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Kaur J, Aggarwal A, Yadav V, Bhagat S, Sharma D. A Case Report of Chondromyxoid Fibroma of the Nasal Cavity. Indian J Otolaryngol Head Neck Surg 2023; 75:3975-3979. [PMID: 37974817 PMCID: PMC10645689 DOI: 10.1007/s12070-023-03981-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 06/12/2023] [Indexed: 11/19/2023] Open
Abstract
The chondromyxoid fibroma is a benign osseocartilaginous tumor histopathologically characterized by chondroid, fibrous, and myxoid tissues (Nazeer et al. in Skeltal Radiol 25:779-78, 1996). Its occurrence is quite rare, accounting for less than 0.5% of all bone tumors, with 1-5% of cases reported in the head and neck region. We report an unusual case of 25 years old male who presented with progressive swelling over dorsum of nose with bilateral nasal obstruction over 1 year. The histopathological examination was suggestive of chondromyxoid fibroma. The tumor was completely excised via open approach. We report this case owing to the rarity of the disease, sometimes masquerading as invasive/malignant pathology.
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Affiliation(s)
- Jasmeet Kaur
- Department of Otorhinolaryngology and Head and Neck Surgery, GMC, Rajindra Hospital, Patiala, India
| | - Ankita Aggarwal
- Department of Otorhinolaryngology and Head and Neck Surgery, GMC, Rajindra Hospital, Patiala, India
| | - Vishav Yadav
- Department of Otorhinolaryngology and Head and Neck Surgery, GMC, Rajindra Hospital, Patiala, India
| | - Sanjeev Bhagat
- Department of Otorhinolaryngology and Head and Neck Surgery, GMC, Rajindra Hospital, Patiala, India
| | - Dinesh Sharma
- Department of Otorhinolaryngology and Head and Neck Surgery, GMC, Rajindra Hospital, Patiala, India
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2
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Biswas A, Wehrli B, McGuire T, Darling M. A painless swelling of the left face. Oral Surg Oral Med Oral Pathol Oral Radiol 2022; 134:668-672. [PMID: 35599212 DOI: 10.1016/j.oooo.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/23/2022] [Accepted: 04/01/2022] [Indexed: 12/16/2022]
Affiliation(s)
- Abhirup Biswas
- Department of Pathology and Laboratory Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, Ontario, Canada
| | - Bret Wehrli
- Department of Pathology and Laboratory Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, Ontario, Canada
| | - Taylor McGuire
- Department of Surgery, University of Ottawa, Ontario, Canada; Attending Oral and Maxillofacial Surgeon, Children's Hospital of Eastern Ontario, Ontario, Canada; Attending Oral & Maxillofacial Surgeon, The Ottawa Hospitals (General, Civic, Riverside Campuses) Associate Professor, Department of Surgery, University of Ottawa, Ontario, Canada
| | - Mark Darling
- Department of Pathology and Laboratory Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, Ontario, Canada.
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Waldman S, Shimonov M, Yang N, Spielman D, Godfrey KJ, Dean KE, Phillips CD, Helman SN. Benign bony tumors of the paranasal sinuses, orbit, and skull base. Am J Otolaryngol 2022; 43:103404. [PMID: 35246319 DOI: 10.1016/j.amjoto.2022.103404] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 02/13/2022] [Indexed: 11/15/2022]
Abstract
Benign bony tumors of the skull base and paranasal sinuses are uncommon entities, with an overall higher incidence in males. Benign bony tumors may lead to local expansion with resultant mass effect of potentially critical structures. Some benign bony tumors may undergo malignant transformation. This article reviews the presentation and management of benign bone tumors of the skull base and paranasal sinuses with special consideration to involvement of the adjacent orbit, intracranial and critical neurovascular structures. This review covers tumor incidence, location, gross and histologic appearance as well as radiographic findings, treatment, and recurrence rates. Tumors discussed in this article include osteochondromas, osteomas, osteoid osteomas, aneurysmal bone cysts, fibrous dysplasia, giant cell tumors, cemento-ossifying fibroma, ameloblastic fibro-odontoma, ecchordosis physaliphora, chondromyxoid fibroma, primary chronic osteomyelitis, primary chronic osteomyelitis, osteochondromyxoma, and dense bone islands.
