颞下颌关节紊乱与肿瘤转移:文献报道病例回顾。

IF 2.3 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Hamed Mortazavi, Anita Taheri, Sara Alehossein, Mehdi Hashemi
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引用次数: 0

摘要

颞下颌关节转移是一种罕见的临床疾病,通常与良性颞下颌关节疾病相似,导致诊断困难。本系统综述旨在整合关于颞下颌关节转移的现有文献,以描述其临床和人口学特征,诊断陷阱和治疗方法。方法:在PubMed/MEDLINE、Scopus和Embase电子数据库中进行综合检索。两名独立审稿人筛选了3,659篇文章的标题、摘要和全文,最终选择了47篇文章,其中包括55例报告病例。结果:患者平均年龄61.8±13.99岁,女性稍占优势。肺癌和乳腺癌是最常见的原发部位,腺癌是主要的组织病理类型。临床上,疼痛、肿胀和张嘴受限是最常见的症状,尽管一小部分患者表现出非典型特征。值得注意的是,在49%的病例中,TMJ转移在原发恶性肿瘤诊断之前就被发现了。结合化疗、放疗和手术的多模式治疗是最常见的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Temporomandibular joint disorder related to cancer metastasis: A review on reported cases in the literature.

Temporomandibular joint disorder related to cancer metastasis: A review on reported cases in the literature.

Temporomandibular joint disorder related to cancer metastasis: A review on reported cases in the literature.

Introduction: Metastasis to the temporomandibular joint is an uncommon clinical entity that often mimics benign temporomandibular disorders, leading to diagnostic challenges. This systematic review aimed to consolidate the existing literature on temporomandibular joint metastasis to delineate its clinical and demographic characteristics, diagnostic pitfalls, and treatment approaches.

Methods: A comprehensive search was conducted across PubMed/MEDLINE, Scopus, and Embase electronic databases. Two independent reviewers screened the titles, abstracts, and full texts of 3,659 articles, ultimately selecting 47 articles encompassing 55 reported cases.

Results: The analysis revealed a mean patient age of 61.8 ± 13.99 years, with a slight female predominance. Lung and breast cancers were the most common primary sites, with adenocarcinoma being the predominant histopathological type. Clinically, pain, swelling, and restricted mouth opening were the most frequently observed symptoms, although a subset of patients presented with atypical features. Notably, in 49% of cases, TMJ metastasis was detected prior to the diagnosis of the primary malignancy. Multimodal treatment, incorporating combinations of chemotherapy, radiotherapy, and surgery, was the most common therapeutic approach.

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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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