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鼻窦软骨肉瘤,一个不寻常的部位。

Sinonasal Chondrosarcoma, an Unusual Location.

作者信息

Abouhanine Oumniya, Merzem Aicha, Ndayishimiye Vianney, Amriss Omar, Belgadir Hasnaa, Moussali Nadia, El Benna Naima

机构信息

Department of Radiology, 20 August 1953 Hospital, University Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

出版信息

Eur J Case Rep Intern Med. 2020 Nov 11;7(12):001933. doi: 10.12890/2020_001933. eCollection 2020.

Abstract

INTRODUCTION

Chondrosarcoma is a tumour with a cartilaginous matrix frequently encountered in long bones and the pelvis with rare sinonasal location.

PATIENT AND METHODS

We report the case of a 25-year-old patient who was referred to us for an extension work-up for sinonasal chondrosarcoma confirmed by anatomopathological examination.

RESULTS

Facial magnetic resonance imaging (MRI) confirmed by a CT scan showed an osteolytic tumour process of the hard palate and walls of the left maxillary sinus that was locally advanced.

CONCLUSION

The sinonasal location of a chondrosarcoma is rare. Characterized by cross-sectional imaging, confirmation was provided by histological assessment.

LEARNING POINTS

The sinonasal location of a chondrosarcoma is rare.A slow-growing tumour with a cartilage matrix in adults, it is revealed mainly by neurosensorial signs and mass effect in its sinonasal location.Radiological characterization includes areas with a weak signal on T1- and T2-weighted images in MRI, not enhanced by gadolinium, corresponding to the cartilage matrix.

摘要

引言

软骨肉瘤是一种具有软骨基质的肿瘤,常见于长骨和骨盆,鼻窦部位罕见。

患者与方法

我们报告一例25岁患者,因鼻窦软骨肉瘤接受进一步检查,经解剖病理学检查确诊。

结果

面部磁共振成像(MRI)经CT扫描证实,显示硬腭和左上颌窦壁有溶骨性肿瘤病变,局部进展。

结论

鼻窦部位的软骨肉瘤罕见。通过横断面成像进行特征描述,并经组织学评估得以确诊。

学习要点

鼻窦部位的软骨肉瘤罕见。在成人中,它是一种生长缓慢、具有软骨基质的肿瘤,主要表现为鼻窦部位的神经感觉症状和占位效应。放射学特征包括在MRI的T1加权和T2加权图像上信号较弱的区域,钆增强扫描无强化,对应软骨基质。

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Sinonasal Chondrosarcoma, an Unusual Location.鼻窦软骨肉瘤,一个不寻常的部位。
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Imaging of sinonasal tumors.鼻窦肿瘤的影像学检查
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Optimum imaging for sinonasal malignancy.鼻窦恶性肿瘤的最佳影像学检查
J Laryngol Otol. 2000 Jul;114(7):557-62. doi: 10.1258/0022215001906174.
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