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Yadav V, Arora V, Chakraborty A, Lahiri A, Aggarwal M, Dewan AK. Extremely Rare Case of Extra Skeletal Soft Tissue Chondroma of Masseteric Space: a Diagnostic Challengel. Indian J Otolaryngol Head Neck Surg 2023; 75:2367-2372. [PMID: 37636799 PMCID: PMC10447691 DOI: 10.1007/s12070-023-03705-5] [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: 03/09/2023] [Accepted: 03/16/2023] [Indexed: 03/29/2023] Open
Abstract
Benign soft tissue chondroma is a rare type of extraskeletal chondrocytic tumour. It usually can be found in skeletal system in extremities. Head and neck region is one of the most uncommon sites for extraskeletal chondroma .Most common site is tongue and there has been paucity of cases arising from the other subsites .We present a case of 56 years gentleman who came to our OPD with a right masticator space swelling. It was nonmalignant on FNAC. He underwent wide local excision through a transparotid approach. Final biopsy & IHC report showed presence of benign chondrocytic neoplasm- soft tissue chondroma (extraskeletal). No further therapy was used and he has been in follow up since then. To our knowledge ,this is the third reported case of masseteric space chondroma. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-023-03705-5.
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Affiliation(s)
- Vishal Yadav
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
| | - Vikas Arora
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
| | - Arnab Chakraborty
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
| | - Anupam Lahiri
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
| | - Manisha Aggarwal
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
| | - Ajay kumar Dewan
- Department of Head Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi, 110085 India
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Ueno S, Yamada K, Kamitani M, Shima M. A massive soft-tissue chondroma in the parapharyngeal space. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2023. [DOI: 10.1016/j.ajoms.2023.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Muacevic A, Adler JR, Kaur N, Sreenivasan A, Sharma SS. Enchondroma of Anterior Maxilla: A Rare Entity. Cureus 2022; 14:e32834. [PMID: 36694506 PMCID: PMC9867204 DOI: 10.7759/cureus.32834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2022] [Indexed: 12/24/2022] Open
Abstract
Enchondroma is a benign cartilaginous tumor composed of mature hyaline cartilage. Cartilaginous tumors are detected in a small percentage of cases in the craniofacial region. These tumors may have diverse presentations ranging from a simple enchondroma to a high-grade osteo or chondrosarcoma. In the maxilla, only 1 case of enchondroma has been reported in the literature to date, to the best of the authors' knowledge. Tumor's membranous development attributes to its occurrence usually in the cartilage-bearing areas of the jaws, like the condylar process of the mandible (Meckel's cartilage). This case report intends to present one case of enchondroma involving the left maxilla, which has no primary cartilage of its own.
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Wangaryattawanich P, Agarwal M, Rath T. Imaging features of cartilaginous tumors of the head and neck. J Clin Imaging Sci 2022; 11:66. [PMID: 34992942 PMCID: PMC8720426 DOI: 10.25259/jcis_186_2021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 11/18/2021] [Indexed: 11/29/2022] Open
Abstract
There is a wide spectrum of head and neck cartilaginous lesions which include both neoplastic and nonneoplastic processes. Cartilaginous tumors of the head and neck are uncommon, posing a diagnostic challenge. Benign cartilaginous tumors that may occur in the head and neck include chondroma, chondroblastoma, chondromyxoid fibroma, osteochondroma, and synovial chondromatosis. Chondromesenchymal hamartoma is a rare non-neoplastic cartilaginous lesion that is included for the 1first time in the new WHO classification and radiologically can mimic a tumor. Malignant cartilaginous tumors include chondrosarcoma and chondroid variant of chordoma. Characteristic tumor locations, internal chondroid matrix calcification, and typical T2 hyperintense signal secondary to high-water content within the extracellular matrix of the hyaline cartilage are useful imaging features that narrow the differential diagnosis and help in diagnosing these diseases. This article presents a narrative review of the anatomy of the head and neck cartilaginous structures, discusses the current knowledge and imaging spectrum of benign and malignant cartilaginous tumors and tumor-like lesions of the head and neck.
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Affiliation(s)
- Pattana Wangaryattawanich
- Department of Radiology, Division of Neuroradiology, University of Washington School of Medicine, Seattle, Washington, United States
| | - Mohit Agarwal
- Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States
| | - Tanya Rath
- Department of Radiology, Mayo Clinic Arizona, Phoenix, Arizona, United States
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A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine. Case Rep Orthop 2019; 2019:3131628. [PMID: 31263610 PMCID: PMC6556238 DOI: 10.1155/2019/3131628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 04/15/2019] [Accepted: 05/05/2019] [Indexed: 11/18/2022] Open
Abstract
Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.
