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Head and Neck
Diagnosis
Mandible-Maxilla and TMJ
Tumor-like Lesions
TMJ Pigmented Villonodular Synovitis
TMJ Pigmented Villonodular Synovitis
Bronwyn E. Hamilton, MD; Kristine M. Mosier, DMD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Pigmented villonodular synovitis (PVNS)

            • Definitions

              • Benign, locally aggressive, tumefactive disease of synovium

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Crim J et al: Limited usefulness of classic MR findings in the diagnosis of tenosynovial giant cell tumor. Skeletal Radiol. 50(8):1585-91, 2021
                                          2. McKee TC et al: Efficacy of image-guided synovial biopsy. Skeletal Radiol. 49(6):921-8, 2020
                                          3. Nguyen JC et al: Magnetic resonance imaging features of intra-articular tenosynovial giant cell tumor in children. Pediatr Radiol. 51(3):441-9, 2020
                                          4. Brant JA et al: Pigmented villonodular synovitis presenting as unilateral hearing loss: review of the literature and case report. ORL J Otorhinolaryngol Relat Spec. 81(2-3):171-82, 2019
                                          5. Nomura F et al: Pigmented villonodular synovitis occurring in the temporomandibular joint. Auris Nasus Larynx. 46(4):609-17, 2019
                                          6. Wang JG et al: Diffuse tenosynovial giant cell tumor around the temporomandibular joint: an entity with special radiologic and pathologic features. J Oral Maxillofac Surg. 77(5):1022.e1-39, 2019
                                          7. Allen A et al: Recurrent pigmented villonodular synovitis of the temporomandibular joint. Radiol Case Rep. 13(2):499-502, 2018
                                          8. Meyers AB et al: Multifocal tenosynovial giant cell tumors in a child with Noonan syndrome. Pediatr Radiol. 47(3):361-5, 2017
                                          9. Vaca M et al: Pigmented villonodular synovitis of the temporomandibular joint with petrous bone invasion. Otol Neurotol. 38(5):e58-9, 2017
                                          10. Morales H et al: Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. 26(1):5-22, 2015
                                          11. Safaee M et al: Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: A case series and systematic review. Head Neck. 37(8):1213-24, 2015
                                          12. Damodar D et al: Pigmented villonodular synovitis of the temporomandibular joint: case report and review of the literature. Head Neck. 37(12):E194-9, 2015
                                          13. Le WJ et al: Pigmented villonodular synovitis of the temporomandibular joint: CT imaging findings. Clin Imaging. 38(1):6-10, 2014
                                          14. Giannakopoulos H et al: Pigmented villonodular synovitis of the temporomandibular joint. Ear Nose Throat J. 92(7):E10-3, 2013
                                          15. Meltzer, D.E. at al: Extradiskal Pathology of the Temporomandibular Joint: MR Imaging and CT Manifestations. Neurographics 3: 185-193, 2013
                                          16. Aiken A et al: MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 20(3):397-412, 2012
                                          17. Liu YK et al: Pigmented villonodular synovitis of the temporomandibular joint presenting as a middle cranial fossa tumor. J Oral Maxillofac Surg. 70(2):367-72, 2012
                                          18. Wong JJ et al: Pigmented villonodular synovitis of the temporomandibular joint: a radiologic diagnosis and case report. J Oral Maxillofac Surg. 70(1):126-34, 2012
                                          19. Cascone P et al: Pigmented villonodular synovitis of the temporomandibular joint. J Orofac Pain. 22(3):252-5, 2008
                                          20. Murphey MD et al: Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 28(5):1493-518, 2008
                                          21. Cupp JS et al: Translocation and expression of CSF1 in pigmented villonodular synovitis, tenosynovial giant cell tumor, rheumatoid arthritis and other reactive synovitides. Am J Surg Pathol. 31(6):970-6, 2007
                                          22. Kim KW et al: Pigmented villonodular synovitis of the temporomandibular joint: MR findings in four cases. Eur J Radiol. 49(3):229-34, 2004
                                          23. Tosun F et al: Pigmented villonodular synovitis of the temporomandibular joint: an extensive case with skull-base involvement. Am J Otolaryngol. 25(3):204-7, 2004
                                          24. Joshi K et al: Postoperative radiotherapy for diffuse pigmented villonodular synovitis of the temporomandibular joint. Am J Otolaryngol. 36(1):106-13, 2015
                                          25. Bemporad JA et al: Pigmented villonodular synovitis of the temporomandibular joint: diagnostic imaging and endovascular therapeutic embolization of a rare head and neck tumor. AJNR Am J Neuroradiol. 20(1):159-62, 1999
                                          26. O'Sullivan TJ et al: Pigmented villonodular synovitis of the temporomandibular joint. J Otolaryngol. 13(2):123-6, 1984
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Pigmented villonodular synovitis (PVNS)

