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KMID : 1024020230530010083
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Imaging Science in Dentistry
2023 Volume.53 No. 1 p.83 ~ p.89
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A case report of an unusual temporomandibular joint mass: Nodular fasciitis
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Lee Han-Sol
Oh Kyu-Young
Kang Ju-Hee
Kim Jo-Eun
Huh Kyung-Hoe
Yi Won-Jin
Heo Min-Suk
Lee Sam-Sun
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Abstract
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Nodular fasciitis (NF) is a benign myofibroblastic proliferation that grows very rapidly, mimicking a sarcoma on imaging. It is treated by local excision, and recurrence has been reported in only a few cases, even when excised incompletely. The most prevalent diagnoses of temporomandibular joint (TMJ) masses include synovial chondromato- sis, pigmented villonodular synovitis, and sarcomas. Cases of NF in the TMJ are extremely rare, and only 3 cases have been reported to date. Due to its destructive features and rarity, NF has often been misdiagnosed as a more aggressive lesion, which could expose patients to unnecessary and invasive treatment approaches beyond repair. This report presents a case of NF in the TMJ, focusing on various imaging features, along with a literature review aiming to determine the hallmark features of NF in the TMJ and highlight the diagnostic challenges
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KEYWORD
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Temporomandibular Joint, Fasciitis, Diagnostic Imaging, Magnetic Resonance Imaging, Tomography, X-ray Computed
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