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Affiliation(s)
- Spencer Waldman
- SUNY Downstate, College of Medicine, 450 Clarkson Ave, Brooklyn, NY 11203, United States of America.
| | - Menachem Shimonov
- SUNY Downstate, College of Medicine, 450 Clarkson Ave, Brooklyn, NY 11203, United States of America.
| | - Nathan Yang
- Weill Cornell Medical College, Department of Otolaryngology - Head and Neck Surgery, 2315 Broadway, 3rd Floor, New York, NY 10024, United States of America.
| | - Daniel Spielman
- Weill Cornell Medical College, Department of Otolaryngology - Head and Neck Surgery, 2315 Broadway, 3rd Floor, New York, NY 10024, United States of America.
| | - Kyle J Godfrey
- Weill Cornell Medical College, Department of Ophthalmology--1305 York Ave, 12(th) Floor New York, NY 10021, United States of America.
| | - Kathryn E Dean
- Weill Cornell Imaging at New York-Presbyterian 1305 York Avenue,3rd Floor, New York, NY 10021, United States of America.
| | - C Douglas Phillips
- Weill Cornell Imaging at New York-Presbyterian 1305 York Avenue,3rd Floor, New York, NY 10021, United States of America.
| | - Samuel Nathaniel Helman
- Weill Cornell Medical College, Department of Otolaryngology - Head and Neck Surgery, 2315 Broadway, 3rd Floor, New York, NY 10024, United States of America.
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De La Peña NM, Yekzaman BR, Patra DP, Rath TJ, Lal D, Bendok BR. Craniofacial Chondromyxoid Fibromas: A Systematic Review and Analysis Based on Anatomic Locations. World Neurosurg 2021; 162:21-28. [PMID: 34710582 DOI: 10.1016/j.wneu.2021.10.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 10/18/2021] [Accepted: 10/19/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Craniofacial chondromyxoid fibromas (CMF) are a rare benign tumor of cartilaginous origin. They are commonly misdiagnosed due to the paucity of information on tumor characteristics. We performed a systematic review to characterize CMF located in different regions of the craniofacial skeleton. METHODS A search of the literature was executed using the search phrase "chondromyxoid fibroma" and included articles from 1990 - 2020. Sixty-eight articles met the inclusion criteria, with a total of 91 patients with analyzable data (22 with calvarial and 69 with sinonasal tumor locations). Descriptive analyses were performed to compare pre-selected characteristics between the two groups. RESULTS Sinonasal CMF frequently presented with cranial nerve palsy and expectedly had a high rate of nasal symptoms. Calvarial tumors frequently presented with an external mass and headache. Gross total resection (GTR) was achieved in a higher proportion of cases in the calvarial group versus the sinonasal group (83.3% vs 53.1%). Overall recurrence rate at 17.7% was higher in sinonasal CMF compared to the calvarial tumors at 8.3%. Recurrences after GTR were similar in the sinonasal and calvarial groups (9.7% vs 9.1%). In patients who did not achieve GTR, recurrence was higher in the sinonasal compared to the calvarial group (27.6% vs 0%). CONCLUSION Craniofacial CMF in calvarial and sinonasal locations have distinct clinical characteristics and response to treatment. Sinonasal lesions tend to have higher recurrence compared to calvarial CMF. Performance of GTR is associated with decreased recurrence in all CMF.
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Affiliation(s)
- Nicole M De La Peña
- Mayo Clinic Alix School of Medicine, Scottsdale, AZ; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ
| | - Bailey R Yekzaman
- Department of Neurosurgery, University of Kansas Hospital, Kansas City, KS
| | - Devi Prasad Patra
- Department of Neurosurgery, Mayo Clinic, Phoenix, AZ; Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, AZ; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ
| | - Tanya J Rath
- Department of Radiology, Mayo Clinic, Phoenix, AZ
| | - Devyani Lal
- Department of Otolaryngology, Mayo Clinic, Phoenix, AZ
| | - Bernard R Bendok
- Department of Neurosurgery, Mayo Clinic, Phoenix, AZ; Department of Radiology, Mayo Clinic, Phoenix, AZ; Department of Otolaryngology, Mayo Clinic, Phoenix, AZ; Precision Neuro-therapeutics Innovation Lab, Mayo Clinic, Phoenix, AZ; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ.
