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Miyagawa K, Enomoto T, Morishita T, Aoki M, Nonaka M, Abe H, Nabeshima K, Inoue T. Functional Prognosis following Temporal Bone Chondroblastoma Resection: A Systematic Review and A Case Illustration. World Neurosurg 2021; 158:e287-e297. [PMID: 34737097 DOI: 10.1016/j.wneu.2021.10.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 10/25/2021] [Accepted: 10/26/2021] [Indexed: 11/15/2022]
Affiliation(s)
- Ken Miyagawa
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Toshiyuki Enomoto
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
| | - Takashi Morishita
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Mikiko Aoki
- Department of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Masani Nonaka
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Hiroshi Abe
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Kazuki Nabeshima
- Department of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Tooru Inoue
- Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
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Muhammed A, Meshneb M, Saro H, Elnakib N, Elnakib E. Management of cranial chondroblastoma in adults; a pooled analysis. Am J Otolaryngol 2020; 41:102486. [PMID: 32305254 DOI: 10.1016/j.amjoto.2020.102486] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 04/04/2020] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Chondroblastoma is a rare bone tumour that often affects children more than adults. The adult cranial affection is a unique presentation of the disease (less than 2%) that mandates specific management. Through this pooled-analysis, we aimed to examine this disease group and obtain reliable scientific conclusions. METHODS The literature was searched for case-reports of cranial chondroblastoma. Afterwards, a pooled analysis was done for the selected articles. The data in question were the patient's age, gender, disease site, modalities of treatment, disease control, salvage treatment, and disease-specific survival. RESULTS 122 case reports were retrieved from the literature. The median age at diagnosis was 38.5 years. Up to the moment, the standard of care remains complete resection. The relapse-free survival was 29.5 months, with a three-year relapse rate of 9% and disease-specific mortality of 0%. Most of the relapses were salvaged excellently with excision. The strongest predictor for relapse was the post-resection residual disease, with three-years relapse rates of 23.8% and 2.4% for positive and negative residuals, respectively. Adjuvant Radiotherapy failed to improve the relapse rates. CONCLUSION Complete surgical excision is the standard of care. Post-surgical residual is the only adverse prognostic factor that predicts poor disease control.
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Affiliation(s)
- Amr Muhammed
- Clinical Oncology Department, Sohag University Hospital, Egypt.
| | | | - Hossam Saro
- Clinical Radiology department, Sohag University Hospital, Egypt
| | | | - Esraa Elnakib
- Clinical Oncology Department, Sohag University Hospital, Egypt
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Temporal Bone Chondroblastoma: Systematic Review of Clinical Features and Outcomes. World Neurosurg 2020; 142:e260-e270. [PMID: 32603862 DOI: 10.1016/j.wneu.2020.06.192] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 06/22/2020] [Accepted: 06/23/2020] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Chondroblastoma is an uncommon benign neoplasm of cartilaginous origin usually involving the long bones. The temporal bone is a rare location for this tumor. The clinical profile, optimal medical and surgical management, and outcomes of treatment for temporal bone chondroblastoma remain unknown. METHODS We performed a systematic review of the SCOPUS, PubMed, and CENTRAL databases for case reports and case series on patients with histopathologically proven temporal bone chondroblastoma. Data on demographics, clinical manifestation, surgical management, adjuvant treatment, and outcome on last follow-up were collected. RESULTS A total of 100 cases were reported in the literature, including one described in the current study. The mean age of patients was 42.3 years (range, 2-85 years), with a slight male predilection (1.3:1). The most common clinical manifestations were otologic symptoms (e.g., hearing loss [65%], tinnitus, and otalgia) and a palpable mass. Surgical excision was performed in all cases, with gross total excision achieved in 58%. Radiation therapy was performed in 18% of cases, mostly as adjuvant treatment after subtotal excision. There were no deaths at a median follow-up of 2 years. Among the patients with detailed status on follow-up, 58% had complete neurologic recovery, 38% had partial recovery, and 4% had progression of symptoms as a result of tumor recurrence. CONCLUSIONS Temporal bone chondroblastoma has a distinct clinical profile from chondroblastoma of long bones. Surgery is the mainstay of treatment, and radiation therapy may be given after subtotal excision. Outcomes are generally favorable after treatment.
