Kayahara Tomomichi, Kurita Hiroki, Irie Keiko, Nakahara Ichiro, Sasaki Tomio
Department of Neurosurgery, Nagoya Kyoritsu Hospital, 1-172 Hokke, Nakagawaku, Nagoya, Aichi 454-0933, Japan.
Department of Cerebrovascular Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Radiol Case Rep. 2021 Nov 4;17(1):115-118. doi: 10.1016/j.radcr.2021.09.058. eCollection 2022 Jan.
Intracranial chondrosarcomas located in the region of the posterior clinoid process have not been focused on. Here, we report the case of a 29-year-old woman with a skull base tumor in that region. Seven years after the diagnosis, the tumor had grown and showed calcification and tumor stain; chondrosarcoma, posterior clinoid meningioma, and chordoma were suspected. The patient underwent subtotal tumor resection, and the histopathological study revealed that the tumor was a low-grade chondrosarcoma. Chondrosarcomas can be located in the region of the posterior clinoid process, and not only chordomas but also posterior clinoid meningiomas should be considered as a differential diagnosis of tumors located in that region, especially when the tumor has calcification or receives a vascular supply.
位于后床突区域的颅内软骨肉瘤尚未受到关注。在此,我们报告一例29岁女性患者,其在该区域患有颅底肿瘤。诊断后七年,肿瘤生长并出现钙化和肿瘤染色;怀疑为软骨肉瘤、后床突脑膜瘤和弦瘤。患者接受了肿瘤次全切除术,组织病理学研究显示肿瘤为低级别软骨肉瘤。软骨肉瘤可位于后床突区域,对于该区域的肿瘤,尤其是当肿瘤有钙化或有血供时,鉴别诊断不仅应考虑弦瘤,还应考虑后床突脑膜瘤。