1
|
Demir MK, Yapıcıer O, Ertem O, Paker B, Zorlu E, Kılıc T. A Systematic Review of Cavernous Sinus Chondromas and an Illustrative Case Treated With Subtotal Resection Followed by Gamma Knife Radiosurgery. World Neurosurg 2023; 176:66-73. [PMID: 37116785 DOI: 10.1016/j.wneu.2023.04.079] [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: 04/15/2023] [Accepted: 04/18/2023] [Indexed: 04/30/2023]
Affiliation(s)
- Mustafa Kemal Demir
- Department of Radiology, Bahçeşehir University Göztepe Medical Park Hospital, Istanbul, Turkey.
| | - Ozlem Yapıcıer
- Department of Pathology, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey
| | - Onder Ertem
- Department of Neurosurgery, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey
| | - Berkay Paker
- Department of Neurosurgery, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey
| | - Emre Zorlu
- Department of Neurosurgery, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey
| | - Turker Kılıc
- Department of Neurosurgery, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey
| |
Collapse
|
2
|
Liu H, Cai Q, Li J, Xue Y, Zhang Y, Li Z, Zhao T, Wu Y. Surgical Strategies and Outcomes for Intracranial Chondromas: A Retrospective Study of 17 Cases and Systematic Review. Front Oncol 2022; 12:865865. [PMID: 35692788 PMCID: PMC9178658 DOI: 10.3389/fonc.2022.865865] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Accepted: 04/25/2022] [Indexed: 11/15/2022] Open
Abstract
Objective To improve the diagnosis and treatment of intracranial chondromas (ICDs) by discussing the clinical manifestations and imaging characteristics of ICDs, as well as surgical methods and treatment strategies. Methods We retrospectively analyzed 17 patients diagnosed with ICDs who underwent microsurgery or endoscopic transsphenoidal surgery at the Tangdu Hospital of Air Force Military Medical University and the Mianyang Central Hospital from January 2010 to November 2021. Clinical manifestations, imaging examinations, surgical treatments, and prognosis of these patients were analyzed. Results ICDs had often been misdiagnosed as craniopharyngioma, chordoma, schwannoma, cavernous hemangioma, pituitary adenoma, and meningioma before surgery. Of the 17 cases, gross total resection (GTR) was performed in 10 cases, subtotal resection (STR) in 5, and partial resection in 2. GTR of tumor was achieved in eight cases via the endoscopic endonasal transsphenoidal approach (EETA) or the extended endoscopic endonasal transsphenoidal approach (EEETA), and the remaining patients underwent craniotomies. Clinical symptoms were assessed 1 week after surgery, 10 cases were relieved at varying degrees, and four cases had no improvement. Postoperative complications included right-limb hemiparesis, diplopia, eyelid ptosis, pulmonary infection, subcutaneous hydrops, cerebrospinal-fluid leakage (CSFL), and intracranial infection (ICI). One patient received gamma knife treatment at 3 months after surgery, two patients died due to tumor progression, and the remaining patients had no tumor recurrence. Conclusions ICDs lack typical imaging features and are often misdiagnosed. The EETA or EEETA helps improve the surgical outcomes and GTR rates of ICDs at different sites.
Collapse
Affiliation(s)
- Hongyuan Liu
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
- Department of Neurosurgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, China
| | - Qing Cai
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
| | - Junting Li
- Department of Pathology, Tangdu Hospital, Air Force Medical University, Xi’an, China
| | - Yafei Xue
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
| | - Yunze Zhang
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
| | - Zongping Li
- Department of Neurosurgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, China
| | - Tianzhi Zhao
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
- *Correspondence: Yingxi Wu, ; Tianzhi Zhao,
| | - Yingxi Wu
- Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi’an, China
- *Correspondence: Yingxi Wu, ; Tianzhi Zhao,
| |
Collapse
|
3
|
Sarathy D, Snyder MH, Ampie L, Berry D, Syed HR. Dural Convexity Chondroma Mimicking Meningioma in a Young Female. Cureus 2021; 13:e20715. [PMID: 35106249 PMCID: PMC8788917 DOI: 10.7759/cureus.20715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2021] [Indexed: 11/11/2022] Open
Abstract
Intracranial meningeal convexity chondroma is a rare benign lesion hypothesized to stem from remnant chondrocyte precursors of embryonic origin. This lesion often masquerades as meningioma given the similar dural-based attachment and pattern of calcification. We describe the case of a 26-year-old female with incidentally discovered convexity meningeal chondroma, originally presumed to be a meningioma. In this case, we share our diagnostic and operative intervention and outcome and discuss the unique pathologic findings in this lesion that differentiate it from similar appearing lesions. To the authors’ knowledge, there are fewer than 20 cases of convexity meningeal chondroma in the literature; thus, we also provide a brief review of the literature regarding this rare pathology.