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Park SW, Kim JH, Park JH, Moon KC, Paeng JC, Choi BS, Lee Y, Kim JH, Yoo RE, Kang KM, Kim SC, Choi SH, Yun TJ, Sohn CH. Temporal bone chondroblastoma: Imaging characteristics with pathologic correlation. Head Neck 2017; 39:2171-2179. [DOI: 10.1002/hed.24880] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Revised: 05/01/2017] [Accepted: 05/31/2017] [Indexed: 12/13/2022] Open
Affiliation(s)
- Sun-Won Park
- Department of Radiology; Seoul Metropolitan Government - Seoul National University, Boramae Medical Center; Seoul Korea
- Seoul National University College of Medicine; Seoul Korea
| | - Ji-hoon Kim
- Department of Radiology; Seoul National University Hospital; Seoul Korea
| | - Ji Hoon Park
- Department of Radiology; Seoul National University, Bundang Hospital; Seongnam Korea
| | - Kyung Chul Moon
- Department of Pathology; Seoul National University Hospital; Seoul Korea
| | - Jin Chul Paeng
- Department of Nuclear Medicine; Seoul National University Hospital; Seoul Korea
| | - Byung Se Choi
- Department of Radiology; Seoul National University, Bundang Hospital; Seongnam Korea
| | - Younghen Lee
- Department of Radiology; Korea University Ansan Hospital; Ansan Korea
| | - Jae Hyoung Kim
- Department of Radiology; Seoul National University, Bundang Hospital; Seongnam Korea
| | - Roh-Eul Yoo
- Department of Radiology; Seoul National University Hospital; Seoul Korea
| | - Koung Mi Kang
- Department of Radiology; Seoul National University Hospital; Seoul Korea
| | - Soo Chin Kim
- Department of Radiology; Gangnam Center, Seoul National, University Hospital Healthcare System; Seoul Korea
| | - Seung Hong Choi
- Department of Radiology; Seoul National University Hospital; Seoul Korea
| | - Tae Jin Yun
- Department of Radiology; Seoul National University Hospital; Seoul Korea
| | - Chul Ho Sohn
- Department of Radiology; Seoul National University Hospital; Seoul Korea
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5
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Liu J, Ahmadpour A, Bewley AF, Lechpammer M, Bobinski M, Shahlaie K. Chondroblastoma of the Clivus: Case Report and Review. J Neurol Surg Rep 2015; 76:e258-64. [PMID: 26623238 PMCID: PMC4648736 DOI: 10.1055/s-0035-1564601] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Accepted: 08/10/2015] [Indexed: 12/14/2022] Open
Abstract
Background and Importance Chondroblastoma is a benign primary bone tumor that typically develops in the epiphyses of long bones. Chondroblastoma of the craniofacial skeleton is extremely rare, with most cases occurring in the squamosal portion of the temporal bone. In this report, we describe the first case of chondroblastoma of the clivus presenting with cranial neuropathy that was treated with endoscopic endonasal resection. We review the literature on craniofacial chondroblastomas with particular emphasis on extratemporal lesions. Case Presentation A 27-year-old woman presented with severe headache, left facial dysesthesias, and diplopia. Physical examination revealed hypesthesia in the left maxillary nerve dermatome, and complete left abducens nerve palsy. Imaging demonstrated an expansile intraosseous mass originating in the upper clivus with extension superiorly into the sella turcica and laterally to involve the medial wall of the left cavernous sinus. The tumor was completely resected via an endoscopic endonasal approach, with postoperative improvement in lateral gaze palsy. Histopathology was consistent with chondroblastoma. Conclusion Chondroblastoma is a rare tumor of the craniofacial skeleton that should be included in the differential diagnosis of an osteolytic lesion of the clivus. Complete surgical resection remains the mainstay of treatment.