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Chondromyxoid fibroma affecting the maxilla in a 1-year-old child: Immunohistochemical analysis and literature review. Oral Oncol 2021; 124:105467. [PMID: 34315641 DOI: 10.1016/j.oraloncology.2021.105467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 07/09/2021] [Accepted: 07/16/2021] [Indexed: 11/24/2022]
Abstract
Chondromyxoid fibroma (CMF) is a benign chondroid/myxoid matrix-producing tumor that often develops in the long bones of young adults. CMF is rarely reported in the craniofacial skeleton, with most cases presenting with bone erosion or destruction, which may lead to a misdiagnosis. To date, approximately 129 cases of CMF in the craniofacial region have been reported, with only three cases in patients aged less than 1 year. Of these 129 cases, only 34 affected the jaws. A 1-year-old boy presented with a mass in the left anterior maxilla, extending and compressing the ipsilateral nasal cavity. After surgical excision of the lesion, microscopy revealed spindle-to-stellate tumor cells surrounded by a predominant myxoid stroma containing focal slit-like vascular channels and hemorrhagic areas. Immunohistochemistry showed positivity for vimentin, CD10, and α-SMA (focal). The Ki-67 labeling index was 6%. CFM should be included in the differential diagnosis when assessing maxillary tumors in pediatric patients.
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Chondromyxoid fibroma of the mandible: A case report. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [DOI: 10.1016/j.adoms.2021.100020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Abstract
RATIONALE Chondromyxoid fibroma (CMF) is a rare form of benign bone tumor and easily misdiagnosed as fibrosarcoma. Hence, to explore the clinical manifestations, diagnostic tests, and therapeutic procedures for temporal bone cartilage myxoid fibroma, it is important to optimize patient treatment and avoid overtreatment. Previous research has discussed cases of CMF, but this paper presents a systematic, complete, and comprehensive introduction of this disease based on this case and related literature. PATIENT CONCERNS A 52-year-old male patient presented with pain in his right ear for 2 years and hearing loss in his right ear with tinnitus for 1 year. The patient had a history of hypertension for 9 years and it was well-controlled. DIAGNOSIS A computed tomography (CT) scan of the temporal bone showed an expansive growth on the right temporal bone plate and tympanic plate, presenting as a cloud-like ground glass opaque shadow involving the temporom and ibular joint, middle skull base, and small auditory bones. A magnetic resonance imaging (MRI) of the temporal bone showed a large and irregular soft tissue mass shadow on the right temporal bone plate. The right temporal bone plate was occupied by the lesion, consistent with a bone origin. From the results of the imaging examination of the patient, a lesion occupying the temporal bone in the right ear and mastoiditis in the right middle ear was initially diagnosed. INTERVENTIONS Right ear temporal bone tumor resection and abdominal fat extraction were conducted. OUTCOMES Postoperative pathological results demonstrated myxoid fibroma of the temporal bone cartilage. No recurrence or severe complications were observed in 8 months of follow-up. LESSONS A finding of myxoid fibroma of the temporal bone cartilage is rare in the clinic. The growth of such tumors is slow. The temporal bone CT and inner ear MRI were helpful in diagnosis. Surgery was the principal treatment.
