[Spheno-orbital mesenchymal chondrosarcoma. A case report]

J Fr Ophtalmol. 2007 Feb;30(2):211-5. doi: 10.1016/s0181-5512(07)89579-9.
[Article in French]

Abstract

Mesenchymal chondrosarcoma is a highly malignant and extremely rare tumor of the orbit: only 18 cases have been reported to date. We report a case of spheno-orbital mesenchymal chondrosarcoma in a 36-year-old woman presented with a 4-month history of progressive left exophthalmia and temporal mass. A CT-scan of the orbit and MRI showed a spheno-orbital mass, with temporal fossa extension, fed by the internal maxillary artery visible on cerebral angiography. Surgery via a transcranial, left frontotemporozygomatic approach after selective embolization enabled subtotal removal. Definitive histologic examination revealed mesenchymal chondrosarcoma. Postoperatively, exophthalmia spectacularly regressed. We report our clinical findings and present a review of the literature.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / surgery*
  • Chondrosarcoma / diagnostic imaging
  • Chondrosarcoma / radiotherapy
  • Chondrosarcoma / surgery*
  • Combined Modality Therapy
  • Exophthalmos / etiology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Radiotherapy / methods
  • Skull / diagnostic imaging
  • Skull / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome