Condrossarcoma intracraniano: relato de um caso

Arruda, Walter Oleschko; Cardoso, Moema de Araújo; Pedroso, Ari Antônio; Rebuffi, Vanda Fátima; Coelho, Affonso

doi:10.1590/S0004-282X1986000100013

Resumos

Registro de um caso de condrossarcoma intracraniano primário, sendo discutidos aspectos clínicos, histológicos, radiológicos e terapêuticos e dando-se ênfase a aspectos neurorradiológicos que permitem o diagnóstico diferencial com outros tumores intracranianos, em particular, os cordomas e meningiomas.

A case of intracranial chondrosarcoma is reported. Its diagnosis can be suspected through the findings of a paraselar avascular tumor, sometimes with inespecific calcifications, visualized as a isodense and contrast-enhancing mass by computed tomography, as observed in the case. Differential diagnosis may be difficult with chondromas and meningiomas. Surgical ressection is the treatment of choice, with good results.

Condrossarcoma intracraniano: relato de um caso

Intracranial chondrosarcoma: a case report

Walter Oleschko Arruda^I; Moema de Araújo Cardoso^II; Ari Antônio Pedroso^III; Vanda Fátima Rebuffi^IV; Affonso Coelho^V

^IResidente de Neurologia - Especialidade de Neurologia, Departamento de Clínica Médica, Universidade Federal do Paraná

^IIMédica - Especialidade de Neurologia, Departamento de Clínica Médica, Universidade Federal do Paraná

^IIIResidente de Neurocirurgia - Especialidade de Neurologia, Departamento de Clínica Médica, Universidade Federal do Paraná

^IVProfessora Assistente de Patologia - Especialidade de Neurologia, Departamento de Clínica Médica, Universidade Federal do Paraná

^VProfessor Titular de Patologia - Especialidade de Neurologia, Departamento de Clínica Médica, Universidade Federal do Paraná

RESUMO

Registro de um caso de condrossarcoma intracraniano primário, sendo discutidos aspectos clínicos, histológicos, radiológicos e terapêuticos e dando-se ênfase a aspectos neurorradiológicos que permitem o diagnóstico diferencial com outros tumores intracranianos, em particular, os cordomas e meningiomas.

SUMMARY

A case of intracranial chondrosarcoma is reported. Its diagnosis can be suspected through the findings of a paraselar avascular tumor, sometimes with inespecific calcifications, visualized as a isodense and contrast-enhancing mass by computed tomography, as observed in the case. Differential diagnosis may be difficult with chondromas and meningiomas. Surgical ressection is the treatment of choice, with good results.

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Agradecimento - Os autores agradecem a Paulina Buleck pelo auxílio no preparo deste trabalho

Hospital de Clinicas da Universidade Federal do Paraná, Departamento de Clínica Médica, Especialidade de Neurologia - Rua General Carneiro, 181 - 13º andar - 80000 -Curitiba. PR - Brasil.

1. BAHR, A.Li. & GAYLER, B.W. - Cranial chondrosarcomas. Report, of four cases and review of the literature. Radiology 124:151, 1977.
2. BARTOLOMUCCI, A.C. - Ressecção de condrossarcoma do esterno com reconstituição da parede torácica. Rev. Assoc. méd. bras. 21:273, 1975.
3. CHAVES, E. - Condrossarcoma mesenquimal. O Hospital (Rio de Janeiro) 67:1217, 1965.
4. CLAVERIA, L.E.; SUTTON, D. & TRESS, B.M. - The radiological diagnosis of meningiomas: the impact of EMI scanning. Brit. J. Radiol. 50:15, 1977.
5. CUSHING, H. - Intracranial Tumors. Charles C. Thomas, Springfield, 1932.
6. CYBULSKI, G.R.; RUSSEL, E.J.; D'ANGELO, CM. & BAILEY, O.T. - Falcine chondrosarcoma: case report and literature review. Neurosurgery 16:412, 1985.
7. EL-GINDI, S.; ABD-EL-HAFEEZ, M. & SALAMA, M. - Extracranial skeletal metastases from an intracranial meningeal chondrosarcoma. J. Neurosurg. 40:651, 1974.
8. ERLANDSON, R.A. & HUVOS, A.C. - Chondrosarcoma: a light and electron microscopic study. Cancer 34:1642, 1974.
9. GROSSMAN, R.I. & DAVIS, K.R. - Cranial computed tomographic appearance of chondrosarcoma of the base of the skull. Radiology 141:403, 1981.
10. HARDY JR., R.W.; BENJAMIN, S.P. & GARNER, W.J. - Prolonged survival following excision of dural chondroma. J. Neurosurg. 48:125, 1978.
11. HEROS, R.C.; MARTINEZ, A.J. & AHN, H.S. - Intracranial mesenchymal chondrosarcoma. Surg. Neurol. 14:311, 1980.
12. KUBOTA, T.; HAYASHI, M. & YAMAMOTO, S. - Primary intracranial mesenchymal chondrosarcoma: case report with review of the literature. Neurosurgery 10:105, 1982.
13. LICHTENSTEIN, L. & BERNSTEIN, D. - Unusual benign and malignant chondroid tumors of the bone: a survey of some mesenchymal cartilage tumors and a malignant chondroblastic tumor including a few multicentric ones, as well as many atypical benign chondroblastomatas and chondromyxoid fibromas. Cancer 12:1142, 1959.
14. RUSSEL, E.J.; GEORGE, A.E.; KRICHEFF, I.I. & BUDZICOVICH, G. - Atypical computed tomographic features of intracranial meningioma. Radiology 135:673, 1980.
15. SANERKIN, N.G. - The diagnosis and grading of chondrosarcoma of bone. Cancer 45:582, 1980.
16. SCHEITHAUER, B.W. & RUBINSTEIN, L.J. - Intracranial mesenchymal chondrosarcoma. Surg. Neurol. 14:311, 1980.
17. SILVA, E.D.T.; FARAGE FILHO, M.; KUHN, M.L.S. & ANDRADE, G.E. - Condrossarcoma de ossos da órbita. Relato de um caso. Arq. Neuro-Psiquiat. (São Paulo) 35:156, 1977.
18. WAGA. S.: MATSUSHIMA, M.: ANDO, K. & MORII, S. - Intracranial chondrosarcoma with extracranial metastases: case report. J. Neurosurg. 36:790, 1972.