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Holtmann H, Rüggeberg T, Sproll CK, Analytis C, Singh DD, Kübler NR, Lommen J. Extraskeletal chondroma walling the temporomandibular joint: Report of a rare case and review of the literature. Int J Surg Case Rep 2018; 49:67-69. [PMID: 29966951 PMCID: PMC6039882 DOI: 10.1016/j.ijscr.2018.06.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 06/03/2018] [Accepted: 06/16/2018] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Extraskeletal or soft-tissue chondroma is a rare benign cartilaginous neoplasm which usually affects hands and feet. Scientific literature only reports one previous case of this pathology in the preauricular region. PRESENTATION OF THE CASE This report describes a rare case of extraskeletal chondroma surrounding the temporomandibular joint of a 55-year-old female patient. DISCUSSION AND CONCLUSION Diagnosis of extraskeletal chondroma is challenging since tissue swelling, diagnostic imaging and even histopathological features may be misleading for other joint or gland pathologies.
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Affiliation(s)
- Henrik Holtmann
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
| | - Tim Rüggeberg
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
| | - Christoph K Sproll
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
| | - Christos Analytis
- University Hospital of Duesseldorf, Department of Pathology, Moorenstraße 5, Building 14.79, 40225, Düsseldorf, Germany.
| | - Daman D Singh
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
| | - Norbert R Kübler
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
| | - Julian Lommen
- University Hospital of Düsseldorf, Department of Oral and Maxillofacial Surgery, Moorenstraße 5, Building 11.52, 40225, Düsseldorf, Germany.
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Soft-Tissue Chondroma of Anterior Gingiva: A Rare Entity. Case Rep Dent 2018; 2018:3642827. [PMID: 29725547 PMCID: PMC5872656 DOI: 10.1155/2018/3642827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Accepted: 01/30/2018] [Indexed: 11/17/2022] Open
Abstract
Soft-tissue chondroma is a rare, benign, slow-growing tumor made up of heterotopic cartilaginous tissue. It occurs most commonly in the third and fourth decades in the hands and feet. Oral soft-tissue chondromas are uncommon and soft-tissue chondroma of gingiva is extremely uncommon. Here, we report an unusual case of soft-tissue chondroma of gingiva in a 50-year-old woman.
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Bocchialini G, Castellani A, Bozzola A, Rossi A. Soft-Tissue Chondroma in the Preauricular Region: An Unusual Presentation. Craniomaxillofac Trauma Reconstr 2018; 11:49-53. [PMID: 29387304 DOI: 10.1055/s-0036-1593892] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 08/15/2016] [Indexed: 10/20/2022] Open
Abstract
Chondroma is a benign cartilaginous tumor composed of mature hyaline cartilage and represents only 2.38% of all osteocartilaginous tumors; cases that arise in the preauricular region are rarely found in the literature. This article presents an 80-year-old man with preauricular swelling on the right side and pain with no limitation of joint motion. This patient was evaluated by preoperative clinical manifestation, fine needle aspiration, ultrasound, and magnetic resonance imaging (MRI) scans. The MRI shows a solid lobulated lesion between the masseter muscle and the parotid gland whereas fine-needle aspiration did not provide a diagnosis. Based on these images and the patient's indications and symptoms, a surgical intervention was performed. It is possible to identify three different types of chondromas in the parotid region based on their location. Among the cases of chondroma in the literature, only six originating in the soft tissue of the parotid region have been reported, including this one.
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Affiliation(s)
| | | | - Anna Bozzola
- Department of Molecular and Translational Medicine, Section of Pathology, University Spedali Civili of Brescia, Spedali Civili di Brescia, Unità Operativa di Anatomia Patologica, Brescia, Italy
| | - Alessandro Rossi
- Maxillo-Facial Surgery Unit, Spedali Civili Brescia, Brescia, Italy
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González-Arriagada WA, Santos-Silva AR, Vargas PA, Lopes MA. Diagnostic approach to intramasseteric nodules. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 123:e16-e21. [DOI: 10.1016/j.oooo.2016.10.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Revised: 09/30/2016] [Accepted: 10/08/2016] [Indexed: 10/20/2022]
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Maraschin BJ, Pellicioli ACA, de Souza LB, Rados PV, Martins MAT, Martins MD. Nodular lesion in the buccal mucosa. J Am Dent Assoc 2015; 146:196-9. [DOI: 10.1016/j.adaj.2014.11.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Revised: 10/31/2014] [Accepted: 11/19/2014] [Indexed: 01/18/2023]
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Asahi Y, Kamiyama T, Nakanishi K, Yokoo H, Tahara M, Usui A, Funakoshi T, Sato M, Sasaki A, Matsuno Y, Taketomi A, Todo S. Chondroma of the diaphragm mimicking a giant liver tumor with calcification: report of a case. Surg Today 2014; 44:2361-5. [PMID: 24931544 DOI: 10.1007/s00595-014-0949-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Accepted: 07/16/2013] [Indexed: 02/05/2023]
Abstract
Extraskeletal chondroma is an unusual benign tumor, which rarely arises in the diaphragm. We report a case of chondroma of the diaphragm in a 31-year-old woman. Initially, a benign liver tumor with calcification was suspected, based on pre and intraoperative examination findings. Although parts of the tumor were contiguous with the diaphragm, its connections with the diaphragm were much narrower than its connection with the liver, which suggested a liver tumor. Pathological examination subsequently revealed that the chondroma was contiguous with the diaphragm and that there was a distinct border between the tumor and the liver; thus, the tumor was diagnosed as a chondroma of the diaphragm.