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Affiliation(s)
- Jonathan Liu
- Department of Neurological Surgery, UC Davis School of Medicine, Sacramento, California, United States
| | - Arjang Ahmadpour
- Department of Neurological Surgery, UC Davis School of Medicine, Sacramento, California, United States
| | - Arnaud F Bewley
- Department of Otolaryngology, UC Davis School of Medicine, Sacramento, California, United States
| | - Mirna Lechpammer
- Department of Pathology, UC Davis School of Medicine, Sacramento, California, United States
| | - Matthew Bobinski
- Department of Radiology, UC Davis School of Medicine, Sacramento, California, United States
| | - Kiarash Shahlaie
- Department of Neurological Surgery, UC Davis School of Medicine, Sacramento, California, United States
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6
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Reid LB, Wong DS, Lyons B. Chondroblastoma of the temporal bone: a case series, review, and suggested management strategy. SKULL BASE REPORTS 2011; 1:71-82. [PMID: 23984206 PMCID: PMC3743598 DOI: 10.1055/s-0031-1284217] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2010] [Accepted: 04/12/2011] [Indexed: 12/29/2022]
Abstract
Chondroblastoma of the temporal bone is a rare condition. Chondroblastomas account for less than 1% of primary bone tumors, and those involving the temporal bone represent a tiny fraction of these tumors with most arising from the knee, rib, and pelvis. We present a case series of two patients who presented with chondroblastomas of the temporal bone over a period of 8 years to the St. Vincent's Hospital in Melbourne, Victoria, Australia. In particular, we outline the presenting complaint, diagnostic imaging undertaken, and the importance of preoperative histopathology in coming to the diagnosis and subsequent resection undertaken. A review of the current literature is presented with a suggested management strategy for these tumors.
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Affiliation(s)
- Luke B Reid
- Department of Otolaryngology Head and Neck Surgery, Bayside Health, Middle Park, Victoria
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7
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Abstract
Chondroblastomas are highly destructive tumors that are derived from immature cartilage cells. The occurrence of this tumor in the temporal bone or skull base is uncommon. Approximately 70 cases have previously been reported, several of which have involved the temporomandibular joint (TMJ). We report here the case of a 67-year-old woman who presented with right-sided mixed hearing loss, a right external auditory canal mass, ear fullness, otalgia, blood-stained otorrhea, and pain around the TMJ, associated with difficulty in opening the mouth. CT and MRI revealed a mass involving the TMJ, infratemporal fossa, and pterygopalatine fossa. The patient underwent tumor resection via an infratemporal fossa approach type B. Gross total tumor removal was achieved, with no facial nerve paralysis or other complications observed after surgery. No recurrence or residual tumors were observed on CT and MRI, even after 7.5 years of follow-up. We conclude that temporal bone chondroblastomas are extremely rare and aggressive, but the outcome after appropriate surgical treatment is favorable. From the review, it may be particularly important to deal with tumors that involve the TMJ, which could affect the long-term outcomes, as well as tumor recurrence.
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Affiliation(s)
- Miyako Hatano
- Department of Otolaryngology-Head and Neck Surgery, Division of Neuroscience, Kanazawa University Graduate School of Medical Science, Kanazawa, 13-1 Takaramachi, Ishikawa, Japan.
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8
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Selesnick SH, Levine JM. Chondroblastoma of the temporal bone: consistent middle fossa involvement. Skull Base Surg 2011; 9:301-5. [PMID: 17171120 PMCID: PMC1656774 DOI: 10.1055/s-2008-1058141] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The objective of this study is to describe the presentation and clinical course of two patients with temporal bone chondroblastoma, and to review the literature on temporal bone chondroblastoma to identify characteristic clinical and radiological presentations, and optimal treatment regimens. MEDLINE literature searches covering the period from 1966 to January 1998, in all languages, were performed as well as a review of the bibliographies of the identified studies. Strict inclusion criteria were upheld, In total 18 studies had patients whose data could be analyzed. From the 18 studies, 34 patients were identified, but only 21 cases met the inclusion criteria. Demographic, clinical presentation, radiological, operative and treatment parameters were analyzed in this cohort of patients. Ninety-five percent of patients were found to have invasion of the middle cranial fossa and 76% were found to have erosion into the superior aspect of the external auditory canal by temporal bone chondroblastoma. The characteristic growth pattern of temporal bone chondroblastoma may result from embryonal or cartilagenous rests entrapped in the tympanosquamous suture line in the middle fossa floor. Temporal bone chondroblastoma represents a pathology that does not arise from, or have a growth pattern resembling other pathologies in the temporal bone.
