Phosphaturic mesenchymal tumor, an unusual localization in head and neck

Sandro Pelo, Giulio Gasparini, Umberto Garagiola, Giuseppe D'Amato, Gianmarco Saponaro, Piero Doneddu, Mattia Todaro, Alessandro Moro

Research output: Contribution to journalArticlepeer-review

Abstract

Phosphaturic mesenchymal tumor (PMT) is a rare mesenchymal neoplasm associated with tumor-induced osteomalacia involving bone and soft tissue that produces paraneoplastic hypophosphatemic osteomalacia. The common physiologic defect in this conditions involves an impairment in renal tubular phosphate reabsorption with a downregulation of renal 1α-hydroxylase activity, while calcium metabolism remains essentially unaffected. Microscopic features consist of spindle cells, multinucleated giant cells and calcifications embedded in a chondromyxoid matrix with variable cellularity and prominent vascularity. approximately 95% of PMTs involve the extremities and appendicular skeleton, with only 5% occurring in the head and neck region. Localization in the head and neck is pretty uncommon, nose and paranasal sinuses are preferentially affected. Due to its rarity, the purpose of the study was to report a new case of PMT whose locations in temporomandibular joint was never reported in literature.
Original languageEnglish
Pages (from-to)N/A-N/A
JournalJournal of Surgical Case Reports
Volume2018
DOIs
Publication statusPublished - 2018

Keywords

  • Phosphaturic mesenchymal tumor, head and neck, facial tumor

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