Collapse
Affiliation(s)
- Danyas Sarathy
- Department of Neurological Surgery, University of Virginia, Charlottesville, USA
| | - Matthew H Snyder
- Department of Neurological Surgery, Tufts Medical Center, Boston, USA
| | - Leonel Ampie
- Department of Neurological Surgery, University of Virginia, Charlottesville, USA
| | - Debra Berry
- Department of Pathology, University of Virginia, Charlottesville, USA
| | - Hasan R Syed
- Department of Neurological Surgery, Children's National Hospital, Washington DC, USA
| |
Collapse
|
4
|
Chua MMJ, Bazarek SF, Meredith DM, Hsu L, Saris SC. Falcine chondroma: illustrative case. JOURNAL OF NEUROSURGERY: CASE LESSONS 2021; 1:CASE20124. [PMID: 36045938 PMCID: PMC9394178 DOI: 10.3171/case20124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 11/23/2020] [Indexed: 11/06/2022]
Abstract
BACKGROUNDChondromas are benign cartilaginous tumors that are rarely seen in the brain.OBSERVATIONSA 58-year-old woman had undergone routine brain imaging after a motor vehicle accident and was incidentally found to have a right falcine lesion. Contrast magnetic resonance imaging showed a mostly nonenhancing mass with discontinuous rim enhancement. She was taken to the operating room and pathology revealed a chondroma.LESSONSFalcine intracranial chondromas are rare and typically misdiagnosed as meningiomas. Chondromas should be in the differential for patients presenting with nonenhancing falcine lesions.
Collapse
Affiliation(s)
| | | | | | - Liangge Hsu
- Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
| | | |
Collapse
|
5
|
Eftekhar Javadi A, Nazar E, Moradi Tabriz H. Intra-cranial Chondroma: A Case Report and Problematic Diagnosis. IRANIAN JOURNAL OF PATHOLOGY 2020; 16:222-226. [PMID: 33936234 PMCID: PMC8085281 DOI: 10.30699/ijp.2021.132377.2472] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 10/08/2020] [Indexed: 11/18/2022]
Abstract
Introduction: Chondroma is a benign cartilaginous tumor. It is found very rarely in the head and neck. Case presentation: This report describes a 25-year-old woman who presented with generalized headache from 4 months ago. The patient underwent excisional surgery. The histological examinations revealed benign cartilage forming tumor, compatible with chondroma. The radiologic and histologic correlation confirmed the diagnosis. Based on the diagnosis, the patient received no more treatment. Conclusion: We concluded that intracranial chondroma should be included in the differential diagnosis of a calcified mass on skull imaging. Proper diagnosis is necessary for further patient management.
Collapse
Affiliation(s)
| | - Elham Nazar
- Department of Pathology, Sina Hospital, Tehran University of Medical Sciences, Iran
| | - Hedieh Moradi Tabriz
- Department of Pathology, Sina Hospital, Tehran University of Medical Sciences, Iran
| |
Collapse
|
6
|
Clinical and Radiologic Characteristics, Surgical Outcomes, and Its Possible Origins of Chondroma of the Dural Convexity. BIOMED RESEARCH INTERNATIONAL 2020; 2020:5961358. [PMID: 33381561 PMCID: PMC7759409 DOI: 10.1155/2020/5961358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 11/20/2020] [Accepted: 12/04/2020] [Indexed: 12/20/2022]
Abstract
Chondroma of the dural convexity (CDC) is a benign and extremely rare type of intracranial chondroma. In this study, we reported five CDCs in a single center and reviewed the available literature to determine the clinical characteristics and surgical outcomes and possible origins of the disease. The clinical data of five patients (4 females) who confirmed to be CDC between 2000 and 2019 in our single center was collected together with 22 cases from literatures. The clinical characteristics and surgical outcomes were reviewed and analyzed. Among all the available CDC cases, the mean age was 31 ± 13.7 years; the mean tumor volume was 42.3 ± 40.9 cm3, showing a female predominance (63% vs. 37%). The tumors showed calcification in 88.2% cases (15/17) on CT scans and hypointense on T1WI (15/19, 78.9%), mixed intense on T2WI (10/18, 55.6%), and inhomogeneous enhancement without dural tail sign after administration of gadolinium (20/21, 95.2%). Almost all the tumors were misdiagnosed as meningiomas preoperatively. In addition, almost all image available CDC lesions (24/25, 96%) located across the cranial sutures indicating that the tumor originated from ectopic chondrocytes from adjacent skull sutures. No tumors recurred after total resection in follow-up. CDCs are characterized with female predominance and may originate from ectopic chondrocytes from adjacent skull sutures. The lesion with inhomogeneous contrast enhancement without dural tail sign and avascular in cerebral angiography are key points to be differentiated from meningioma. The most effective treatment is total resection.
