Watanabe Futoshi, Saiki Tadahiko, Ochochi Yoshihisa
Department of Otolaryngology, Head and Neck Surgery, Steel Memorial Hirohata Hospital, 3-chome, Yumesaki-cho, Hirohata-ku, Himeji 671-1122, Japan.
Case Rep Med. 2012;2012:121743. doi: 10.1155/2012/121743. Epub 2012 Jul 10.
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.
骨外软骨瘤是一种罕见的发生于软组织的良性软骨肿瘤。组织学上,它是一个由纤维性包膜包裹的分叶状结节;内部由含有一些正常软骨细胞的成熟透明软骨组成。我们报告一例罕见的耳前区骨外软骨瘤病例。一名43岁男性,右侧耳前出现一个直径2厘米的肿瘤,已持续生长1年。磁共振成像显示右侧耳前区有一个实性分叶状肿瘤,紧邻右侧颞下颌关节(TMJ)的包膜。随后在全身麻醉下将其切除。肿瘤未与TMJ包膜接触,也未侵犯周围组织,便于整块切除。组织病理学检查显示,肿瘤主要由含有软骨细胞及软骨陷窝的透明软骨组成,诊断为软骨瘤。术后恢复顺利,在2年的随访中无复发迹象。我们描述了该病例的临床特征并复习文献,重点强调鉴别诊断。