytosis X. Int J Oral Maxillofac Surg 16: 355-362 1987. 3) 今宿晋作: 組織球増殖症histiocytosis (LCH, HPS) の臨床: 日医新報 3650: 27-34 1994. 12) Peckitt, N.S. and Wood, G.A.: Eosinophilic granuloma of the mandibular condyle. Br J Oral Maxillofac Surg 26: 306-310 1988. 9) Lamberg, M. A., Sainio, P., et al.: Eosinophilic granuloma of the jaw: report of two cases. Proc Finn Dent Soc 79: 191-200 1983. 13) Bhaskar, P. B., White, C. S., et al.: Eosinophilic granuloma of the mandibular condyle: a case report and management discussion. Oral Surg Oral Med Oral Pathol 76: 557-560 1993. 8) Makek, M. and Sailer, H. F.: Eosinophilic granuloma of the mandibular condyle: case report. J Maxillofac Surg 8: 327-331 1980. 7) 浅田洸一, 増尾勝巳, 他: 下顎関節突起部好酸球肉芽腫の1例. 日口外誌 23: 689-691 1977. 17) Betran, J., Aparisi, F., et al.: Eosinophilic granuloma: MRI manifestation. Skeletal Radiol 22: 157-161 1993. 24) Ardekian, L., Peled, M., et al.: Clinical and radiographic features of eosinophilic granuroma in the jaws. Review of 41 lesions treated by surgery and low-dose radiotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87: 238 1999. 6) 西原一成, 鬼澤浩司郎, 他: 下顎関節突起に生じた好酸球肉芽腫の1例. 日口外誌 49: 666-669 2003. 23) Namai, T., Yusa, H., et al.: Spontaneous remission of a solitary eosinophilic granuloma of the mandible after biopsy: a case report. J Maxillofac Surg 59: 1485-1487 2001. 21) 奥富直, 渡辺二三雄, 他: 下顎骨に発生した好酸球肉芽腫の1例と電顕的観察. 日口外誌 34: 366-370 1988. 15) Moenning, J. E., Williams, K.L., et al.: Resorption of the mandibular condyle in a 6-year-old child. J Maxillofac Surg 56: 477-482 1998. 10) 中村典史, 竹之下康治, 他: 下顎骨関節突起に発生した好酸球肉芽腫の一例. 日口外誌 30: 891-896 1984. 18) 横田幸治, 野瀬将洋, 他: 上下顎骨に多発性に認められた好酸球肉芽腫の1例. 日口外誌 42: 527-529 1996. 1) Leberman, P. H.: Langerhans cell (eosinophilic) granulomatosis. J Invest Dermatol 75: 71-72 1980. 5) Hartman, K. S.: Histiocytosis X; A review of 114 cases with oral involvement. Oral Surg Oral Med Oral Pathol 49: 38-54 1980. 16) Miyamoto, H., Dance, J., et al.: Eosinophilic granuloma of the mandibular condyle. J Maxillofac Surg 58: 560-562 2000. 20) 宮里修, 常葉信雄, 他: 口腔に発生したhistiocytosisxの3症例について. 口科誌 24: 298-306 1975. 4) Smith, R. J. and Evans, J. N.: Head and neck manifestations of histiocytosis X. Laryngoscope 94: 395-399 1984. 22) 小林慶子, 藤盛真樹, 他: 下顎骨に発生したLangerhans' cell histiocytosisの1例. 日口外誌 52: 547-550 2007. 25) 東雅之, 玉谷哲也, 他: 多発型Langerhans cell histiocytosisの1例. 日口外誌 49: 505-508 2003. 19) 兼松宣武, 田辺俊一郎, 他: 下顎骨に発生した好酸球肉芽腫の1症例とその電顕的, 組織化学的考察. 日口外誌 36: 2795-2802 1990. |
| References_xml | – reference: 16) Miyamoto, H., Dance, J., et al.: Eosinophilic granuloma of the mandibular condyle. J Maxillofac Surg 58: 560-562 2000. – reference: 2) Lichtenstein, L.: Histiocytosis X: Integration of eosinophilic granuloma of bone, Letterer-Siwe disease and Hand-Schuller-Christian disease as related manifestations of single nasological entity. Arch Pathol 56: 84-102 1953. – reference: 6) 西原一成, 鬼澤浩司郎, 他: 下顎関節突起に生じた好酸球肉芽腫の1例. 