Collapse
|
7
|
Kim E. An Intracerebral Type of Cranial Chondroma. Brain Tumor Res Treat 2020; 8:62-65. [PMID: 32390356 PMCID: PMC7221463 DOI: 10.14791/btrt.2020.8.e8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 03/09/2020] [Accepted: 03/11/2020] [Indexed: 11/20/2022] Open
Abstract
The vast majority of intracranial chondromas are located in the base of the cranium. Their presentation as an intracerebral neoplasm is considered to be extremely rare. A previously healthy 45-year-old man experienced recurrent seizure attacks over a period of 6 months. Imaging studies of the brain revealed an ovoid and calcified mass which involve the cortex in the left frontal lobe. Intraoperatively, the mass had no adhesion to the dura and arachnoid membrane. The tumor was completely removed and the final diagnosis was intracerebral chondroma. The patient remained free of disease over the period of 18-years follow-up. This communication adds an unusual case to the literature on the chondroma that expressed in the form of an intra-axial space-occupying lesion in the frontal lobe.
Collapse
Affiliation(s)
- El Kim
- Department of Neurosurgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
| |
Collapse
|
8
|
Elhakeem AAS, Essa AA, Soliman RK. Chondroma of the falx cerebri: A case report and review of literature. Neuropathology 2019; 39:461-466. [PMID: 31584218 DOI: 10.1111/neup.12598] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 07/26/2019] [Accepted: 08/05/2019] [Indexed: 11/30/2022]
Abstract
Chondroma is a benign cartilage-forming tumor which usually occurs in small bones of extremities but occasionally occurs in the brain. Usually, intracranial chondromas originate from skull base; however, chondroma of the falx cerebri is a very rare condition. We here report a rare case of falcine chondroma in a 19-year-old man who had normal physical examination without signs of any syndromic disorder. The neuroimaging findings were inconclusive, and the diagnosis was based on histopathological examination. The purpose of this paper is to raise attention about intracranial chondromas and suggest that chondroma must be ruled out in any patient presenting with masses arising from the falx.
Collapse
Affiliation(s)
- Ahmed A S Elhakeem
- Department of Pathology, Faculty of Medicine, Al-Azhar University (Asyut Branch), Asyut, Egypt
| | - Abdelhakeem A Essa
- Department of Neurosurgery, Faculty of Medicine, Asyut University, Asyut, Egypt
| | - Radwa K Soliman
- Department of Radiology, Faculty of Medicine, Asyut University, Asyut, Egypt
| |
Collapse
|
9
|
Al Mohtaseb AH, Hallak AH, Aldaoud N, Rousan LA, Haddad HK, Abuzayed B. Chondroma of the Falx Cerebri with Central Cystic Degeneration and Hemorrhage: A Case Report. AMERICAN JOURNAL OF CASE REPORTS 2019; 20:1331-1335. [PMID: 31494664 PMCID: PMC6753673 DOI: 10.12659/ajcr.916794] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Patient: Male, 44 Final Diagnosis: Falx cerberi chondroma Symptoms: Headache Medication: — Clinical Procedure: Resection of the tumor Specialty: Neurosurgery
Collapse
Affiliation(s)
- Alia H Al Mohtaseb
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Amer H Hallak
- Medical School, Jordan University of Science and Technology, Irbid, Jordan
| | - Najla Aldaoud
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Liqa A Rousan
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Husam Kammel Haddad
- Department of Pathology and Microbiology, Jordan University of Science and Technology, Irbid, Jordan
| | - Bashar Abuzayed
- Division of Neurosurgery, Department of Surgery, Specialty Hospital, Amman, Jordan
| |
Collapse
|
10
|
Feierabend D, Maksoud S, Lawson McLean A, Koch A, Kalff R, Walter J. Giant convexity chondroma with meningeal attachment. Clin Neurol Neurosurg 2018; 169:37-40. [PMID: 29609117 DOI: 10.1016/j.clineuro.2018.03.027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 03/10/2018] [Accepted: 03/26/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE Intracranial chondroma is a rare and benign tumor with usual onset in young adulthood. The skull base is the most common site of occurrence although, less often, the tumors can appear at the falx cerebri or at the dural convexity. The differentiation of these lesions from meningiomas through imaging is generally difficult. PATIENT AND METHODS Clinical case presentation and review of the current literature. RESULTS / CASE PRESENTATION We report a case of a 25-year-old male patient with a giant convexity chondroma with meningeal attachment in the right frontal lobe that was detected after a first generalized seizure. Based on the putative diagnosis of meningioma, the tumor was completely resected via an osteoplastic parasagittal craniotomy. The postoperative MRI confirmed the complete tumor resection. Histopathological analysis revealed the presence of a chondroma. CONCLUSION Intracranial chondromas are a rarity and their preoperative diagnosis based on neuroimaging is difficult. In young patients and those with skeletal disease, the differential diagnosis of a chondroma should be considered. In symptomatic patients, operative resection is sensible. In most cases total removal of the tumor is possible and leads to full recovery. When the finding is merely incidental in older patients, a watchful waiting approach is acceptable, given the benign and slow-growing nature of the lesion.