Datas de Publicação

Publicação nesta coleção
29 Jun 2011
Data do Fascículo
Mar 1986

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BAHR, A.Li. & GAYLER, B.W. - Cranial chondrosarcomas. Report, of four cases and review of the literature. Radiology 124:151, 1977.

[2] 2. BARTOLOMUCCI, A.C. - Ressecção de condrossarcoma do esterno com reconstituição da parede torácica. Rev. Assoc. méd. bras. 21:273, 1975.

[3] 3. CHAVES, E. - Condrossarcoma mesenquimal. O Hospital (Rio de Janeiro) 67:1217, 1965.

[4] 4. CLAVERIA, L.E.; SUTTON, D. & TRESS, B.M. - The radiological diagnosis of meningiomas: the impact of EMI scanning. Brit. J. Radiol. 50:15, 1977.

[5] 5. CUSHING, H. - Intracranial Tumors. Charles C. Thomas, Springfield, 1932.

[6] 6. CYBULSKI, G.R.; RUSSEL, E.J.; D'ANGELO, CM. & BAILEY, O.T. - Falcine chondrosarcoma: case report and literature review. Neurosurgery 16:412, 1985.

[7] 7. EL-GINDI, S.; ABD-EL-HAFEEZ, M. & SALAMA, M. - Extracranial skeletal metastases from an intracranial meningeal chondrosarcoma. J. Neurosurg. 40:651, 1974.

[8] 8. ERLANDSON, R.A. & HUVOS, A.C. - Chondrosarcoma: a light and electron microscopic study. Cancer 34:1642, 1974.

[9] 9. GROSSMAN, R.I. & DAVIS, K.R. - Cranial computed tomographic appearance of chondrosarcoma of the base of the skull. Radiology 141:403, 1981.

[10] 10. HARDY JR., R.W.; BENJAMIN, S.P. & GARNER, W.J. - Prolonged survival following excision of dural chondroma. J. Neurosurg. 48:125, 1978.

[11] 11. HEROS, R.C.; MARTINEZ, A.J. & AHN, H.S. - Intracranial mesenchymal chondrosarcoma. Surg. Neurol. 14:311, 1980.

[12] 12. KUBOTA, T.; HAYASHI, M. & YAMAMOTO, S. - Primary intracranial mesenchymal chondrosarcoma: case report with review of the literature. Neurosurgery 10:105, 1982.

[13] 13. LICHTENSTEIN, L. & BERNSTEIN, D. - Unusual benign and malignant chondroid tumors of the bone: a survey of some mesenchymal cartilage tumors and a malignant chondroblastic tumor including a few multicentric ones, as well as many atypical benign chondroblastomatas and chondromyxoid fibromas. Cancer 12:1142, 1959.

[14] 14. RUSSEL, E.J.; GEORGE, A.E.; KRICHEFF, I.I. & BUDZICOVICH, G. - Atypical computed tomographic features of intracranial meningioma. Radiology 135:673, 1980.

[15] 15. SANERKIN, N.G. - The diagnosis and grading of chondrosarcoma of bone. Cancer 45:582, 1980.

[16] 16. SCHEITHAUER, B.W. & RUBINSTEIN, L.J. - Intracranial mesenchymal chondrosarcoma. Surg. Neurol. 14:311, 1980.

[17] 17. SILVA, E.D.T.; FARAGE FILHO, M.; KUHN, M.L.S. & ANDRADE, G.E. - Condrossarcoma de ossos da órbita. Relato de um caso. Arq. Neuro-Psiquiat. (São Paulo) 35:156, 1977.

[18] 18. WAGA. S.: MATSUSHIMA, M.: ANDO, K. & MORII, S. - Intracranial chondrosarcoma with extracranial metastases: case report. J. Neurosurg. 36:790, 1972.