Oikawa H, Satoh T, Masuda T, Arai H, Ehara S, Muro-Oka G
Department of Pathology, School of Medicine, Iwate Medical University, Morioka, Japan.
J Neurooncol. 2000 Sep;49(3):249-54. doi: 10.1023/a:1006498209279.
We describe a case of intracranial chondrosarcoma in a 46-year-old woman. The preoperative diagnosis was meningioma as plain radiography and computed tomography of the head revealed a tumor with discrete calcifications predominantly in the right frontoparietal region and hyperostosis of the inner table of the skull overlying the tumor. However, the tumor was histologically composed of cartilaginous tissue without meningiomatous differentiation and the final diagnosis was a low-grade chondrosarcoma based on its histological appearance and size, together with the radiologic images. Intracranial chondrosarcoma occurring above the skull base is extremely rare and 19 cases were found in our literature review. Intracranial chondrosarcoma showing hyperostosis of the skull has not been reported in the cases. The discussion includes its differential diagnosis, origin, and clinical behavior.
我们描述了一例46岁女性的颅内软骨肉瘤病例。术前诊断为脑膜瘤,因为头部平片和计算机断层扫描显示肿瘤主要位于右额顶叶区域,有散在钙化,且肿瘤上方颅骨内板骨质增生。然而,肿瘤组织学上由软骨组织构成,无脑膜瘤分化,根据其组织学表现、大小以及影像学图像,最终诊断为低级别软骨肉瘤。发生于颅底上方的颅内软骨肉瘤极为罕见,我们在文献回顾中发现了19例。文献报道的病例中尚未有颅内软骨肉瘤伴颅骨骨质增生的情况。讨论内容包括其鉴别诊断、起源及临床行为。