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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 2

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Rev Esp Med Quir 2014; 19 (2)

Chondrosarcoma in middle cranial fossa, orbital apex, maxillary sinus, infratemporal fossa and left parapharyngeal space

Guerra DME, Pacheco RLL, Duarte RMA

Language: Spanish
References: 16
Page: 176-180
PDF size: 649.72 Kb.


ABSTRACT

A chondrosarcoma is a malignant tumor originated from cartilage tissue, it can be classified in 3 stages depending on the degree of malignancy that it demonstrates. We present a male patient aged 19 with a diagnosis of chondrosarcoma grade I and II, which involves middle cranial fossa, orbital apex, maxillary sinus, infratemporal fossa and left parapharyngeal space. Because of malignancy and the anatomical structures invaded by the tumor, palliative treatment was chosen, it consisted of the maximum palliative dose of radiotherapy in head and neck, 70 Gy, alongside drug therapy based on transdermal Fentanyl, oral Dextropropoxyphene. Subsequent blockage of maxillary and mandibular branches of the left trigeminal nerve was performed. In 3- year clinical control we observed a decrease in tumor size leaving a suitable space in the upper airways, specifically in the oropharynx, nonetheless we observed midline invasion, with involvement of the contralateral cavernous sinus.


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