                                                    • Definitions

                                                      • Benign, locally aggressive, tumefactive disease of synovium

                                                    IMAGING

                                                    • General Features

                                                      • Imaging Recommendations

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Crim J et al: Limited usefulness of classic MR findings in the diagnosis of tenosynovial giant cell tumor. Skeletal Radiol. 50(8):1585-91, 2021
                                                                                  2. McKee TC et al: Efficacy of image-guided synovial biopsy. Skeletal Radiol. 49(6):921-8, 2020
                                                                                  3. Nguyen JC et al: Magnetic resonance imaging features of intra-articular tenosynovial giant cell tumor in children. Pediatr Radiol. 51(3):441-9, 2020
                                                                                  4. Brant JA et al: Pigmented villonodular synovitis presenting as unilateral hearing loss: review of the literature and case report. ORL J Otorhinolaryngol Relat Spec. 81(2-3):171-82, 2019
                                                                                  5. Nomura F et al: Pigmented villonodular synovitis occurring in the temporomandibular joint. Auris Nasus Larynx. 46(4):609-17, 2019
                                                                                  6. Wang JG et al: Diffuse tenosynovial giant cell tumor around the temporomandibular joint: an entity with special radiologic and pathologic features. J Oral Maxillofac Surg. 77(5):1022.e1-39, 2019
                                                                                  7. Allen A et al: Recurrent pigmented villonodular synovitis of the temporomandibular joint. Radiol Case Rep. 13(2):499-502, 2018
                                                                                  8. Meyers AB et al: Multifocal tenosynovial giant cell tumors in a child with Noonan syndrome. Pediatr Radiol. 47(3):361-5, 2017
                                                                                  9. Vaca M et al: Pigmented villonodular synovitis of the temporomandibular joint with petrous bone invasion. Otol Neurotol. 38(5):e58-9, 2017
                                                                                  10. Morales H et al: Imaging approach to temporomandibular joint disorders. Clin Neuroradiol. 26(1):5-22, 2015
                                                                                  11. Safaee M et al: Pigmented villonodular synovitis of the temporomandibular joint with intracranial extension: A case series and systematic review. Head Neck. 37(8):1213-24, 2015
                                                                                  12. Damodar D et al: Pigmented villonodular synovitis of the temporomandibular joint: case report and review of the literature. Head Neck. 37(12):E194-9, 2015
                                                                                  13. Le WJ et al: Pigmented villonodular synovitis of the temporomandibular joint: CT imaging findings. Clin Imaging. 38(1):6-10, 2014
                                                                                  14. Giannakopoulos H et al: Pigmented villonodular synovitis of the temporomandibular joint. Ear Nose Throat J. 92(7):E10-3, 2013
                                                                                  15. Meltzer, D.E. at al: Extradiskal Pathology of the Temporomandibular Joint: MR Imaging and CT Manifestations. Neurographics 3: 185-193, 2013
                                                                                  16. Aiken A et al: MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 20(3):397-412, 2012
                                                                                  17. Liu YK et al: Pigmented villonodular synovitis of the temporomandibular joint presenting as a middle cranial fossa tumor. J Oral Maxillofac Surg. 70(2):367-72, 2012
                                                                                  18. Wong JJ et al: Pigmented villonodular synovitis of the temporomandibular joint: a radiologic diagnosis and case report. J Oral Maxillofac Surg. 70(1):126-34, 2012
                                                                                  19. Cascone P et al: Pigmented villonodular synovitis of the temporomandibular joint. J Orofac Pain. 22(3):252-5, 2008
                                                                                  20. Murphey MD et al: Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics. 28(5):1493-518, 2008
                                                                                  21. Cupp JS et al: Translocation and expression of CSF1 in pigmented villonodular synovitis, tenosynovial giant cell tumor, rheumatoid arthritis and other reactive synovitides. Am J Surg Pathol. 31(6):970-6, 2007
                                                                                  22. Kim KW et al: Pigmented villonodular synovitis of the temporomandibular joint: MR findings in four cases. Eur J Radiol. 49(3):229-34, 2004
                                                                                  23. Tosun F et al: Pigmented villonodular synovitis of the temporomandibular joint: an extensive case with skull-base involvement. Am J Otolaryngol. 25(3):204-7, 2004
                                                                                  24. Joshi K et al: Postoperative radiotherapy for diffuse pigmented villonodular synovitis of the temporomandibular joint. Am J Otolaryngol. 36(1):106-13, 2015
                                                                                  25. Bemporad JA et al: Pigmented villonodular synovitis of the temporomandibular joint: diagnostic imaging and endovascular therapeutic embolization of a rare head and neck tumor. AJNR Am J Neuroradiol. 20(1):159-62, 1999
                                                                                  26. O'Sullivan TJ et al: Pigmented villonodular synovitis of the temporomandibular joint. J Otolaryngol. 13(2):123-6, 1984