Chondrosarcoma - nasal septum
Epistaxis; Difficulty in breathing; Mass per examination in nasal cavity.
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Bony erosion and destruction of posterior nasal septum with a soft tissue attenuation mass epicentered at septum. Some stippled calcific specks noted in lesion.
The patient went on to have a resection.
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 chondrosarcoma.
FINAL DIAGNOSIS: low-grade chondroid neoplasm, consistent with chondrosarcoma grade 1.