Sharma Mayur, Khan Shadma W, Velho Vernon, Mally Rahul
Department of Neurosurgery, Grant Medical College and Sir J. J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.
Asian J Neurosurg. 2017 Apr-Jun;12(2):266-269. doi: 10.4103/1793-5482.144168.
This case highlights a rare possibility of occurrence of chondroblastoma, a bony tumor, at an uncommon location. Extraosseous, soft tissue location of this bony tumor is rare and more so for intracranial intra-axial location. We report a case of an intra-axial frontal lobe lesion, histologically proven to be an extraosseous chondroblastoma. A 23-year-old male presented with a history of headache and vomiting of 1 month duration. Imaging was suggestive of left frontal lobe intra-axial calcified lesion suggestive of oligodendroglioma. Patient was operated upon by left frontal craniotomy with complete excision of the lesion. The patient recovered well postoperatively. Left sixth nerve paresis improved and ataxia decreased. Intra-axial chondroblastomas are extremely rare tumors. Differential diagnosis should be kept in mind, especially in cases of calcified lesions. Complete excision should be the aim to achieve cure.
该病例突出了骨肿瘤成软骨细胞瘤在罕见部位发生的一种罕见可能性。这种骨肿瘤位于骨外软组织部位很罕见,而位于颅内轴内位置则更为罕见。我们报告一例轴内额叶病变,经组织学证实为骨外成软骨细胞瘤。一名23岁男性,有1个月的头痛和呕吐病史。影像学检查提示左额叶轴内钙化病变,提示少突胶质细胞瘤。患者接受了左额叶开颅手术,病变被完全切除。患者术后恢复良好。左侧第六脑神经麻痹有所改善,共济失调减轻。轴内成软骨细胞瘤是极其罕见的肿瘤。应牢记鉴别诊断,尤其是在钙化病变的病例中。实现治愈的目标应是完全切除。