Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration

Jun Fan; Alan Heimann; Maoxin Wu

doi:10.1002/dc.24181

Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration

Jun Fan, Alan Heimann, Maoxin Wu

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Tophaceous pseudogout is a calcium pyrophosphate dihydrate crystal (CPPD) deposition disease that frequently affects elderly patient in the temporomandibular joint (TMJ). A diagnosis of CPPD deposition disease in the TMJ is challenging due to its mimicking of other benign and malignant entities. Surgical exploration followed by histologic examination is by far the most frequently used diagnostic modality. We present a case of an 87-year-old female who presented with a right TMJ mass. A final diagnosis of tophaceous pseudogout was made on cellular material obtained by ultrasound-guided fine-needle aspiration (US-guided FNA). Based on our case and current available literature, ultrasound-guided FNA is a reliable tool for diagnosing tophaceous pseudogout of the TMJ.

Original language	English
Pages (from-to)	803-807
Number of pages	5
Journal	Diagnostic Cytopathology
Volume	47
Issue number	8
DOIs	https://doi.org/10.1002/dc.24181
State	Published - Aug 2019
Externally published	Yes

Keywords

calcium pyrophosphate dihydrate (CPPD) deposition disease
chondrocalcinosis
temporomandibular joint (TMJ)
tophaceous pseudogout
ultrasound-guided fine-needle aspiration (US-guided FNA)

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title = "Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration",

abstract = "Tophaceous pseudogout is a calcium pyrophosphate dihydrate crystal (CPPD) deposition disease that frequently affects elderly patient in the temporomandibular joint (TMJ). A diagnosis of CPPD deposition disease in the TMJ is challenging due to its mimicking of other benign and malignant entities. Surgical exploration followed by histologic examination is by far the most frequently used diagnostic modality. We present a case of an 87-year-old female who presented with a right TMJ mass. A final diagnosis of tophaceous pseudogout was made on cellular material obtained by ultrasound-guided fine-needle aspiration (US-guided FNA). Based on our case and current available literature, ultrasound-guided FNA is a reliable tool for diagnosing tophaceous pseudogout of the TMJ.",

keywords = "calcium pyrophosphate dihydrate (CPPD) deposition disease, chondrocalcinosis, temporomandibular joint (TMJ), tophaceous pseudogout, ultrasound-guided fine-needle aspiration (US-guided FNA)",

author = "Jun Fan and Alan Heimann and Maoxin Wu",

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year = "2019",

month = aug,

doi = "10.1002/dc.24181",

language = "English",

volume = "47",

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journal = "Diagnostic Cytopathology",

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T1 - Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration

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AU - Heimann, Alan

AU - Wu, Maoxin

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Y1 - 2019/8

N2 - Tophaceous pseudogout is a calcium pyrophosphate dihydrate crystal (CPPD) deposition disease that frequently affects elderly patient in the temporomandibular joint (TMJ). A diagnosis of CPPD deposition disease in the TMJ is challenging due to its mimicking of other benign and malignant entities. Surgical exploration followed by histologic examination is by far the most frequently used diagnostic modality. We present a case of an 87-year-old female who presented with a right TMJ mass. A final diagnosis of tophaceous pseudogout was made on cellular material obtained by ultrasound-guided fine-needle aspiration (US-guided FNA). Based on our case and current available literature, ultrasound-guided FNA is a reliable tool for diagnosing tophaceous pseudogout of the TMJ.

AB - Tophaceous pseudogout is a calcium pyrophosphate dihydrate crystal (CPPD) deposition disease that frequently affects elderly patient in the temporomandibular joint (TMJ). A diagnosis of CPPD deposition disease in the TMJ is challenging due to its mimicking of other benign and malignant entities. Surgical exploration followed by histologic examination is by far the most frequently used diagnostic modality. We present a case of an 87-year-old female who presented with a right TMJ mass. A final diagnosis of tophaceous pseudogout was made on cellular material obtained by ultrasound-guided fine-needle aspiration (US-guided FNA). Based on our case and current available literature, ultrasound-guided FNA is a reliable tool for diagnosing tophaceous pseudogout of the TMJ.

KW - calcium pyrophosphate dihydrate (CPPD) deposition disease

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KW - temporomandibular joint (TMJ)

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KW - ultrasound-guided fine-needle aspiration (US-guided FNA)

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ER -

Temporal mandibular joint chondrocalcinosis (tophaceous pseudogout) diagnosed by ultrasound-guided fine-needle aspiration

Abstract

Keywords

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