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Affiliation(s)
- Tao Liu
- Department of Otorhinolaryngology, Affiliated Hospital of Jining Medical University
| | - Jing Yao
- Department of Pharmacology, Jining Medical University, Jining
| | - Xiaoyu Li
- Department of Otorhinolaryngology, Affiliated Hospital of Jining Medical University
| | - Xinmeng Qi
- Department of Otorhinolaryngology, Beijing Tongren Hospital
| | - Pengyun Zhao
- Department of Otolaryngology, Beijing Shuangqiao Hospital, Beijing, the People's Republic of China
| | - Zhiqiao Tan
- Department of Otorhinolaryngology, Affiliated Hospital of Jining Medical University
| | - Jie Wang
- Department of Otorhinolaryngology, Beijing Tongren Hospital
| | - Yongxin Li
- Department of Otorhinolaryngology, Beijing Tongren Hospital
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El-Kouri N, Elghouche A, Chen S, Shipchandler T, Ting J. Sinonasal Chondromyxoid Fibroma: Case Report and Literature Review. Cureus 2019; 11:e5841. [PMID: 31754576 PMCID: PMC6830535 DOI: 10.7759/cureus.5841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Chondromyxoid fibroma (CMF) is a rare, benign neoplasm of the chondroid, myxoid, and fibrous tissue. It characteristically affects the lower extremity long bones, although it may rarely arise within the craniofacial skeleton. We report the diagnosis and management of a 31-year-old male with a large, incidentally discovered CMF originating from the sphenoid sinus. A subsequent review of the literature reveals the need to differentiate from more aggressive neoplasms, such as chondrosarcoma and chondroma, which share radiographic features. A histopathologic examination is crucial for proper diagnosis and treatment. We discuss clinical sequelae, highlight the importance of a thorough pre-operative evaluation, and summarize previously suggested treatment paradigms.
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Affiliation(s)
- Nadeem El-Kouri
- Department of Otolaryngology - Head and Neck Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, USA
| | - Alhasan Elghouche
- Department of Medical Education and Simulation, Indiana University School of Medicine, Indianapolis, USA
| | - Shaoxiong Chen
- Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, USA
| | - Taha Shipchandler
- Department of Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA
| | - Jonathan Ting
- Department of Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA
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10
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Focal Benign Disorders of the Pediatric Mandible With Radiologic-Histopathologic Correlation: Mandibular Development and Lucent Lesions. AJR Am J Roentgenol 2016; 208:180-192. [PMID: 27762604 DOI: 10.2214/ajr.16.16587] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Lucent lesions of the pediatric mandible may present variably. Cysts, neoplasms, and developmental and inflammatory conditions have a host of possible causes. There is also substantial overlap in the imaging appearance of cysts and that of benign but locally aggressive tumors that need to undergo resection. CONCLUSION The purpose of this article is to present common and uncommon lucent lesions of the mandible in children, with an emphasis on benign abnormalities. Discussions of imaging and histopathologic features are provided.
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11
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Lingen MW. Triple O Has Gone Virtual! Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:1-2. [DOI: 10.1016/j.oooo.2014.10.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 10/07/2014] [Indexed: 11/29/2022]
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12
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Unilocular anterior mandibular swelling. Int J Pediatr Otorhinolaryngol 2013; 77:964-71. [PMID: 23571019 DOI: 10.1016/j.ijporl.2013.03.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2013] [Revised: 03/11/2013] [Accepted: 03/12/2013] [Indexed: 11/22/2022]
Abstract
PURPOSE To report a rare case of chondromyxoid fibroma, presenting as an unilocular anterior mandibular swelling, which is one of the least common tumours of bone comprising less than 1% of bone tumours and to review the differential diagnosis and literature for a better understanding of this disease as well as addressing the controversies in respect with its treatment. MATERIALS AND METHODS Previous reports about this lesion in literature were reviewed wherein data was recorded about the age, sex, race, location of pathology, presenting signs and symptoms, duration of pathology, size, radiographic findings, treatment and any recurrence on follow-up. RESULTS 25 cases were studied and data compiled. Multisectional histopathological examination is advocated to differentiate it from osteosarcoma. Enucleation with or without curettage with long-term follow-up has been considered to be a satisfactory treatment modality. CONCLUSION The rarity of the lesion, limited data on the clinical presentation, histological dilemma and treatment options replete with controversies make it a tough predicament. A thorough understanding of the disease and treatment options is indispensable to treat such a case.
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Sreedharanunni S, Gupta N, Rajwanshi A, Bansal S, Vaiphei K. Fine needle aspiration cytology in two cases of chondromyxoid fibroma of bone and review of literature. Diagn Cytopathol 2012; 41:904-8. [PMID: 22508682 DOI: 10.1002/dc.22855] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2011] [Revised: 02/10/2012] [Accepted: 02/11/2012] [Indexed: 12/26/2022]
Abstract
We report the cytological features of two cases of chondromyxoid fibroma (CMF) confirmed by histopathology examination. First case was a 40-year-old male who presented with a foot swelling, and the second case was a 16-year-old male with a lesion at the angle of jaw. A fine needle aspiration cytology (FNAC) was performed in both the cases. In first case, a correct diagnosis of CMF could be offered on FNAC. In the second case, though the cytology diagnosis was a sarcoma considering the cytological, radiological and clinical features, the histopathological examination confirmed the same to be a CMF. The cases are being discussed to highlight the usefulness of FNAC to diagnose these uncommon benign bone lesions and the potential pitfalls in the cytological diagnosis of chondroid lesions.
