Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 6

Chondrosarcoma of the Nasal Septum: A Case Report and Literature Review

Ahmed Alharbi1* and Osama Samargandi2

1Department of Head and Neck Surgery and Ear, Nose and Throat, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
2Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

*Corresponding Author: Ahmed Alharbi, Department of Head and Neck Surgery and Ear, Nose and Throat, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Received: April 20, 2022; Published: May 18, 2022

Abstract

Chondrosarcoma, a malignant neoplasm, is characterized by the formation of a cartilaginous matrix by the neoplastic cells and is associated with a high recurrence rate. Chondrosarcoma of the head and neck are rare, accounting for less than 12% of all cases of chondrosarcoma. Head and neck chondrosarcoma usually involves the maxilla and rarely affects the nasal septum, with only 50 cases reported in the literature. Most head and neck chondrosarcoma occur in people in their forties, with a slight predilection for male patients. Patients usually present with a painless swelling or nasal obstruction. Wide surgical resection is the preferred treatment for chondrosarcoma; radiotherapy and chemotherapy are usually alternative options. Few clinical series have evaluated chondrosarcoma's biological behavior and surgical outcomes involving the head and neck. Here, we report the clinicopathological characteristics of a massive nasal septal chondrosarcoma, probably the largest ever reported in a young girl, resulting in bilateral visual loss and eroding the nasal and oral cavities necessitating a tracheostomy and feeding jejunostomy. Her late presentation, combined with the unusual aggressiveness of the tumor, precluded any attempts at surgical resection.

Keywords: Chondrosarcoma; Head and Neck; Nasal Septum; Surgery

References

  1. CDM Fletcher., et al. “World Health Organization classification of tumors. Pathology and genetics of tumors of soft tissue and bone”. IARC, Lyon (2002).
  2. Downey TJ., et al. “Chondrosarcoma of the nasal septum”. Otolaryngology–Head and Neck Surgery 125 (2001): 98-100.
  3. Rassekh CH., et al. “Chondrosarcoma of the nasal septum: skull base imaging and clinicopathologic correlation”. Otolaryngology–Head and Neck Surgery 115 (1996): 29-37.
  4. Burkey BB., et al. “Chondrosarcoma of the head and neck”. Laryngoscope 100 (1990): 1301-1305.
  5. Sharma K., et al. “Nasal septal chondrosarcoma with visual loss”. Indian Journal of Ophthalmology 4 (1993): 189-191.
  6. BB Koch., et al. “National Cancer database report on chondrosarcoma of the head and neck”. Head Neck 22 (2000): 408-425.
  7. G Sammartino., et al. “Chondrosarcoma of the jaw: a closer look at its management”. Journal of Oral and Maxillofacial Surgery 66 (2008): 2349-2355.
  8. SY Lee., et al. “Chondrosarcoma of the head and neck”. Yonsei Medical Journal 46 (2005): 228-232.
  9. FO Prado., et al. “Head, and neck chondrosarcoma: analysis of 16 cases”. British Journal of Oral and Maxillofacial Surgery 47 (2009): 555-557.
  10. IW Ormiston., et al. “Chondrosarcoma of the mandible presenting as periodontal lesions: report of 2 cases”. Journal of Craniomaxillofacial Surgery 22 (1994): 231-235.
  11. Saito K., et al. “Chondrosarcorna of the jaw and facial bones”. Cancer 76 (1995): 1550-1558.
  12. KK Unni and CY Inwards. “Tumors of the osteoarticular system”. C.D.M. Fletcher (Ed.), Diagnostic histopathology of tumors, Churchill Livingstone, Philadelphia PA (2000): 1541-1606.
  13. EF Vencio., et al. “Mesenchymal chondrosarcoma of the jawbones clinicopathologic study of 19 cases”. Cancer 82 (1998): 2350-2355.
  14. Lacovara J., et al. “Primary nasal chondrosarcoma. The pediatric experience”. American Journal of Pediatric Hematology/Oncology 14 (1992): 158-162.
  15. Pontes HAR., et al. “Clinicopathological analysis of head and neck chondrosarcoma: three case reports and literature review”. International Journal of Oral and Maxillofacial Surgery2 (2013): 203-210.
  16. Dass AN., et al. “Nasal Septum Low-Grade Chondrosarcoma”. Radiology 249 (2008): 714-717.
  17. P Garzino-Demo., et al. “Chondrosarcoma of the temporomandibular joint: a case report and review of the literature”. Journal of Oral and Maxillofacial Surgery 68 (2010): 2005-2011.
  18. M Gorsky and JB Epstein. “Craniofacial osseous and chondromatous sarcomas in British Columbia: a review of 34 cases”. Oral Oncology 36 (2000): 27-31.

Citation

Citation: Ahmed Alharbi and Osama Samargandi. “Chondrosarcoma of the Nasal Septum: A Case Report and Literature Review". Acta Scientific Otolaryngology 4.6 (2022): 21-26.

Copyright

Copyright: © 2022 Ahmed Alharbi and Osama Samargandi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US