Case Of Chondroma Research Articles

Case of Chondroma in Prepubic Space: A Rare Occurrence

The pelvic bone can be affected by a various diseases, including tumours. Cartilaginous tumours may develop in this area because it contains hyaline and fibrocartilage. The pelvis is known to host malignant tumours like chondrosarcoma. On the other hand, chondroma, a benign cartilaginous tumour, is occasional. Chondroma is known to occur in different osseous and extraosseous locations. Extraskeletal/soft-tissue chondroma, though rare, is known for its occurrence in various anatomical locations. Hereby, the authors present a case report of a chondroma in the prepubic space that manifested with urinary symptoms. A 58-year-old female, known to be diabetic, came with acute urinary retention. She experienced a recent onset of burning micturition and abdominal pain. Radiological and cytological findings were non diagnostic. During pelvic exploration, a solid mass of 3×3 cm was noted in the prepubic space without a connection to the urinary bladder or underlying bone. Excisional biopsy of the mass showed benign mature chondrocytes in a background of chondroid matrix, suggesting a benign cartilaginous tumour (chondroma). The patient is now free of her symptoms and is doing well during the follow-up at three months. Authors could not find any case reports of chondroma in the prepubic space in the literature. The present case of extraskeletal chondroma in the prepubic space is an infrequent entity at an unusual site.

Pelvic chodroma in the left obturator foramen: The first case report.

Introduction and importanceChondroma is a benign and slow-growing tumour usually located in the hand and foot. Although many cases reported pelvic chondroma, to the best of our knowledge, this case is number one in the world because of the location of the sensitive tumour within the obturator foramen, and we did not review any case mentioned in the medical literature corresponding to our case.Case presentationA 9-years-old male presented to our hospital, complaining of an inguinal mass, the patient had no history of pelvic discomfort. Computed tomography showed a hard mass in the left inguinal region. By open surgery, we extracted the mass. The patient was discharged after 4 days with no complaints.Clinical discussionPelvic chondroma is one of the challenging cases that orthopedist's face. We presented a patient with a very hard, painless, not rubefacient and fixed on palpation mass. Computed tomography is considered an imaging study to evaluate such patients. Most cases of chondroma are treated by performing open surgery to extract the mass.ConclusionPelvic chondroma should be extracted by open surgery in order not to extend to nearby tissue and hurt urinary and reproductive organs. The follow-up of these patients is essential, by imaging and pathological studies. Checking family history up is necessary, but in our case, there is no.

Extraskeletal Chondroma of the Fallopian Tube; An Incidental Finding During LSCS in 32 Years Old Female

Extraskeletal chondroma (also known as ”Chondroma of soft parts”) is a cutaneous condition, a rare benign tumor of mature cartilage usually occurs in the hands, feet, head and neck. This tumor regularly presents as a small solitary nodule. The histogenesis of the cancer is controversial, but some have suggested a metaplastic origin. Chondroma of the fallopian tube is very rare. There are only three case reports in English literature. The source of this tumor can be subcoelomic mesenchyme of the tubal serosa or mesenchyme of the mesosalpinx. We describe a case of chondroma arising from the serosal surface of the fallopian tube with a review of the literature. A 30-yr-old woman with term pregnancy visited the hospital for cesarean section and tubal ligation. On operating findings, 1 1.5 cm sized nodular mass was noted in the left tubal serosal area. The excised mass showed a multilobulated appearance covered with a thin fibrous membrane. The cut surface was solid, grayish-yellow, and myxoid with a focal gelatinous area. The microscopic finding showed islands and elongated lobules of mature benign cartilage.

Pretemporal transcavernous approach tailored surgery of cavernous sinus tumors: a consecutive series of 31 cases report

To investigate the indications of the pretemporal transcavernous approach for cavernous sinus tumors resection and design individually tailored surgery according to the extent of tumors and operation requirements. A retrospective analysis of clinical data, surgical outcomes and complications in a series of 31 cases with cavernous sinus tumor operated via the individually tailored pretemporal transcavernous approach between May 2012 and September 2015 in Department of Neurosurgery, Xiangya Hospital, Central South University. There were 13 male and 18 female patients, aging from 17 to 67 years with a mean of (41±14) years. The patients included 18 cases of shwannomas, 4 cases of meningiomas, 3 cases of cavernous hemangiomas, 2 cases of invasive pituitary adenomas, 1 case of chordoma, 1 case of chondroma, 1 case of recurrent teratoma, 1 case of metastatic nasopharyngeal carcinoma. The first followed-up visit was on the 3(rd) month after surgery, and if tumor progression or recurrence was observed on MRI, the Gamma knife treatment was recommended, the patient was followed up every 6 months, otherwise the patient was followed up again 6 months later, then, every 12 months. Gross total removal of tumors was achieved in 22 cases of 31 patients (71.0%), containing 17 cases of shwannomas, 3 cases of hemangiomas, 1 case of chondroma, 1 case of teratoma; subtotal removal in 6 cases (19.3%), including 3 cases of meningiomas, 1 case of pituitary adenoma, 1 case of chordoma, 1 case of metastatic carcinoma; partial removal in 3 cases (9.7%), comprising 1 case of meningioma, 1 case of recurrent shwannoma, 1 case of recurrent pituitary adenoma. The symptoms of cranial never aggravated in 5 cases, the new postoperative cranial never palsy was observed in 7 cases. There was no surgical mortality, intracranial hematoma, intracranial infection and cerebrospinal fluid leakage cases, ect. Twenty-eight cases were followed up for more than 3 months (3 to 40 months), 1 case of chordoma had tumor progression; the nerve function was restored in 5 cases, among the 12 cases with postoperatively new occurred or deteriorated cranial nerve paralysis. The pretemporal transcavernous approach can be used to resect tumors limited in cavernous sinus or tumors simultaneously involving the cavernous sinus and its vicinity areas, it can be individually tailored based on the extent and exposure of the tumor. This approach can improve the surgical results in terms of high tumor resection rate, less complication, is an ideal approach for cavernous sinus tumor resection.

