Dimitrijevic Milovan V, Sopta Jelena, Ivisevic Tjasa B, Dudvarski Zoran
Faculty of Medicine, University of Belgrade, Clinical Centre of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery.
Faculty of Medicine, University of Belgrade, Institute of Pathology.
J Craniofac Surg. 2019 Jun;30(4):e315-e317. doi: 10.1097/SCS.0000000000005230.
Chondromas are rare mesenchymal benign tumors that are most often encountered in pelvis and ribs, and rarely in head and neck region. They account for about 10% of all benign chondroid proliferations and the rarest occurrence of soft tissue chondromas is within oral cavity.
A 10-year-old female patient was referred to our Clinic because of moderate speech impairment, swallowing disturbances and foreign body sensation in tongue. On clinical examination and MRI scans, hard, painless, clearly demarcated submucosal mass was observed on the left side of the tongue. Surgery was perfomed using intraoral incision approach, and the tumor was completly removed. Histopathological examination of the specimen was positive for chondroma.
Chondromas benign tumors of mature hyaline cartillage localized in soft tissues of head and neck region. Growing slowly, and painlessly, they remain silent for some period, until reaching certain dimensions, and becoming symptomatous. Magnetic resonance imaging scan provides complete information about localization, size, growth of the tissue, and contributes significantly to the decision of appropriate surgical approach.
软骨瘤是罕见的间充质良性肿瘤，最常发生于骨盆和肋骨，很少见于头颈部区域。它们约占所有良性软骨样增生的10%，软组织软骨瘤最罕见的发生部位是口腔。
一名10岁女性患者因中度言语障碍、吞咽困难和舌部异物感转诊至我院。临床检查和磁共振成像扫描显示，舌左侧有一个硬的、无痛的、边界清晰的黏膜下肿块。采用口内切口入路进行手术，肿瘤被完全切除。标本的组织病理学检查显示软骨瘤阳性。
软骨瘤是位于头颈部软组织的成熟透明软骨良性肿瘤。它们生长缓慢且无痛，在达到一定大小并出现症状之前的一段时间内无症状。磁共振成像扫描可提供有关肿瘤定位、大小、组织生长的完整信息，并对决定合适的手术入路有重要帮助。
