Myxoid Chondrosarcoma of Nasomaxilloethmoid Region with Intracranial Extension

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• 作者：Kavita Sachdeva…
• 关键词：Myxoid chondrosarcoma ; Maxilla ; Optic nerve ; Epistaxis ; Nasal obstruction ; Diplopia
• 刊名：Indian Journal of Otolaryngology and Head & Neck Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：68
• 期：1
• 页码：110-114
• 全文大小：717 KB
• 参考文献：1.Jaswal A, Jana AK, Sikder B (2008) Chondrosarcoma of nose and paranasal sinus—a rare presentation. Indian J Otolaryngol Head Neck Surg 60(3):284–286CrossRef PubMed PubMedCentral
  2.Sharma K, Kaur A, Taneja HC, Tyagi I, Pandey R (1993) Nasal septal chondrosarcoma with visual loss. Indian J Ophthalmol 41(4):189–191PubMed
  3.Rassekh CH, Nuss DW, Kapadia SB, Curtin HD, Weissman JL, Janeeccka IP (1996) Chondrosarcoma of nasal septum: skull base imaging and clinicopathological correlation. Head Neck Surg 115:29–37CrossRef
  4.Lichtenstein L, Jaffel HL (1943) Chondrosarcoma of bone. Am J Pathol 19:553–574PubMed PubMedCentral
  5.Myer EM, Tawly SE (1979) Maxillary chondrosarcoma. Arch Otolaryngol 105:116–118CrossRef
  6.Downey TJ, Clark SK, Moore DW (2001) Chondrosarcoma of the nasal septum. Otolaryngol Head Neck Surg 125(1):98–100CrossRef PubMed
  7.Galleghar TM, Strome M (1972) Chondrosarcoma of facial region. Laryngoscope 82:978–984CrossRef
  8.Evans HL, Ayala AG, Romsdahl MM (1977) Prognostic factors in chondrosarcoma of bone: a clinicopathologic analysis with emphasis on histologic grading. Cancer 40:818–831CrossRef PubMed
  9.Ashley DJB (1990) Temperomandibular juxtaarticular chondroma:case report. In: Evans’ histological appearance of tumours, 4th edn. London, Livingstone, pp 133–139
  10.Alho A, Connor JF, Mankin HJ et al (1983) Assessment of malignancy of cartilaginous tumours using flow cytometry. A preliminaw report. J Bone Joint surg 65A:779–785
  11.Ruark DS, Schlehaider UK, Shah JP (1992) Chondrosarcomas of the head and neck. World J Surg 16:1010–1016CrossRef PubMed
  12.Ali A, Gosavi M, Michael R, Mathew J, Kurien M, Korula A (2004) Chondrosarcoma of the nasal septum. Indian J Otolaryngol Head Neck Surg 56:314–316PubMed PubMedCentral
  13.Dahlin DC (1957) Primary chondrosarcoma. In: Thomas CC (ed) Bone tumours. Springfield, NewYork, p 114
  14.Thompson VP, Steggall CT (1956) Chondrosarcoma of the proximal portion of the femur treated by resection and bone replacement. A 6-year result. J Bone Joint Surg 38A:357–367
  15.Burkey BB, Hoffman HT, Baker SR, Thornton AF (1990) Chondrosarcoma of the head and neck. Laryngoscope 100:1301–1305CrossRef PubMed
  16.Murty DP, Gupta AC, Sengupta SK, Dutta TK (1991) Nasal cartilaginous tumour. J Laryngol Otol 105:670–672CrossRef
  17.Mark RJ, Tran LM, Sercarz J, Fu YS, Calcaterra TC, Parker RG (1993) Chondrosarcoma of the head and neck. The UCLA experience, 1955–1988. Am J Clin Oncol 16:232–237CrossRef PubMed
  18.Garrington GE, Collett WK (1988) Chondrosarcoma II chondrosarcoma of the jaws: analysis of 37 cases. J Oral Pathol 17:12–20CrossRef PubMed
  19.Kumar R, Fausto A (2007) Mitchell-basic pathology, vol 8. Elsevier Inc, Saunders, Pennsylvania, p 815
  20.Mahajan AM, Ganvir SM, Hazarey VK, Mahajan MC (2013) Chondrosarcoma of the maxilla: a case report and review of literature. J Oral Maxillofac Pathol 17:269–273CrossRef PubMed PubMedCentral
  
• 作者单位：Kavita Sachdeva (1)
  Neeraj Sachdeva (2)
  
  1. Department of ENT, NSCB Medical College, Jabalpur, India
  2. Department of Pathology, Hitkarini Dental College, Jabalpur, India
  
• 刊物主题：Otorhinolaryngology; Head and Neck Surgery;
• 出版者：Springer India
• ISSN：0973-7707

文摘

Chondrosarcoma of the faciomaxillary area constitute only 4 % of non-epithelial tumours of the nasal cavity, paranasal sinuses and nasopharynx, making it one of the rare malignancy (Indian J Otolaryngol Head Neck Surg 60(3):284–286, [1]), with its myxoid variety still rarest. It is a slow-growing tumour, occurring mostly in middle-aged men. Primary chondrosarcoma of the nasal and paranasal sinus region, including the nasal septum, rarely extends into the cranial or intracranial areas unless there is recurrence (Indian J Ophthalmol 41(4):189–191, [2]. When it does occur, early diagnosis is difficult because patients generally present with common, nonspecific sinonasal complaints. A 45 year male patient came to ENT OPD with complaints of epistaxis, diplopia, facial swelling and loosening of teeth. On examination extensive swelling was present involving right maxilla, palate and ethmoid with shifting of Rt eye laterally. FNAC of swelling was non specific infected cystic lesion. On endoscopic examination there was erosion of Rt lateral wall of nose with mucoid material filling maxilla. Its wall was expanded & lined with velvety red mucosa. Maxillary antral biopsy report was myxoid chondrosarcoma. CT scan revealed extensive lesion of maxilla, ethmoid going up to optic nerve and brain. This case of myxoid chondrosarcoma is presented as it is a rare diagnosis. It presented with advanced disease involving nasomaxilloethmoid region and extended up to optic canal and middle cranial fossa. In a thorough review of Indian literature this was a rarely diagnosed tumour.