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9
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Carlson AP, Yonas H, Olson GT, Reichard KK, Medina-Flores R. Temporal Chondroblastoma with a Novel Chromosomal Translocation (2;5) (q33;q13). SKULL BASE REPORTS 2011; 1:65-70. [PMID: 23984205 PMCID: PMC3743586 DOI: 10.1055/s-0031-1275638] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Accepted: 01/10/2011] [Indexed: 12/19/2022]
Abstract
The case of a 51-year-old man with a large temporal mass is presented. The mass eroded the floor of the middle fossa medially to the sphenoid sinus. A combined approach with neurosurgery and otolaryngology was performed to achieve maximal resection of the mass. Pathology was typical for chondroblastoma: a rare, benign but locally invasive chondroid tumor. Genetic testing revealed a translocation of (2;5) (q33;q13). This is a unique genetic mutation in all chondroid tumors to our knowledge. The diagnostic utility or role of this mutation in the pathobiology of this tumor remains to be determined.
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Affiliation(s)
- Andrew P Carlson
- Department of Neurological Surgery, University of New Mexico, Albuquerque, New Mexico
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10
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Moon IS, Kim J, Lee HK, Lee WS. Surgical treatment and outcomes of temporal bone chondroblastoma. Eur Arch Otorhinolaryngol 2008; 265:1447-54. [PMID: 18401591 DOI: 10.1007/s00405-008-0660-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2007] [Accepted: 03/25/2008] [Indexed: 10/22/2022]
Abstract
Chondroblastoma is an uncommon primary benign bone tumor that usually arises in the epiphyses of the long bones. Temporal bone chondroblastoma is a rare primary bone tumor that affects the floor of the middle cranial fossa and temporomandibular joint (TMJ). The biological nature of temporal bone chondroblastoma is occasionally aggressive because of local invasion and is known to have a high recurrence after curettage. Therefore, complete resection is recommended. However, the literature provides little information regarding long-term surgical outcomes and complications after surgical resection. The authors have retrospectively analyzed four cases of temporal bone chondroblastoma that had been completely excised by a single surgeon with an eventual long-term follow-up. A single surgeon operated on four patients, two males and two females, with a mean age of 34 years, at the Department of Otorhinolaryngology, Severance Hospital. In all cases, the tumor involved the middle cranial fossa dura and the mandibular fossa with variable degree of infiltration. All patients have had no tumor recurrence to date (mean follow-up period of 5 years). Complete surgical resection of the temporal bone chondroblastoma is the gold standard for treatment. Precise preoperative image evaluation of tumor extension and proper management of the dura mater and temporomandibular joint (TMJ) are the major important features in complete surgical removal that minimize complications in temporal bone chondroblastoma treatment.
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Affiliation(s)
- In Seok Moon
- Department of Otorhinolaryngology, Yonsei University College of Medicine, 134 Sinchon-dong, Seodaemun-gu, Seoul, South Korea 120-752
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Al Mestady RM, Alorainy IA, El Watidy SM, Arafah MM. Intracranial extraosseous chondroblastoma simulating meningioma. AJNR Am J Neuroradiol 2007; 28:1880-1. [PMID: 17921231 PMCID: PMC8134266 DOI: 10.3174/ajnr.a0729] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2007] [Accepted: 05/24/2007] [Indexed: 01/17/2023]
Abstract
Extraosseous chondroblastoma had been reported in different parts of the body but not intracranially. We report a case of a pathologically proven intracranial extraosseous chondroblastoma of the right cavernous sinus in an 18-year-old woman with CT, MR, and conventional angiographic features simulating meningioma.
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Affiliation(s)
- R M Al Mestady
- Department of Radiology and Diagnostic Imaging, King Khalid University Hospital, Riyadh, Saudi Arabia.
