[Chondrosarcoma of the nasal septum].
作者信息
Chbani L, Znati K, El Fatemi H, Harmouch T, Zaki Z, Bennis S, Amarti A
机构信息
Service d'anatomie et de cytologie pathologique, CHU Hassan-II, Fès, Maroc.
出版信息
Rev Stomatol Chir Maxillofac. 2007 Jun;108(3):231-3. doi: 10.1016/j.stomax.2006.10.009. Epub 2007 May 29.
INTRODUCTION
A chondrosarcoma is rarely located in the nasal septum with only fifty cases reported in the literature.
CASE REPORT
We report a new case of a seventy years old woman presenting with a large facial midline mass extending to the nasal cavity, having evolved for six months. Subsequent computed tomography revealed a mass destroying the nasal septum and extending to the endocrane. Intranasal biopsy revealed a chondrosarcoma. The extended work up revealed pulmonary metastasis. The course was not favourable and the patient died after one year.
DISCUSSION
The bones of the pelvis and of the lower extremities are the most common localizations for chondrosarcoma. It is rarely located in the nasal septum. Histological analysis is required for the diagnosis. It is characterized clinically by local aggressiveness, frequent metastatic evolution, and poor prognosis. Surgical resection is reserved to operable cases. Chemotherapy and radiotherapy used as adjuvant treatment and palliation are not effective.
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