Collapse
Affiliation(s)
- Denise Feierabend
- Department of Neurosurgery, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany.
| | - Salah Maksoud
- Department of Neurosurgery, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| | - Aaron Lawson McLean
- Department of Neurosurgery, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| | - Arend Koch
- Department of Neuropathology, Charité - Universitaetsmedizin Berlin, Charitéplatz 1/Virchowweg 15, 10117 Berlin, Germany
| | - Rolf Kalff
- Department of Neurosurgery, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| | - Jan Walter
- Department of Neurosurgery, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| |
Collapse
|
11
|
Connolly ID, Johnson E, Lummus S, Hayden Gephart M. Massive Intradural Chondroma Masquerading as Lower Body Parkinsonism. Cureus 2018; 10:e2099. [PMID: 29581912 PMCID: PMC5866115 DOI: 10.7759/cureus.2099] [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] [Indexed: 11/06/2022] Open
Abstract
Intracranial chondromas of the dural convexity are exceedingly rare with less than 30 reported in the literature to date. We report a massive intradural convexity chondroma in a patient initially thought to have a frontal gait neurodegenerative disorder. This large tumor required a complex, piecemeal surgical resection due to the dense, fibrous nature of the tumor and the proximity of crucial structures. The patient had complete resolution of her preoperative symptoms after surgical excision.
Collapse
Affiliation(s)
- Ian D Connolly
- Department of Neurosurgery, Stanford University School of Medicine
| | - Eli Johnson
- Department of Neurosurgery, Stanford University School of Medicine
| | - Seth Lummus
- Department of Neuropathology, Stanford University School of Medicine
| | | |
Collapse
|
12
|
Weng JC, Li D, Li H, Ma JP, Tian KB, Wang L, Zhang LW, Jia W, Wu Z, Zhang JT. Surgical Management and Outcomes of Intracranial Chondromas: a Single-Center Case Series of 66 Patients. World Neurosurg 2017; 108:264-277. [DOI: 10.1016/j.wneu.2017.08.151] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 08/22/2017] [Accepted: 08/23/2017] [Indexed: 11/29/2022]
|
13
|
Doukas A, Tallo A, Parvin R, Hans V, Daemi P, Cheko A, Scholz M, Petridis AK. Giant Dural Supratentorial Chondroma Generating the Question of How Large Can a Tumor Become Without Revealing Itself. Clin Pract 2015; 5:777. [PMID: 26918096 PMCID: PMC4745590 DOI: 10.4081/cp.2015.777] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Revised: 09/23/2015] [Accepted: 09/28/2015] [Indexed: 11/25/2022] Open
Abstract
Chondromas usually affect the small bones of hand and feet and account for only 0.5% of all intracranial tumors. We present a case of a giant, supratentorial meningeal chondroma in a 19-year old male patient and discuss the preoperative diagnostic findings as well as the appropriate treatment options. A 19-old male presented with headache, new onset of focal seizures and paresis of left upper extremity. Magnetic resonance imaging revealed a large right parietal tumor in the precentral region with local mass effect. The patient underwent right parietal craniotomy and gross total resection of the tumor. The histopathological report revealed a chondroma. Intradural supratentorial chondromas are extremely rare. As with other slow growing intracranial masses, they often reach a relatively large size before generating symptoms. Maximal surgical resection is the treatment of choice and if this is achieved no adjuvant therapy is necessary.
Collapse
Affiliation(s)
| | | | - Richard Parvin
- Department of Neurosurgery, Wedau Kliniken, Duisburg; International Graduate School of Neuroscience, Ruhr-University, Bochum
| | - Volkmar Hans
- Institute of Neuropathology, University Hospital , Essen, Germany
| | - Pooya Daemi
- Department of Neurosurgery, Wedau Kliniken , Duisburg
| | - Azad Cheko
- Department of Neurosurgery, Wedau Kliniken , Duisburg
| | - Martin Scholz
- Department of Neurosurgery, Wedau Kliniken , Duisburg
| | | |
Collapse
|
14
|
Abstract
Intracranial chondromas are benign, slow-growing, cartilaginous tumors, which comprise only about 0.2% of all intracranial tumors. The majority of these lesions occur at the base of the skull, where they are thought to arise from residual embryonic chondrogenic cells along the basal synchondrosis. Very rarely, they may also originate from the convexity dura, falx cerebri, or the brain parenchyma. We present a patient with a dural based chondroma to highlight the technical considerations of surgical resection. The recent literature on intracranial chondromas regarding incidence, pathophysiologic origin, clinical symptoms, imaging, histopathology and prognosis is reviewed.