日口外誌 49: 666-669 2003. – reference: 5) Hartman, K. S.: Histiocytosis X; A review of 114 cases with oral involvement. Oral Surg Oral Med Oral Pathol 49: 38-54 1980. – reference: 7) 浅田洸一, 増尾勝巳, 他: 下顎関節突起部好酸球肉芽腫の1例. 日口外誌 23: 689-691 1977. – reference: 24) Ardekian, L., Peled, M., et al.: Clinical and radiographic features of eosinophilic granuroma in the jaws. Review of 41 lesions treated by surgery and low-dose radiotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87: 238 1999. – reference: 25) 東雅之, 玉谷哲也, 他: 多発型Langerhans cell histiocytosisの1例. 日口外誌 49: 505-508 2003. – reference: 15) Moenning, J. E., Williams, K.L., et al.: Resorption of the mandibular condyle in a 6-year-old child. J Maxillofac Surg 56: 477-482 1998. – reference: 21) 奥富直, 渡辺二三雄, 他: 下顎骨に発生した好酸球肉芽腫の1例と電顕的観察. 日口外誌 34: 366-370 1988. – reference: 11) Zachariades, N., Anestasea-Vlachou, K., et al.: Uncommon manifestations of histiocytosis X. Int J Oral Maxillofac Surg 16: 355-362 1987. – reference: 19) 兼松宣武, 田辺俊一郎, 他: 下顎骨に発生した好酸球肉芽腫の1症例とその電顕的, 組織化学的考察. 日口外誌 36: 2795-2802 1990. – reference: 3) 今宿晋作: 組織球増殖症histiocytosis (LCH, HPS) の臨床: 日医新報 3650: 27-34 1994. – reference: 1) Leberman, P. H.: Langerhans cell (eosinophilic) granulomatosis. J Invest Dermatol 75: 71-72 1980. – reference: 23) Namai, T., Yusa, H., et al.: Spontaneous remission of a solitary eosinophilic granuloma of the mandible after biopsy: a case report. J Maxillofac Surg 59: 1485-1487 2001. – reference: 17) Betran, J., Aparisi, F., et al.: Eosinophilic granuloma: MRI manifestation. Skeletal Radiol 22: 157-161 1993. – reference: 4) Smith, R. J. and Evans, J. N.: Head and neck manifestations of histiocytosis X. Laryngoscope 94: 395-399 1984. – reference: 13) Bhaskar, P. B., White, C. S., et al.: Eosinophilic granuloma of the mandibular condyle: a case report and management discussion. Oral Surg Oral Med Oral Pathol 76: 557-560 1993. – reference: 18) 横田幸治, 野瀬将洋, 他: 上下顎骨に多発性に認められた好酸球肉芽腫の1例. 日口外誌 42: 527-529 1996. – reference: 22) 小林慶子, 藤盛真樹, 他: 下顎骨に発生したLangerhans' cell histiocytosisの1例. 日口外誌 52: 547-550 2007. – reference: 10) 中村典史, 竹之下康治, 他: 下顎骨関節突起に発生した好酸球肉芽腫の一例. 日口外誌 30: 891-896 1984. – reference: 8) Makek, M. and Sailer, H. F.: Eosinophilic granuloma of the mandibular condyle: case report. J Maxillofac Surg 8: 327-331 1980. – reference: 14) Wong, G. B., Pharoah, M. J., et al.: Eosinophilic granuloma of the mandibular condyle: report of three cases and review of the literature. J Maxillofac Surg 55: 870-878 1997. – reference: 12) Peckitt, N.S. and Wood, G.A.: Eosinophilic granuloma of the mandibular condyle. Br J Oral Maxillofac Surg 26: 306-310 1988. – reference: 9) Lamberg, M. A., Sainio, P., et al.: Eosinophilic granuloma of the jaw: report of two cases. Proc Finn Dent Soc 79: 191-200 1983. – reference: 20) 宮里修, 常葉信雄, 他: 口腔に発生したhistiocytosisxの3症例について. 口科誌 24: 298-306 1975. |
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| Title | A case of Langerhans' cell histiocytosis of the mandibular condyle |
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