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Primary extraosseous dural chondrosarcoma: a case report

BACKGROUND: Dural chondrosarcoma is a very rare intracranial tumor, given that meninges do not normally contain cartilaginous tissue from which it can originate. We present a case of primary extraosseous dural chondrosarcoma. CASE PRESENTATION: A 48-year-old woman presented to our tertiary center ne...

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Autores principales: Garay Buitron, Francis, Pons-Escoda, Albert, Vidal, Noemí, Torres, Alberto, Camins, Angels
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672547/
https://www.ncbi.nlm.nih.gov/pubmed/34911493
http://dx.doi.org/10.1186/s12883-021-02515-y
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author Garay Buitron, Francis
Pons-Escoda, Albert
Vidal, Noemí
Torres, Alberto
Camins, Angels
author_facet Garay Buitron, Francis
Pons-Escoda, Albert
Vidal, Noemí
Torres, Alberto
Camins, Angels
author_sort Garay Buitron, Francis
collection PubMed
description BACKGROUND: Dural chondrosarcoma is a very rare intracranial tumor, given that meninges do not normally contain cartilaginous tissue from which it can originate. We present a case of primary extraosseous dural chondrosarcoma. CASE PRESENTATION: A 48-year-old woman presented to our tertiary center neurosurgery consultation with progressive headache, vomiting, vertigo, and gait instability of 5 months’ duration. An initial brain CT revealed a large parietal mass with gross calcifications and subtle hyperostosis of the inner table. Subsequent brain MRI showed a heterogeneous expansive lesion with a honey-comb enhancement. Discussion of intra- or extra-axial location was warranted, and finally, initial presurgical suspicion of meningioma arose although some atypical imaging features were detected. The differential diagnosis included solitary fibrous tumor–hemangiopericytoma and dural metastasis. Total resection of the lesion was performed, extra-axial origin was confirmed, and pathology resulted in a primary dural chondrosarcoma. CONCLUSION: The importance of this case presentation lies in the unusual nature of the final diagnosis, the brief literature review and differential diagnosis with emphasis on imaging pearls, as well as the useful reminder for physicians to consider less frequent diseases when key findings do not unambiguously lead to the usual suspects.
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spelling pubmed-86725472021-12-15 Primary extraosseous dural chondrosarcoma: a case report Garay Buitron, Francis Pons-Escoda, Albert Vidal, Noemí Torres, Alberto Camins, Angels BMC Neurol Case Report BACKGROUND: Dural chondrosarcoma is a very rare intracranial tumor, given that meninges do not normally contain cartilaginous tissue from which it can originate. We present a case of primary extraosseous dural chondrosarcoma. CASE PRESENTATION: A 48-year-old woman presented to our tertiary center neurosurgery consultation with progressive headache, vomiting, vertigo, and gait instability of 5 months’ duration. An initial brain CT revealed a large parietal mass with gross calcifications and subtle hyperostosis of the inner table. Subsequent brain MRI showed a heterogeneous expansive lesion with a honey-comb enhancement. Discussion of intra- or extra-axial location was warranted, and finally, initial presurgical suspicion of meningioma arose although some atypical imaging features were detected. The differential diagnosis included solitary fibrous tumor–hemangiopericytoma and dural metastasis. Total resection of the lesion was performed, extra-axial origin was confirmed, and pathology resulted in a primary dural chondrosarcoma. CONCLUSION: The importance of this case presentation lies in the unusual nature of the final diagnosis, the brief literature review and differential diagnosis with emphasis on imaging pearls, as well as the useful reminder for physicians to consider less frequent diseases when key findings do not unambiguously lead to the usual suspects. BioMed Central 2021-12-15 /pmc/articles/PMC8672547/ /pubmed/34911493 http://dx.doi.org/10.1186/s12883-021-02515-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Garay Buitron, Francis
Pons-Escoda, Albert
Vidal, Noemí
Torres, Alberto
Camins, Angels
Primary extraosseous dural chondrosarcoma: a case report
title Primary extraosseous dural chondrosarcoma: a case report
title_full Primary extraosseous dural chondrosarcoma: a case report
title_fullStr Primary extraosseous dural chondrosarcoma: a case report
title_full_unstemmed Primary extraosseous dural chondrosarcoma: a case report
title_short Primary extraosseous dural chondrosarcoma: a case report
title_sort primary extraosseous dural chondrosarcoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672547/
https://www.ncbi.nlm.nih.gov/pubmed/34911493
http://dx.doi.org/10.1186/s12883-021-02515-y
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