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Affiliation(s)
- Sreejesh Sreedharanunni
- Department of Cytology and Gynaecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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14
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Bucci T, Dell'Aversana Orabona G, Insabato L, Califano L. Chondromyxoid fibroma of the zygoma: a case report. Int J Oral Maxillofac Surg 2006; 35:569-71. [PMID: 16343851 DOI: 10.1016/j.ijom.2005.10.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2005] [Revised: 09/07/2005] [Accepted: 10/20/2005] [Indexed: 10/25/2022]
Abstract
Chondromyxoid fibroma is a rare benign tumour of chondral origin. It usually involves the long bones of the lower extremity, whilst involvement of craniofacial skeleton is extremely unusual. The second case of chondromyxoid fibroma of the zygoma described in literature is presented and the surgical resection of the lesion with tumour-free margins as the key factor for avoiding local recurrence of this tumour is emphasised.
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Affiliation(s)
- T Bucci
- Department of Oral and Maxillofacial Surgery, University of Naples Federico II, Via Pansini 5, 80100 Naples, Italy.
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Abstract
Malignant tumors of the mandible and maxilla are grouped into primary tumors that originate within the mandible and secondary lesions, predominantly oral cancers and metastatic lesions, that involve the mandible secondarily. The most common malignant tumors of the mandible represent SCCs of the oral cavity, notably carcinoma of the floor of the mouth and gingiva that invade the mandible secondarily. Metastatic disease, most commonly from the breast and lung, are not an uncommon malignant lesion in the mandible and may be the first manifestation of a malignant lesion outside the head and neck. The osteogenic sarcoma is the most common sarcomatous lesion in the mandible and is suggested when a bone-forming matrix with sclerosis is found within the tumor on CT images. Some benign lesions may mimic a malignant tumor on imaging studies. In such cases, a biopsy is indicated to establish the diagnosis by histopathologic means. CT is indicated for assessment of bone destruction in the mandible before surgery or radiation therapy. MR imaging is the optimal modality for the assessment of marrow involvement and evaluation of the extraosseous soft tissue component. Finally, conventional films, frequently a Panorex view, are the initial radiographic examinations in suspected lesions.
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Affiliation(s)
- Alfred L Weber
- Department of Radiology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
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16
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Macan D, Cabov T, Uglesić V, Manojlović S, Kaleb S, Spicek J. Chondromyxoid fibroma of the mandible. Br J Oral Maxillofac Surg 2003; 41:261-3. [PMID: 12946671 DOI: 10.1016/s0266-4356(03)00098-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- D Macan
- Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, School of Dental Medicine, University of Zagreb, Av. G. Suska 6, 10000 Zagreb, Croatia. darko.macan1@ zg.hinet.hr
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Kikuchi F, Dorfman HD, Kane PB. Recurrent chondromyxoid fibroma of the thoracic spine 30 years after primary excision: case report and review of the literature. Int J Surg Pathol 2001; 9:323-9. [PMID: 12574851 DOI: 10.1177/106689690100900412] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We report a case of late recurrence of chondromyxoid fibroma (CMF) arising in a thoracic vertebra in an 11-year-old male. This was treated by curettage, and 30 years later, the patient noticed shoulder pain and leg weakness. A recurrent mass appeared at the same site in the spinous process of T6. The histologic features of the recurrent tumor were similar to those of the primary lesion. A total of 38 cases of CMF of the vertebra have been reported. Only 3 of 38 previously reported vertebral CMF recurred. Tumors recurred 2 years after operation in 2 cases, and 7 years after operation in 1 case.
