Chondrosarcoma - low grade - nasal septum

Case contributed by A.Prof Frank Gaillard

Presentation

Epistaxis; Difficulty in breathing; Mass per examination in nasal cavity.

Patient Data

Age: 49
Gender: Male
Modality: CT

Bony erosion and destruction of posterior nasal septum with a soft tissue attenuation mass epicentered at septum. Some stippled calcific specks noted in lesion.

Case Discussion

Final Diagnosis:

Nasal tumor, resection: Low-grade chondroid neoplasm, consistent with chondrosarcoma grade 1.

Final Diagnosis Comment:

The resected tumor shows variable cellularity and mild nuclear pleomorphism. Some of the fragments contain bone and there is a strong suggestion of permeative growth in these fragments. There are multiple foci of chondrocyte necrosis present. The appearance is that of a low-grade chondroid neoplasm, consistent with low grade chrondrosarcoma.

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Case Information

rID: 5395
Case created: 14th Jan 2009
Last edited: 28th Feb 2016
System: Head & Neck
Inclusion in quiz mode: Included

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