Intracortical or Transcortical Chondroma: A Report of Two Cases.

Benign cartilaginous bone tumors are frequently found within the short tubular bones of the hands and the feet, but they are also common in long bones. They arise from the medullary canal in the majority of cases and are known as enchondromas1. Less commonly, they may arise from the periosteum and are classified as periosteal chondromas2. There have also been reports of cases with the tumor extending transcortically from the medulla to the surface of the bone, the so-called enchondroma protuberance3. Intracortical chondromas (ICs) arise from within the cortex and are extremely rare; to the best of our knowledge, there have been only eight previously reported cases4-8. There is controversy regarding the correct terminology if a lesion has extended beyond the cortex4. In this report, we contrast two cases of chondroma that originated from the cortex with different extension patterns. The patients were informed that data concerning their cases would be submitted for publication, and they provided consent. Case 1. An otherwise healthy forty-two-year-old woman presented with a ten-month history of left-sided pain in the distal aspect of the thigh. The pain was mild, localized, and nonradiating, and did not contribute to any substantial sleep disruption. Treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) had a partial response. Physical examination showed local tenderness upon palpation. There were no other signs of swelling or edema at the site of the lesion. In addition, the patient had full active range of motion of the adjacent joints, which was not associated with pain. Radiographs showed a round lytic lesion in the anteromedial cortex of the left distal femoral metaphysis that was about 1 cm in diameter (Fig. 1). Computed tomography (CT) revealed that the lesion had arisen from within the anteromedial …

Stridor as initial clinical presentation of tracheal chondroma

Chondromas are benign cartilaginous tumours that are uncommon in the head and neck region. Only few cases of chondroma have been reported in the trachea. We present a 70-year-old patient who presented clinically with severe dyspnoea requiring urgent tracheotomy. An oval, expansive, well-delineated tracheal tumour was evident on magnetic resonance imaging. The mass was removed surgically in its entirety, preserving tracheal rings, and the histopathological diagnosis was chondroma. The patient was decannulated after 2 months, and was followed for 3 years. Urgent tracheotomy is an unusual initial clinical manifestation of this infrequent tumour. Surgical options and the choice of therapy in this case are discussed.

Stridor as initial clinical presentation of tracheal chondroma

Chondromas are benign cartilaginous tumours that are uncommon in the head and neck region. Only few cases of chondroma have been reported in the trachea. We present a 70-year-old patient who presented clinically with severe dyspnoea requiring urgent tracheotomy. An oval, expansive, well-delineated tracheal tumour was evident on magnetic resonance imaging. The mass was removed surgically in its entirety, preserving tracheal rings, and the histopathological diagnosis was chondroma. The patient was decannulated after 2 months, and was followed for 3 years. Urgent tracheotomy is an unusual initial clinical manifestation of this infrequent tumour. Surgical options and the choice of therapy in this case are discussed.

Five cases of chondroma involving the external auditory canal

A cartilaginous tumor located in the external auditory canal is a rare finding. Only 48 cases of chondromas of the external auditory canal have been documented in the literature. The natural course of these tumors as well as the diagnosis and management has not been well established. We have encountered five cases of external auditory canal chondroma. The patients consisted of three males, ages 12, 14, and 29, and two females, ages 2 and 3, respectively. Otoscopic examination demonstrated a tiny firm tumor protruding from the anterior wall of the bony external auditory canal. Surgery was performed all cases, and the tumor proved to be a chondroma histologically. All cases could be approached through the ear canal. The postoperative courses were uneventful and no recurrences were found during the follow-up periods. From our experiences, it is important to recognize that chondromas are in the differential of small exophytic tumors on the anterior or superior wall of the external auditory canal and can be removed safely and effectively through the transcanal approach.