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Affiliation(s)
- Yoh Asahi
- Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Kita-ku, Kita 14, Nishi 5, Sapporo, 060-8648, Japan,
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Extraskeletal chondroma of the preauricular region: a case report and literature review. Case Rep Med 2012; 2012:121743. [PMID: 22844293 PMCID: PMC3400396 DOI: 10.1155/2012/121743] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2012] [Accepted: 05/20/2012] [Indexed: 01/01/2023] Open
Abstract
An extraskeletal chondroma is a rare benign cartilaginous tumor that develops in soft tissue. Histologically, it is a lobulated nodule surrounded by a fibrous capsule; the inside consists of mature hyaline cartilage containing a few normal chondrocytes. We present a rare case of extraskeletal chondroma in the preauricular region. A 43-year-old man presented with a 2-cm-diameter right preauricular tumor that had been developing for 1 year. Magnetic resonance imaging showed a solid lobulated tumor in the right preauricular region, which was proximate to the capsule of the right temporomandibular joint (TMJ). This was subsequently resected under general anesthesia. The tumor was not in contact with the TMJ capsule and had not invaded the surrounding tissue, facilitating en bloc excision. Histopathologically, the tumor comprised mainly of hyaline cartilage containing chondrocytes with chondrocytic lacunae and was diagnosed as a chondroma. The postoperative period was uneventful, and there was no evidence of recurrence at the 2-year followup. We describe the clinical characteristics of our case and review the literature, emphasizing the differential diagnosis.
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Razek AA, Huang BY. Soft tissue tumors of the head and neck: imaging-based review of the WHO classification. Radiographics 2012; 31:1923-54. [PMID: 22084180 DOI: 10.1148/rg.317115095] [Citation(s) in RCA: 81] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The World Health Organization (WHO) system for defining and classifying soft tissue tumors is usually applied to lesions that occur in the trunk and extremities, but it also provides an excellent framework for characterizing nonepithelial extraskeletal tumors of the head and neck. Although nonepithelial extraskeletal tumors are in the minority among head and neck lesions, they are by no means rare. The WHO classification system recognizes nine major types based on histologic differentiation: adipocytic, fibroblastic or myofibroblastic, fibrohistiocytic, smooth muscle, skeletal muscle, vascular, pericytic, and chondro-osseous tumors, as well as soft tissue tumors of uncertain differentiation. Tumors of each histologic type may be further subclassified on the basis of their biologic behavior as benign, intermediate (ie, having malignant potential), or malignant. Imaging plays an important role in the noninvasive diagnosis and characterization of nonepithelial soft tissue tumors of the head and neck, providing clues about tumor grade, composition, extent, and involvement of adjacent structures. Although the imaging characteristics of many such tumors are nonspecific, consideration of the clinical history in concert with the imaging findings may help limit the differential diagnosis or even allow reliable diagnosis of some of these tumors.
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Affiliation(s)
- Ahmed Abdel Razek
- Diagnostic Radiology Department, Mansoura Faculty of Medicine, Elgomheryia St, Mansoura, Egypt 35512
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Abstract
Schwannoma in the head and neck is usually arising in the parapharyngeal space, but intramasseteric schwannoma is very rare. We report a schwannoma arising from masseter muscle in a middle-aged woman, who presented with a history of a painless right cheek mass for 3 years. Computed tomography scan suggested that the mass was located within the masseter muscle. Fine-needle aspiration was performed and showed spindle neoplastic cells, which were suspected to be of mesenchymal tissue origin. The mass was completely resected under general anesthesia. It was a well-circumscribed and lobulated mass, 4 × 3 × 2 cm in size. Histological examination gave the diagnosis of schwannoma, which was also confirmed by immunohistochemical stainings for S-100 and vimentin. Neurologic sequelae and recurrence were not found at 2 years after surgery.
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