Collapse
|
15
|
Hamamoto Filho PT, Faleiros ATDS, Oliveira MFAD, Zanini MA, Rodrigues MAM. Chondroma of the falx cerebri. Rev Assoc Med Bras (1992) 2015; 61:17-8. [PMID: 25909200 DOI: 10.1590/1806-9282.61.01.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | | | - Marco Antônio Zanini
- Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, UNESP, São Paulo, SP, Brazil
| | | |
Collapse
|
16
|
|
17
|
Atalay FO, Ozgun G, Tolunay S, Bekar A. Intracranial extra-axial chondroma: a case report. J NIPPON MED SCH 2014; 81:35-9. [PMID: 24614393 DOI: 10.1272/jnms.81.35] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Intracranial chondroma is a rare benign neoplasm that occurs most often at the skull base. In extremely rare instances, it arises from the dura mater of the convexity or from the falx cerebri. The tumor cells are thought to originate from meningeal fibroblasts, perivascular mesenchymal tissue, or ectopic chondrocytes. Because the clinical presentation of such cases is nonspecific and because neuroimaging findings are not pathognomonic, intracranial chondromas mimic other intracranial tumors. Herein, we report a chondroma originating from the dura mater in the frontal region. The patient had been followed-up radiologically for 3 years after a preliminary diagnosis of meningioma until the correct diagnosis of chondroma was established with postoperative histological examination.
Collapse
Affiliation(s)
- Fatma Oz Atalay
- Department of Surgical Pathology, Uludag University School of Medicine
| | | | | | | |
Collapse
|
18
|
Thien A, Teo CHY, Lim CCT, Karandikar A, Dinesh SK. Soft tissue chondroma mimicking "dumbbell" neurogenic tumour: a rare cause of lumbar radiculopathy. J Clin Neurosci 2013; 21:1073-4. [PMID: 24380757 DOI: 10.1016/j.jocn.2013.09.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Accepted: 09/12/2013] [Indexed: 11/24/2022]
Abstract
Soft tissue chondromas are rare, benign extra-skeletal tumours of cartilaginous origin, which may rarely occur within the spinal canal. We report a patient who presented with left lumbar radiculopathy, and a peripherally-enhancing dumbbell shaped soft tissue mass involving both the intraspinal and extraspinal compartments on MRI. This was misdiagnosed as a neurogenic tumour and the patient underwent surgical removal. Histological examination revealed cartilaginous tissue. Although rare, soft tissue chondromas should be considered in the differential diagnosis of spinal dumbbell shaped tumours, especially if MRI shows peripheral contrast enhancement.
Collapse
Affiliation(s)
- Ady Thien
- Department of Neurosurgery, National Neuroscience Institute, Singapore
| | - Clarence Hai Yi Teo
- Department of Pathology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore
| | - C C Tchoyoson Lim
- Department of Neuroradiology, National Neuroscience Institute and Duke-NUS, Singapore.
| | | | | |
Collapse
|
19
|
Park JH, Jeun SS. An intracranial chondroma with intratumoral hemorrhage: a case report and review of the literature. Brain Tumor Res Treat 2013; 1:42-4. [PMID: 24904889 PMCID: PMC4027121 DOI: 10.14791/btrt.2013.1.1.42] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2013] [Revised: 04/12/2013] [Accepted: 04/16/2013] [Indexed: 12/01/2022] Open
Abstract
A 55-year-old female presented to the emergency room with a complaint of aphasia. Her initial brain computed tomography scan showed an intracranial hemorrhage in the left frontal area. After surgery, histopathological examination confirmed the diagnosis of a chondroma. Intradural chondroma is a rare, slow growing, benign intracranial neoplasm, but is even rarer in combination with an intratumoral hemorrhage. Chondromas are generally avascular cartilaginous lesions. Our case was thought to be caused by the rupture of abnormally weak vessels derived from the friable tumor. Intradural chondromas may be included in the differential diagnosis of intracranial tumors with acute hemorrhages.
Collapse
Affiliation(s)
- Jae-Hyun Park
- Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Sin-Soo Jeun
- Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| |
Collapse
|
20
|
Uddin MM, Ashraf J, Memon AA, Ali J. Intracranial cystic chondroma: a case report. J Med Case Rep 2012; 6:432. [PMID: 23272896 PMCID: PMC3540000 DOI: 10.1186/1752-1947-6-432] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 10/10/2012] [Indexed: 11/10/2022] Open
Abstract
UNLABELLED INTRODUCTION Intracranial chondromas are rare benign tumors with an incidence of 0.2% to 0.3% of all intracranial tumors. This is the first case of an intracranial chondroma reported from Pakistan. CASE PRESENTATION We report a case of a 23-year-old Asian man presenting with intracerebral chondroma of the left frontal lobe, which was eroding the dura matter. The intracranial chondroma was completely removed by surgery. CONCLUSION Intracranial chondromas are rare benign cartilaginous tumors. Through this case presentation we have discussed the diagnostic procedures, radiological and pathological findings. The purpose of presenting such a rare case is to develop awareness among clinicians and medical students and to highlight the requirement of immediate actions to ensure proper management of such cases.
