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A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge

Received: 1 September 2015     Accepted: 14 September 2015     Published: 14 September 2015
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Abstract

Mesenchymal chondrosarcoma (MC) is a subtype of chondrosarcoma which is rarely encountered in the clinical practice. It carries a worse prognosis compared to other forms of chondrosarcoma as it has a high tendency to metastasize to other sites.1 It can arise from skeletal bone as well as soft tissue, the usual sites being the ribs and jaw.2 Histologically, it is characterized by a mix of cartilage and undifferentiated stromal tissue, which will be highly positive for S100. A survey done concluded that it commonly affects patients in their second or third decade of life.3 We will discuss a rare case of MC which presented to our center where the initial biopsy was reported as hemangiopericytoma (HPC) of nose. The tumour was excised using endoscopic assisted craniofacial resection (EACFR). A multidisciplinary team comprising of various specialties was involved in diagnosing and managing the patient.

Published in International Journal of Otorhinolaryngology (Volume 1, Issue 1)
DOI 10.11648/j.ijo.20150101.13
Page(s) 9-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Mesenchymal Chondrosarcoma, Sphenoid Sinus Tumour

References
[1] Ito T, Hiratsuka H, Kohama G. Mesenchymal chondrosarcoma of the maxilla. Int J. Oral Maxillofac. Surg. 1991; 20: 44-45.
[2] Salvador AH, Beabout JW, Dahlin DC. Mesenchymal chondrosarcoma: Observations on 30 new cases. Cancer. 1971; 28:605-613.
[3] Christensen RE JR. Mesenchymal chondrosarcoma of the jaws. Oral Surg. 1982; 54: 197-206.
[4] Koch BB, Karnell LH, Hoffman HT, et al. National cancer database report on chondrosarcoma of the head and neck. Head Neck. 2000; 22: 408-425.
[5] Merec-Berard P. Malignant hemangiopericytoma. Orphanet Encyclopedia. 2004.
[6] Lacovara J, Patterson K, Reaman GH. Primary nasal chondrosarcoma.The pediatric experience. Am J Pediatr Hematol Oncol. 1992; 14: 158-162.
[7] Lichtenstein L, Bernstein D. Unusual benign and malignant chondroid tumors of the bone. A survey of some mesenchymal cartilage tumors and malignant chondroblastic tumors, including a few multicentric ones, as well as many atypical benign chondroblastomas and chondromyxoid fibromas. Cancer. 1959; 12: 1142-1157.
[8] Jaetli V, Gupta S. Mesenchymal chondrosarcoma of the maxilla: A rare case report. Med Oral Patol Oral Cir Bucal. 2011; 16(4): 493-496.
[9] Gendeh BS, Salina H, Selladurai B, Jegan T. Endoscopic-assisted craniofacial resection: A case series and post-operative outcome. Med J Malaysia. 2007; 62(3):234-237.
[10] Finn DG, Goepfert H, Batsakis JG. Chondrosarcoma of the head and neck. Laryngoscope. 1984; 94: 1539-1544.
[11] Dehadray A, Jagade MV, Nagle S, et al. Hemangiopericytoma like tumor- a diagnostic challenge. Indian J of Otol and Head and Neck Surg. 2006; 58: 174-176.
Cite This Article
  • APA Style

    Ahmad Kusyairi Bin Khalid, Haizlene Abd Halim, Balwant Singh Gendeh. (2015). A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge. International Journal of Otorhinolaryngology, 1(1), 9-12. https://doi.org/10.11648/j.ijo.20150101.13

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    ACS Style

    Ahmad Kusyairi Bin Khalid; Haizlene Abd Halim; Balwant Singh Gendeh. A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge. Int. J. Otorhinolaryngol. 2015, 1(1), 9-12. doi: 10.11648/j.ijo.20150101.13

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    AMA Style

    Ahmad Kusyairi Bin Khalid, Haizlene Abd Halim, Balwant Singh Gendeh. A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge. Int J Otorhinolaryngol. 2015;1(1):9-12. doi: 10.11648/j.ijo.20150101.13

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  • @article{10.11648/j.ijo.20150101.13,
      author = {Ahmad Kusyairi Bin Khalid and Haizlene Abd Halim and Balwant Singh Gendeh},
      title = {A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge},
      journal = {International Journal of Otorhinolaryngology},
      volume = {1},
      number = {1},
      pages = {9-12},
      doi = {10.11648/j.ijo.20150101.13},
      url = {https://doi.org/10.11648/j.ijo.20150101.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20150101.13},
      abstract = {Mesenchymal chondrosarcoma (MC) is a subtype of chondrosarcoma which is rarely encountered in the clinical practice. It carries a worse prognosis compared to other forms of chondrosarcoma as it has a high tendency to metastasize to other sites.1 It can arise from skeletal bone as well as soft tissue, the usual sites being the ribs and jaw.2 Histologically, it is characterized by a mix of cartilage and undifferentiated stromal tissue, which will be highly positive for S100. A survey done concluded that it commonly affects patients in their second or third decade of life.3 We will discuss a rare case of MC which presented to our center where the initial biopsy was reported as hemangiopericytoma (HPC) of nose. The tumour was excised using endoscopic assisted craniofacial resection (EACFR). A multidisciplinary team comprising of various specialties was involved in diagnosing and managing the patient.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - A Rare Case of Sphenoid Sinus Mesenchymal Chondrosarcoma: A Diagnostic Challenge
    AU  - Ahmad Kusyairi Bin Khalid
    AU  - Haizlene Abd Halim
    AU  - Balwant Singh Gendeh
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    N1  - https://doi.org/10.11648/j.ijo.20150101.13
    DO  - 10.11648/j.ijo.20150101.13
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 9
    EP  - 12
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20150101.13
    AB  - Mesenchymal chondrosarcoma (MC) is a subtype of chondrosarcoma which is rarely encountered in the clinical practice. It carries a worse prognosis compared to other forms of chondrosarcoma as it has a high tendency to metastasize to other sites.1 It can arise from skeletal bone as well as soft tissue, the usual sites being the ribs and jaw.2 Histologically, it is characterized by a mix of cartilage and undifferentiated stromal tissue, which will be highly positive for S100. A survey done concluded that it commonly affects patients in their second or third decade of life.3 We will discuss a rare case of MC which presented to our center where the initial biopsy was reported as hemangiopericytoma (HPC) of nose. The tumour was excised using endoscopic assisted craniofacial resection (EACFR). A multidisciplinary team comprising of various specialties was involved in diagnosing and managing the patient.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, Selangor, Malaysia

  • Department of Primary Care Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, Selangor, Malaysia

  • Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Kebangsaan Malaysia (UKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia

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