American Journal of Medical and Clinical Sciences. 2017; 2(1):(12-71)


Primary Intracranial Myxoid Chondrosarcoma: A case report

Hayam E. Rashed, Aziza E. Abdelrahman, Wael Elmesallamy, Ahmed A. E. Obaya

Abstract

Objective: Intracranial extraskeletal myxoid chondrosarcoma is a very rare tumor; up to date, only ten cases have been reported.

Case report: We present a case report of a 65-year-old female admitted to Zagazig university hospitals by right side hemiplegia of gradual onset and progressive course over three weeks. Magnetic resonance imaging (MRI) revealed left intra-axial parieto-occipital space occupying lesion, multiloculated, hypodense with central necrosis, heterogeneous enhancement, minimal brain edema, and causing a mass effect. The patient underwent subtotal resection using sonar guided craniotomy. The histopathological and immunohistochemical evaluation confirmed a diagnosis of extraskeletal myxoid chondrosarcoma. One month after initial discharge, the patient underwent radiotherapy. About 6 months after surgery, the patient was deteriorated and died.
Conclusion: Intracranial extraskeletal myxoid chondrosarcoma is a rare malignant cartilaginous tumor. Pathological diagnosis is the gold standard and radical excision is the standard treatment.

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