Collapse
|
21
|
Somerset H, Wilkinson CC, Kleinschmidt-Demasters BK. 18-year-old woman with a dural mass. Brain Pathol 2012; 23:113-6. [PMID: 23217009 DOI: 10.1111/bpa.12012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
We report a case of a dural-based chondroma in the right frontal extra-axial region. Chondromas are benign cartilaginous tumors which are uncommon intracranially. Their diagnosis should be predicated on the exclusion of a chondrosarcoma and clinical studies should be performed to rule out any underlying tumor predisposition syndromes.
Collapse
|
22
|
Duan F, Qiu S, Jiang J, Chang J, Liu Z, Lv X, Feng X, Xiong W, An J, Chen J, Yang W, Wen C. Characteristic CT and MRI findings of intracranial chondroma. Acta Radiol 2012; 53:1146-54. [PMID: 22983260 DOI: 10.1258/ar.2012.120433] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Intracranial chondromas are rare benign tumors. To date, few data are available on their neuroradiological features. PURPOSE To describe a series of patients with intracranial chondroma and to analyze and discuss the computed tomography (CT) and magnetic resonance imaging (MRI) features that may distinguish chondromas from other intracranial neoplasms. MATERIAL AND METHODS We retrospectively analyzed clinical and medical imaging data of six patients who had pathologically confirmed intracranial chondromas in our two institutions between July 2006 and September 2011. Both CT and MRI scanning were performed in all six cases. RESULTS Five tumors were located at the skull base and one originated from the falx. CT images revealed well-demarcated, irregular lobulated and variable density masses with obvious calcification (6/6), no or slight enhancement, without peritumoral edema, and frequently accompanied by erosion and destruction of surrounding bone (5/6). Tumor parenchyma appeared heterogeneously hypointense on T1WI, and hyperintense or mixed hyperintense and hypointense on T2WI, while the calcification appeared hypointense on T1WI and T2WI in five cases, demonstrating significant inhomogeneous enhancement on postcontrast MRI, which revealed the typical "punica granatum seeds" sign. Only one case showed homogeneous low signal intensity on T1WI and high signal intensity on T2WI, and relatively uniform obvious enhancement on postcontrast scans. CONCLUSION These characteristic CT and MR findings, combined with the location of the lesions and the history of a long duration of clinical symptoms, may prove helpful in differentiating intracranial chondromas from other more common tumors.
Collapse
Affiliation(s)
- Fuhong Duan
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Shijun Qiu
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Jianwei Jiang
- Department of Radiology, The Third Affiliated Hospital of Nantong University, Wuxi, Jiangsu, China
| | - Jun Chang
- Department of Radiology, The Third Affiliated Hospital of Nantong University, Wuxi, Jiangsu, China
| | - Zhenyin Liu
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Xiaofei Lv
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Xia Feng
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Wei Xiong
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Jie An
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Jing Chen
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Weicong Yang
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| | - Chuhong Wen
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong
| |
Collapse
|
23
|
Yeung JT, Krznarich TS, Moreno EA, Mukkamala A, Karim AS. Intracranial parafalcine chondroma in a pregnant patient. Surg Neurol Int 2012; 3:44. [PMID: 22574253 PMCID: PMC3347491 DOI: 10.4103/2152-7806.94930] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2011] [Accepted: 03/14/2012] [Indexed: 11/13/2022] Open
Abstract
Background: Intracranial chondromas are rare benign neoplasms. We report a patient incidentally diagnosed with an intracranial chondroma during her second trimester. Case Description: A 22-year-old Caucasian was diagnosed with an incidental parafalcine lesion found during admission due to a motor vehicle accident. Prior to the admission, the patient did not present with any neurological symptom. Magnetic resonance spectroscopy (MRS) suggested this intracranial lesion to be benign. A decision was made to delay the tumor excision until after delivery. Special anesthesia considerations were made to maintain stable blood pressure and euvolemia during the Cesarean section. The patient underwent a successful gross total removal of the intracranial tumor two months postpartum without any post-operative deficit. Conclusion: This is the first case report of an intracranial parafalcine chondroma in pregnancy. This report highlights the disease course of this rare type of tumor during pregnancy. This case illustrates relevant aspects of the management of a neurologically asymptomatic patient with an incidentally discovered intracranial tumor of which MRS suggested a benign nature.
Collapse
Affiliation(s)
- Jacky T Yeung
- Department of Surgery, Gynecology and Reproductive Biology, Michigan State University College of Human Medicine, East Lansing, MI, USA
| | | | | | | | | |
Collapse
|
24
|
Abeloos L, Maris C, Salmon I, Balériaux D, Sadeghi N, Lefranc F. Chondroma of the dural convexity: a case report and literature review. Neuropathology 2011; 32:306-10. [PMID: 22017366 DOI: 10.1111/j.1440-1789.2011.01264.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Chondromas are unusual tumors that arise from the base of the skull and have a predilection for the spheno-ethmoidal region. Chondromas represent less than 0.5% of all intracranial tumors. In rare instances, these tumors originate from the dura mater of the convexity. Fewer than 30 cases of dural chondromas arising from the convexity or the falx are reported in the literature. In this study, we describe a new case of convexity chondroma. We discuss the radiological and histological features of this case and also review the literature.