Chondroid tumors of the larynx: Computed tomography findings

Purpose: Chondromas and chondrosarcomas of the larynx are rare cartilaginous tumors making up less than 1% of all laryngeal tumors. Patients typically present with symptoms of hoarseness, dysphagia, or dyspnea. The most common location in the larynx for these tumors is the cricoid cartilage. Radiographically, these lesions are typically hypodense, well-circumscribed masses containing mottled calcifications with smooth walls centered within the cartilage. Materials and Methods: We present 6 cases of chondroid tumors of the larynx. Results: One patient had a chondroma, 4 patients had low-grade chondrosarcomas, and 1 patient had an intermediate-grade chondrosarcoma. Two partial laryngeal resections and 4 total laryngectomies were performed. Conclusions: In most cases of chondroma or chondrosarcoma of the larynx, conservative surgery should be attempted, but total laryngectomy may be required for large or recurrent lesions.

Cartilaginous neoplasms of the head and neck

The presenting features and management of three cases of chondroma and one of chondrosarcoma in different head and neck sites are described. The rarity of this tumour is emphasized by a brief review of the literature. The fact that all the above cases presented within two years to one District General Hospital makes this series very unusual indeed.

Chondroma of the tongue: Report of a case

A case of chondroma which occurred in the midline of the dorsum of the tongue in a 40-year-old Japanese male is reported together with a review of the literature. Histological investigation revealed that this lingual chondroma had the characteristics of hyaline cartilage. We regard the metaplastic transformation theory as the best explanation of histogenesis of lingual chondroma at the lateral margin, while cartilaginous rests are the origin of lingual chondroma on the dorsum of the tongue.

Benign cartilaginous tumours of the larynx

Benign cartilaginous tumours of the larynx are uncommon. Two cases of chondroma of the larynx, one arising from the posterior cricoid plate and right arytenoid, and the other arising from the thyroid cartilage, are reported. This latter is considered to be rather uncommon.

Ghondroma of lateral nasal cartilage

A rare and interesting case of Chondroma of lateral nasal cartilage on the left side. Occuring in young female is reported and the available literature reviewed. Though Chondroma of the nasal septum and Ethmoid have been reported, we did not come across any report of Chondroma arising from lateral nasal cartilage.

CHONDROMA OF THE ETHMOID: WITH REPORT OF A CASE

Chondroma of the ethmoid attracts the attention of clinician and pathologist alike—the former because of its bizarre course and symptoms; the latter because of its comparative rarity. Chondroma is rare in any region of the body but is found least frequently in the nose and accessory sinuses. The minimal incidence of such neoplasms is attested by Geschickter 1 in a classification of 211 tumors of the nasal and paranasal cavities, selected from over 2,000 specimens removed surgically at the Johns Hopkins Hospital. In this series there were 19 benign epithelial tumors, 139 malignant epithelial tumors, 37 benign tumors of connective tissue (exclusive of 76 osteomas) and 16 sarcomas. The benign tumors of connective tissue consisted of angioma, plasmocytoma and fibroma; no case of chondroma was found. Enchondroma, a cartilaginous tumor within a cavity, was first described by Muller, 2 in 1836. Virchow 3 in 1857 created the term myxoma and divided soft enchondromas

Multiple Chondromas

In presenting the following case of multiple chondroma, I appreciate that cases of chondroma are not uncommon. However, the following case demonstrates a chondroma in one of the long bones of the forearm, which is not a common site for such a tumor. This case is of some interest because it was treated with radiation with good results and not by surgery, which form of treatment is so frequently employed in some quarters. Patient (H. M.), white female, aged 20 years, apparently in good health. In 1933, while driving an automobile, patient fractured lower third of left forearm. Was treated as a fracture, but no x-rays were taken for several months, and at that time cystic bone changes with trabeculation were noted in lower end of ulna, distal end of fourth metacarpal, proximal phalanges of ring and little fingers. These cystic changes were a thinning of the bone near the epiphyseal line. No destruction and no periosteal involvement. X-ray examination of the following: skull, pelvis, chest, dorsal spine, shoulders, both legs and feet, all revealed no bone changes other than a small area of increased radiability in the lower third of the left tibia, in anterior aspect of left medullary canal. No other destruction or proliferation noted. No elevation of periosteum. General physical examination did not reveal any gross abnormal findings other than tumefaction of lower third of left forearm, left ring and little fingers. No abnormal findings in the blood, urine, stool, blood calcium, or phosphorus. Past history: Usual childhood diseases with no complications. Pneumonia, influenza, tonsils and adenoids, no complications. Left hand, crushed in childhood, apparently healed normally. Family history, irrelevant; menstrual history, normal. Progress: This patient was given medium doses of x-ray (300–600 r) — 180 kv. p., 0.5 mm. Cu, 1 mm. Al filter, distance 60 cm., port 5×5 at intervals, calcium and vitamin therapy. We have watched this patient at intervals for the past three years. The x-rays of the left forearm and hand show a definite increase in bone with a decrease in cystic changes. No change in left tibia. Now the patient apparently is healthy and active; she is careful not to injure her arm. I am indebted to John C. Hope, M.D., for the opportunity of studying this case.

Case of Chondroma of a Phalanx in the Hand.

Case of Chondroma of a Phalanx in the Hand.