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Affiliation(s)
- F Kikuchi
- Section of Orthopaedic Pathology, Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467-2490, USA
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18
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Baujat B, Attal P, Racy E, Quillard J, Parker F, Evennou A, Bobin S. Chondromyxoid fibroma of the nasal bone with extension into the frontal and ethmoidal sinuses: report of one case and a review of the literature. Am J Otolaryngol 2001; 22:150-3. [PMID: 11283833 DOI: 10.1053/ajot.2001.22582] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Chondromyxoid fibroma is a rare benign tumor that usually occurs in the long bones. A 50-year-old patient presented with chondromyxoid fibroma of the nasal bone with extension into the frontal and ethmoidal sinuses. This is the fourth case reported to date in the literature. The clinical manifestations of the tumor were very limited, and the appearance at rhinoscopy was misleading. Radiologic imaging showed a soft tissue lesion invading the adjacent bony structures and the dura mater. Surgery was performed by a combined team of otorhinolaryngologists and neurosurgeons, and total excision of the tumor was achieved. The histologic diagnosis of this tumor is difficult because of its similarities to chondrosarcoma. [Editorial comment: The authors concisely review management of this rare tumor, emphasizing that complete surgical excision, rather than curettage, is required for long term control.]
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Affiliation(s)
- B Baujat
- Department of ENT and Cervicofacial Surgery, Hôpital Kremlin Bicêtre, 78 avenue du Général Leclerc, Paris, France
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Wang C, Morrow T, Friedman P, Lara JF. Chondromyxoid fibroma of the nasal septum: a case report emphasizing clinical correlation. AMERICAN JOURNAL OF RHINOLOGY 2000; 14:45-9. [PMID: 10711332 DOI: 10.2500/105065800781602885] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Chondromyxoid fibromas are uncommon tumors most often seen in long bones of adolescent and young males. Involvement of craniofacial bones is extremely unusual, with sporadic case reports described in the literature. We describe the first case of chondromyxoid fibroma arising in the nasal septum with local destruction and expansile growth into the ethmoid bone and inferior turbinate in a 60-year-old female. The fortuitous discovery of this otherwise asymptomatic lesion and its follow-up are detailed. The literature is reviewed and salient clinical, radiographic, and pathologic correlative findings are emphasized.
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Affiliation(s)
- C Wang
- Department of Pathology, Saint Barnabas Medical Center, Livingston, New Jersey 07039, USA
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20
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Patino-Cordoba JI, Turner J, McCarthy SW, Fagan P. Chondromyxoid Fibroma of the Skull Base. Otolaryngol Head Neck Surg 1998; 118:415-8. [PMID: 9527130 DOI: 10.1016/s0194-59989870329-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- J I Patino-Cordoba
- Department of Ear, Nose, and Throat, San Jose Hospital, Sydney, Australia
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21
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Hammad HM, Hammond HL, Kurago ZB, Frank JA. Chondromyxoid fibroma of the jaws. Case report and review of the literature. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1998; 85:293-300. [PMID: 9540086 DOI: 10.1016/s1079-2104(98)90011-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Chondromyxoid fibroma is a benign tumor of bone that is characterized by chondroid and myxoid differentiation and by ultrastructural and immunohistochemical evidence of chondral origin. It is rare in the jaws and skull bones, where only about 2% of all cases have been reported. A review of the 20 acceptable gnathic cases in the literature and of the current case revealed both a higher incidence in the mandible (76%) than in the maxilla (24%) and an equal sex distribution. The sites of occurrence in both jaws are compatible with origin from developmental cartilaginous remnants. The controversies regarding malignant transformation and therapeutic approach are addressed.
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Affiliation(s)
- H M Hammad
- Department of Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, USA
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Koay CB, Freeland AP, Athanasou NA. Chondromyxoid fibroma of the nasal bone with extension into the frontal and ethmoidal sinuses. J Laryngol Otol 1995; 109:258-61. [PMID: 7745351 DOI: 10.1017/s002221510012986x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Chondromyxoid fibroma is a rare benign tumour whose histological appearance may easily be misinterpreted as chondrosarcoma. It has a tendency to recur locally unless completely excised. A rare case of the tumour affecting the nasal bone with extension into the frontal and ethmoidal sinuses and impingement on the cribiform plate is presented. Complete excision was achieved by the craniofacial resection approach.
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Affiliation(s)
- C B Koay
- Department of Otolaryngology, Radcliffe Infirmary, Oxford
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