Collapse
Affiliation(s)
- Laurence Abeloos
- Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles-U.L.B., Brussels, Belgium.
| | | | | | | | | | | |
Collapse
|
25
|
Zhan RY, Pan XF, Wan S, Lan P, Zhang YC, Weng NC, Yan M, Zhou YQ. Solitary intracerebral chondroma without meningeal attachment: a case report with review of the literature. J Int Med Res 2011; 39:675-81. [PMID: 21672374 DOI: 10.1177/147323001103900238] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Intracranial chondromas are rare, benign cartilaginous tumours that account for < 0.3% of primary intracranial tumours. They usually originate from the basal synchondrosis and are extradural though, extremely rarely, they can be intracerebral. Here the case of a 45-year old female is presented with a solitary intracerebral chondroma located in the right frontal lobe with no meningeal attachment. The epidemiology, aetiology, clinical behaviour, radiological features, histological features and treatment of the case are discussed with a review of previous cases reported in the literature.
Collapse
Affiliation(s)
- R-Y Zhan
- Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | | | | | | | | | | | | | | |
Collapse
|
26
|
Microsurgical treatment of intracranial chondroma. J Clin Neurosci 2011; 18:1064-71. [DOI: 10.1016/j.jocn.2010.12.028] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2010] [Revised: 12/01/2010] [Accepted: 12/07/2010] [Indexed: 11/18/2022]
|
27
|
Maheshwari V, Mehdi G, Varshney M, Jain A, Vashishtha S, Gaur K, Srivastava VK. Intracranial chondroma: a rare entity. BMJ Case Rep 2011; 2011:bcr.03.2011.4047. [PMID: 22696735 DOI: 10.1136/bcr.03.2011.4047] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Intracranial chondroma is a rare benign cartilaginous tumour with an incidence of less than 1% of all primary intracranial tumours. The authors are reporting here a case of intracranial chondroma in a 40-year-old man who presented with 5-month history of headache and gradual diminution of vision. A tentative diagnosis of chondroma was made on imprint cytology which was confirmed on histopathological examination.
Collapse
Affiliation(s)
- Veena Maheshwari
- Department of Pathology, JN Medical College, AMU, Aligarh, Uttar Pradesh, India
| | | | | | | | | | | | | |
Collapse
|
28
|
Somerset HL, Kleinschmidt-DeMasters BK, Rubinstein D, Breeze RE. Osteochondroma of the convexity: pathologic-neuroimaging correlates of a lesion that mimics high-grade meningioma. J Neurooncol 2009; 98:421-6. [PMID: 20012156 DOI: 10.1007/s11060-009-0089-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2009] [Accepted: 11/30/2009] [Indexed: 10/20/2022]
Abstract
Intracranial chondromas are uncommon benign lesions usually attached to dura and located over the convexity of the skull. Osteochondromas are even rarer and additionally contain a benign bony component. Both lesions are reportedly difficult to distinguish from meningiomas on pre-operative neuroimaging studies, although few detailed pathologic-neuroimaging correlation studies have appeared in the literature, particularly for intracranial osteochondromas. A 33-year-old woman with a 4-year history of headaches presented with recent onset of left-sided muscle spasms and weakness. Two days prior to admission to our hospital, neuroimaging studies had shown a large right convexity mass with unusual multifocal bright signal intensities throughout an otherwise isointense mass. The bright signals were interpreted as showing multifocal hemorrhage and the mass was felt to be a convexity meningioma. However, subsequent catheter angiography characterized the lesion as being avascular. The mass was resected en bloc. Extensive histological sectioning revealed a benign osteochondroma predominantly composed of lobules of hypocellular cartilage. Microdissection of the different components revealed that the multifocal, spicule-like bright foci interpreted as hemorrhage on neuroimaging studies were instead foci of benign bone containing metaplastic bone marrow with trilineage hematopoietic cell populations and adipose tissue. Centrally, the hilum of the lesion contained avascular loose connective tissue. No recent or remote hemorrhage was identified anywhere in the lesion. Rare convexity osteochondromas may be mistaken for high-grade meningiomas on neuroimaging studies; their avascular nature, coupled with their complex signal pattern can serve as clues to the correct pre-operative diagnosis.
Collapse
Affiliation(s)
- Hilary L Somerset
- Department of Pathology, The University of Colorado Health Sciences Center, Aurora, CO, USA
| | | | | | | |
Collapse
|
29
|
Cosar M, Iplikcioglu AC, Bek S, Gokduman CA. Intracranial falcine and convexity chondromas: two case reports. Br J Neurosurg 2009; 19:241-3. [PMID: 16455525 DOI: 10.1080/02688690500207322] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Intracranial chondromas are uncommon intracranial tumours that most frequently arise from the skull base. They can, however, arise from the calvarium or the meninges. In these cases their neuroradiological features may mimic other intracranial tumours. We present two cases of intracranial chondroma, one that originated from the convexity and the other from the falx. Total excision was achieved in both cases. The literature on intracranial chondromas is reviewed.
