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Anales de Otorrinolaringología Mexicana

2024, Number 4

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Otorrinolaringología 2024; 69 (4)

Highly vascularized ethmoid chondromyxoid fibroma

Ambrosio MMG, Jiménez GA, Herrera LO

Language: Spanish
References: 25
Page: 285-290
PDF size: 353.29 Kb.


ABSTRACT

Background: Chondromyxoid fibroma is a rare benign mesenchymal neoplasm in the metaphyseal region of long bones in young adults. Rarely, they can occur in the craniofacial skeleton, posing unique diagnostic challenges.
Clinical case: A 35-year-old female patient with 7 months of progressive nasal obstruction and biopsy report of chondromyxoid fibroma. An evaluation by inter- ventional imaging service reported a high vascularity dependent on 80% of the ophthalmic artery, so a Weber Fergusson type approach with Lynch type extension and medial maxillectomy for total resection was performed, with adequate evolution and no recurrence.
Conclusions: Ethmoidal chondromyxoid fibroma is a rare disease and, in this case, a timely diagnosis was established, thanks to the complementation of endoscopic exploration and radiological images. Due to the similarities between chondromyxoid fibroma and chondrosarcoma, a histologic diagnosis is difficult to make and therefore great care should be taken in the biopsy evaluation. Surgical excision should be complete, given the limits imposed by the location of the tumor to achieve the lowest risk of recurrence but with acceptable sequelae.


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