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12
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Koerbel A, Loewenheim H, Beschorner R, Roser F, Ernemann U, Meyermann R, Tatagiba M. A 27-YEAR-OLD WOMAN WITH CRANIAL NERVE DYSFUNCTION. Brain Pathol 2007; 17:327-8. [PMID: 17598827 PMCID: PMC8095607 DOI: 10.1111/j.1750-3639.2007.00076_1.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Andrei Koerbel
- Department of Neurosurgery, University of Tuebingen, Tuebingen, Germany
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13
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Dran G, Niesar E, Vandenbos F, Noel G, Paquis P, Lonjon M. Chondroblastoma of the apex portion of petrousal bone. Childs Nerv Syst 2007; 23:231-5. [PMID: 17115228 DOI: 10.1007/s00381-006-0201-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2006] [Revised: 04/13/2006] [Indexed: 11/25/2022]
Abstract
BACKGROUND Skull chondroblastoma is extremely rare. We described in this study the first case of petrousal bone apex chondroblastoma. METHODS The tumor occurred in a 12-year-old girl and was revealed by left hypoacusis, vertigo, and walking instability. Computerized tomography scan depicted well-demarcated and osteolytic lesion of the left petrousal bone just before the internal acoustic meatus. The tumor was operated on by a subtemporal approach with a subtotal resection. Lesion recurred and was operated a second time by a combined approach subtemporal and translabyrinthine. This treatment was completed by radiotherapy. We used a combination of photon therapy and proton therapy. Outcome was good and free of recurrence 36 months after the second operation. CONCLUSION Proton therapy can be particularly useful for skull base tumors frequently radioresistant and near very important structures. This case is the first one of a successful treatment by proton therapy for chondroblastoma recurrence.
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Affiliation(s)
- Grégory Dran
- Department of Neurosurgery, Gui de Chauliac Hospital, 2 av Emile Bertin Sans, 34000, Montpellier, France.
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14
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Bian LG, Sun QF, Zhao WG, Shen JK, Tirakotai W, Bertalanffy H. Temporal bone chondroblastoma: a review. Neuropathology 2005; 25:159-64. [PMID: 15875910 DOI: 10.1111/j.1440-1789.2005.00597.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The objective of this paper was to review temporal bone chondroblastomas in regard to their presentation, radiographic findings, histopathology, and treatment. A case report of a 38-year-old man who presented with the left-sided hearing impairment and temporal swelling was reviewed. A CT scan revealed an osteolytic lobulated expansile mass. MRI depicted two cystic components with fluid-fluid level and enhanced solid mass. Immunohistochemical study of S-100 was performed using avidinbiotin-complex method. The tumor was totally removed, with eroded squamous bone and temporal muscle, via the left zygomatic-extended middle fossa approach. The pathology of the tumor showed that the tumor cell was spindle-shaped, along with multinucleated giant cells. These cells had oval to polygonal nuclei; some cells showed grooved nuclei. Intercelluar calcification and hemorrhagic components were also observed in the tumor. Tumor cells were strongly positive for S-100 protein. Temporal bone chondroblastomas are extremely rare osseous tumors with only 45 cases previously reported in the published literature. They may be confused with more common lesions seen in the temporal bone. Diagnostic radiology, including CT and/or MRI, as well as immunohistochemical staining with S-100 protein, may assist in making the diagnosis. Treatment is complete surgical excision with preservation of vital neurovascular structures.
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Affiliation(s)
- Liu-Guan Bian
- Department of Neurosurgery, Rui-Jin Hospital, Shanghai Second Medical University, Shanghai, China.
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15
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Ionescu DN, McFadden K, Unni KK, Couce ME. Pathologic Quiz Case: A 33-Year-Old Woman With a Large Temporal Mass. Arch Pathol Lab Med 2005; 129:539-40. [PMID: 15794684 DOI: 10.5858/2005-129-539-pqcayw] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Diana N Ionescu
- Department of Pathology, Division of Anatomical Pathology, University of Pittsburgh, Pittsburgh, Pa 15213, USA.
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Gaudet EL, Nuss DW, Johnson DH, Miranne LS. Chondroblastoma of the temporal bone involving the temporomandibular joint, mandibular condyle, and middle cranial fossa: case report and review of the literature. Cranio 2004; 22:160-8. [PMID: 15134417 DOI: 10.1179/crn.2004.021] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Chondroblastoma is a highly destructive tumor, derived from immature cartilage cells, typically occurring in epiphyses of the long bones of adolescents and young adults. Those occurring in the temporal bone and TMJ area are likely to mimic TMJ symptoms. This report describes a unique case in which a chondroblastoma resulted in extensive destruction of the temporal bone, temporomandibular joint, mandibular condyle, and cranial base, including gross intracranial and extracranial involvement. With appropriate surgical management, the outcome for patients with chondroblastoma of the temporomandibular region is quite favorable. This case brings the total reported chondroblastomas to 59 in the temporal bone and eight in the mandibular condyle as of the date of submission of this article for publication.
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Affiliation(s)
- Elmer L Gaudet
- Loyola University School of Dentistry in New Orleans, Louisiana, USA.
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Motoori K, Hiruma K, Nikaido T, Yamamoto S, Ueda T, Ito H. CT and MR imaging of chondroblastoma of the temporal bone. ACTA ACUST UNITED AC 2004. [DOI: 10.1016/s1571-4675(03)00123-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ishikawa E, Tsuboi K, Onizawa K, Hara A, Kusakari J, Noguchi M, Nose T. Chondroblastoma of the temporal base with high mitotic activity. Neurol Med Chir (Tokyo) 2002; 42:516-20. [PMID: 12472218 DOI: 10.2176/nmc.42.516] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
A 24-year-old man presented with a rare chondroblastoma of the temporal base manifesting as local pain accompanied by difficulty in opening the mouth. Gross total removal was achieved at initial surgery, but the tumor demonstrated rapid and destructive regrowth from a very small residual volume without definite histological malignant transformation. Growth activity estimated by MIB-1 staining increased spontaneously from 2.5% at the initial operation to 18.7% at recurrence. Further extensive radical tumor removal by surgeons from multiple disciplines was performed. The patient has been free of recurrence for 3 years without radiotherapy. Chondroblastoma of the temporal bone is widely accepted as a benign tumor and regrowth after gross total removal is very rare. However, some cases of chondroblastoma have potentially high mitotic activity.
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Affiliation(s)
- Eiichi Ishikawa
- Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
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19
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Araújo JF, De Castro GC, Iafigliola MG, Balbo RJ. [Benign chondroblastoma of the occipital bone. A case report]. ARQUIVOS DE NEURO-PSIQUIATRIA 1995; 53:834-6. [PMID: 8729784 DOI: 10.1590/s0004-282x1995000500023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Benign chondroblastoma is a rare bone tumor of immature cartilage cell derivation. This lesion classically occur at the ends of long bones in young persons. Chondroblastoma arising from the occipital bone is extremely rare. We report the case of a 16 year old girl with a benign condroblastoma in the occipital bone, and discuss the clinical, radiological and treatment aspects of this tumor.
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Affiliation(s)
- J F Araújo
- Departamento de Neuro-Psiquiatria, Pontifícia Universidade Católica, Brasil
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20
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Abstract
Chondroblastoma represents approximately one per cent of all primary bone tumours. It is even rarer in the temporal bone and so far only 34 cases have been reported. We report here two cases with chondroblastoma of the temporal bone. The first case was discovered as a small lesion of the attic and root of zygoma. It was removed via mastoidectomy and reconstruction of the bony defect achieved normal external ear canal anatomy and hearing post-operatively. The second case presented as an advanced tumour involving the infratemporal fossa and parapharyngeal space. It was treated surgically via the infratemporal fossa approach. As clear surgical margins were not obtained, post-operative radiotherapy was also given to minimize the chance of recurrence.
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Affiliation(s)
- H K Leong
- Department of Otorhinolaryngology, National University Hospital, Singapore
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21
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Varvares MA, Cheney ML, Goodman ML, Ceisler E, Montgomery WW. Chondroblastoma of the temporal bone. Case report and literature review. Ann Otol Rhinol Laryngol 1992; 101:763-9. [PMID: 1514755 DOI: 10.1177/000348949210100909] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Chondroblastoma is a rare tumor of bone that represents approximately 1% of all primary bone tumors. In the temporal bone, only 33 have been reported. We present a case of chondroblastoma of the temporal bone, followed by a literature review and analysis of reported cases. We conclude that the best chance for a prolonged disease-free interval is total excision using a combined otolaryngologic and neurosurgical approach.
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Affiliation(s)
- M A Varvares
- Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114
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Politi M, Consolo U, Panziera G, Capelli P, Bonetti F. Chondroblastoma of the temporal bone. Case report. J Craniomaxillofac Surg 1991; 19:319-22. [PMID: 1752973 DOI: 10.1016/s1010-5182(05)80340-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
A case of chondroblastoma of the temporal bone in a 53-year-old male patient is presented. The diagnostic and therapeutic processes are discussed.
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Affiliation(s)
- M Politi
- Dept. of Oral Surgery, University of Ancona, Italy
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