Sánchez OFM, Abarca VAC

Language: Spanish
References: 12
Page: 118-120
PDF size: 186.53 Kb.

ABSTRACT

It is presented a case report of a patient with nasal chondroma, benign cartilaginous tumor, that sometimes presents aggressive behavior with invasion to skull and bone destruction, its presentation is uncommon in head and neck as well as in nose and paranasal sinus. An 11-year-old male patient was attended in external consultation by presenting pathology of 6 months evolution characterized by bilateral progressive nasal obstruction of right predominance and posterior rinorrhea, the physical exploration revealed tumor in right nasal cavity, of rose color, non bleeding, rough aspect originated from the nasal roof occupying the 80% of the nasal fosse. In the computerized tomography a hypodense image was observed which did not improve by using contrast agent and occupied the right nasal cavity, with bone destruction of the lamina papyracea and invasion to anterior craneal cavity, cleared images of calcic density in their interior were observed. The histopathologic diagnosis of the incisional biopsy revealed chondroma. The surgical procedure was carried out by the multidisciplinary approach of the neurosurgery, surgical oncology and ophtalmology services. In the differential diagnosis of benign and malignant sinonasal tumours, nasal chondroma is poorly suspected by its uncommon frequency. Nevertheless, the case reported in the present study establishes no differences about typical tomographic and histopathologic clinical characteristics of condromas mentioned in medical literature. This paper teaches us that in spite of its low incidence, chondroma can be rightly diagnosed and treated.

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