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. 2019 Jul 9;19:138. doi: 10.1186/s12903-019-0816-3
Date Summary from Initial and Subsequent Visits Diagnostic Assessment Therapeutic Interventions
February 2016 to March 2016

➢ First seen in February 2016.

➢ Chief complaint was that of chronic right TMJ pain and hard swelling over right pre-auricular region.

➢ On examination, the swelling measured 15x20mm. It did not move with the mandibular condyle on maximal mouth opening.

➢ Provisional diagnosis was that of Tumoral Calcinosis associated with the right TMJ.

➢ Blood tests including liver function test, renal function test and complete blood count were normal.

➢ Dental pantomogram was taken, but no distinct lesion was observed.

➢ Computed Tomography taken revealed a well-defined hyper-dense mass at the right pre-auricular region.

➢ Surgical excision of the calcified mass was performed in March 2016.

➢ Histological examination confirmed diagnosis of tumoral calcinosis (TC).

April 2016 to July 2016

Post-operative reviews:

➢ Pain at the right pre-auricular region was resolved.

➢ TMJ function was normal.

➢ The baseline serum calcium and phosphate levels were normal. ➢ Nil
September 2017

Final review:

➢ No clinical recurrence was noted.

➢ TMJ function was normal

➢ Patient subsequently defaulted on further follow-up appointments.

➢ Serum calcium and serum phosphate were tested and were normal.

➢ Patient belonged to the Normophosphatemic TC sub-type (Smack et al [3]).

➢ Nil