Collapse
Affiliation(s)
- Murat Cosar
- Okmeydani Training Hospital, Neurosurgery Department, Istanbul, Turkey.
| | | | | | | |
Collapse
|
30
|
Fountas KN, Stamatiou S, Barbanis S, Kourtopoulos H. Intracranial falx chondroma: Literature review and a case report. Clin Neurol Neurosurg 2008; 110:8-13. [PMID: 17913345 DOI: 10.1016/j.clineuro.2007.08.020] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2007] [Revised: 08/16/2007] [Accepted: 08/21/2007] [Indexed: 11/19/2022]
Abstract
Intracranial chondromas are benign tumors that represent approximately 0.5% of all intracranial tumors. They usually occur at the base of the skull but on rare occasions might present as intra-parenchymal or intra-ventricular space-occupying lesions, most likely originating from heterotopic chondrocytes or metaplastic fibroblasts of the falx, the convexity dura, or the ventricular ependyma. Chondromas are slow-growing tumors, which remain clinically silent for a prolonged period of time in the majority of cases. Their clinical presentation is non-specific and their radiographic appearance usually does not differentiate them from their more common counterparts, such as meningiomas and glial tumors. As a result, their diagnosis has remained a histopathologic one. In our current study, we present a case of a falcine intracranial chondroma. This case provided the opportunity to extensively review the pertinent literature.
Collapse
Affiliation(s)
- Kostas N Fountas
- Department of Neurosurgery, University Hospital of Larisa, School of Medicine, University of Thessaly, Larisa, Greece.
| | | | | | | |
Collapse
|
31
|
Laghmari M, Metellus P, Fuentes S, Adetchessi T, Dufour H, Bouvier C, Grisoli F. [Cranial vault chondroma: a case report and literature review]. Neurochirurgie 2007; 53:491-4. [PMID: 18061630 DOI: 10.1016/j.neuchi.2007.09.148] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2006] [Accepted: 09/12/2007] [Indexed: 11/17/2022]
Abstract
Intracranial chondromas are unusual tumors, which most commonly arise from cartilage rets in the synchondrosis at the base of the skull. They are most likely found in the sellar and parasellar regions, usually located extradurally. In rare instances, these tumors originate from the dura mater of the convexity. In these cases their neuroradiological features may mimic other intracranial tumors. We present the case of a 50-year-old male presenting a large parasagittal tumor originating in the frontal convexity. MRI-scans revealed a cavitated tumor strongly enhanced after gadolinium infusion mimicking a parasagittal meningioma. There was no obstruction of the superior sagittal sinus as shown by cerebral angiogram. Total excision was achieved and the postoperative course was uneventful. No complementary treatment was therefore considered. The histological examination diagnosis was chondroma. Radiological workup performed at four years follow-up did not reveal any recurrence of the lesion. Pathogenic, clinico-radiological and therapeutic issues are discussed and the literature reviewed.
Collapse
Affiliation(s)
- M Laghmari
- Département de neurochirurgie, hôpital Avicenne, CHU Ibn-Sina, Rabat, Maroc
| | | | | | | | | | | | | |
Collapse
|
32
|
Large chondroma of the dural convexity in a patient with Noonan's syndrome. Case report and review of the literature. Neurocirugia (Astur) 2007. [DOI: 10.1016/s1130-1473(07)70289-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
33
|
Erdogan S, Zorludemir S, Erman T, Akgul E, Ergin M, Ildan F, Bagdatoglu H. Chondromas of the falx cerebri and dural convexity: report of two cases and review of the literature. J Neurooncol 2006; 80:21-5. [PMID: 16937014 DOI: 10.1007/s11060-005-9082-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Intracranial chondromas usually arise from the base of the skull. They rarely originate from the convexity dura and falx. Here we describe two cases of intracranial chondroma located at the convexity dura and falx, discuss the genesis, radiologic, histologic features and review the literature.
Collapse
Affiliation(s)
- Seyda Erdogan
- Department of Pathology, Cukurova University, Medical Faculty, 01330, Balcali/Adana, Turkey.
| | | | | | | | | | | | | |
Collapse
|
34
|
Abstract
Meningeal derived tumors of the first 2 decades of life are often diagnostically challenging due to the wide morphologic spectrum encountered and the rarity of most individual entities. The 2 most common patterns include the dural/leptomeningeal-based mass and neoplastic meningitis. Both primary and secondary meningeal presentations may occur, either early or late in the course of various meningothelial, mesenchymal, embryonal, glial, hematopoietic, histiocytic, melanocytic, and inflammatory tumors. As in other areas of pediatric pathology, there are significant differences between this patient cohort and adults, differences which will be emphasized in this review.
Collapse
Affiliation(s)
- Arie Perry
- Division of Neuropathology, Washington University School of Medicine, St. Louis, Mo 63110-1093, USA.
| | | |
Collapse
|