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Chondrosarcoma of the orofacial region. Review of the literature and report of two cases.

Chondrosarcoma of the jaws arises from vestigial rests and is considered a rare entity, although it is more common than its benign counterpart. Occasionally it may be extremely difficult under the microscope to decide whether a case is benign or malignant. The treatment of choice is surgical with wide margins. In our review of the literature we found 169 cases of oro-facial chondrosarcoma including two from our Institution. There was a 2:1 male/female ratio and the maxilla was involved twice as frequently as the mandible. Over half of the cases were between 20 and 50 years old.

Adult↗

Clear cell chondrosarcoma: report of three cases and review of the literature.

Three cases of clear cell chondrosarcoma, located in the proximal tibia, rib and proximal femur, are reported. Clear cell chondrosarcoma is a cartilaginous tumour of low grade malignancy, most often located in the epiphysis of the long bones, especially of the proximal femur and humerus, with a relatively favourable prognosis. Clinical, radiological and pathologic features are discussed and a review of the literature is given.

Adult↗

Phenotypic modulation of the swarm rat chondrosarcoma induced by morphogenetic bone matrix.

The recognized similarities between developing embryonic tissues and neoplastic cells have led to a number of experimental demonstrations which indicate that inductive microenvironments can alter the malignant phenotype. In postnatal life a morphogenetic cascade resembling endochondral bone development can be induced by s.c. implantation of demineralized diaphyseal bone matrix. We have examined the ability of this microenvironment to alter the phenotype of the transplantable Swarm rat chondrosarcoma in mixed implants. Neoplastic chondrocytes could be distinguished from host cells by nuclear morphometry since the nuclear area of the neoplastic chondrocytes was 2 to 3 times larger than that of comparable host-derived chondrocytes. Through the first 7 days post-implantation tumor cells in the presence of morphogenetically active matrix are morphologically indistinguishable from those implanted with morphogenetically inactivated matrix or implanted by themselves. With the advent of host cell chondrogenesis, however, adjacent neoplastic cells begin to undergo chondrolysis and calcification. Only those cells in the immediate proximity of host morphogenetic foci appear affected. An average of 26.7 +/- 7.0% (SD) of the implant surface areas examined revealed such changes. Chondrosarcoma cells implanted by themselves or in the presence of morphogenetically inactivated bone matrix underwent no such changes. These results suggest that factors released from host cells induced to undergo bone morphogenesis are capable of altering the differentiated phenotype of neoplastic cells.

Animals↗

[A case of renovascular hypertension due to chondrosarcoma arising from lumbar vertebrae].

A 35-year-old man visited our clinic with the chief complaint of headache and an upper abdominal mass. Renal vein renin activity, drip infusion pyelogram, GT scan and selective renal angiogram demonstrated a retroperitoneal tumor and right renovascular hypertension. Thus tumor extirpation and right nephrectomy were performed. After nephrectomy, blood pressure was corrected within the normal range. Histologically the tumor was diagnosed to be chondrosarcoma and there was no lesion in the wall of the right renal artery. This case had secondary chondrosarcoma arising from the first and second lumbar vertebrae and produced renovascular hypertension due to compression of the tumor.

Adult↗

[Morbidity of the population of the Ukrainian SSR from chondrosarcoma].

Chondrosarcoma morbidity in the Ukrainian SSR in 1973-1975 and 1978-1979 was studied. The yearly mean morbidity was established at 2.5 +/- 0.22 per 1 min population. Tumors were relatively more frequent in males and in rural areas. The highest morbidity levels in both sexes were registered in the age groups of 50-59 years. On the average, 120 new cases of chondrosarcoma are reported in the Republic annually.

Adolescent↗

Aspiration biopsy cytology of metastatic extraskeletal myxoid chondrosarcoma and its cytologic differential diagnosis.

Transabdominal fine needle aspiration biopsy of a metastatic myxoid chondrosarcoma in retroperitoneal spaces revealed amorphous mucoid material containing clusters of chondroblasts with round hyperchromatic nuclei and scanty cytoplasm, pleomorphic mesenchymal cells with round nuclei and vacuolated cytoplasm and groups of immature cartilaginous cells with single or double nuclei and fibrillar or filmy cytoplasm. The cytologic differential diagnosis between myxoid chondrosarcoma and other myxomatous tumors of bone and soft tissue is discussed.

Aged↗

[Assessment of the immunological status of chondrosarcoma patients].

The immunological status was investigated in 40 patients with chondrosarcoma of clinical stages II and III. The radical operation was made in 40 patients, the polychemotherapy was applied to 10 of them in the early period and 3,6 and 12 months after the operation (sarcolysin, vincristine, carminomycin in generally accepted doses). A decrease in indices of the system of cellular and humoral immunity is established to occur in patients with chondrosarcoma. During a year after the operation the immunity indices restore gradually.

Adult↗

[An unusual case of clear-cell chondrosarcoma with intrasynovial tumoral localization].

A case of a clear-celled chondrosarcoma of the femoral condyle extending into the knee joint is reported. At operation, many nodules looking like benign osteochondromata were found. They were found to be due to dissemination of the chondrosarcoma. An electron-microscopic study showed that the matrix was different in the osseous tumour from that in the synovial nodules. The result was satisfactory five years after resection followed by arthrodesis.

Adult↗

Chondrosarcoma in Maffucci's syndrome.

Nine patients with Maffucci's syndrome were seen at our institution; chondrosarcoma developed in five. On the basis of the cases of these patients and those reported in the English literature since 1973, we determined that the incidence of chondrosarcoma in patients with Maffucci's syndrome is 17.8 per cent.

Adolescent↗

Laryngeal chondrosarcoma: gross pathological, histologic and electron microscopic characteristics.

Chondrosarcoma is an uncommon cartilaginous tumour of the upper respiratory tract, and its morphology and clinical course vary widely. Few reports have evaluated the clinicopathological findings of this tumour in the larynx. This paper reports on a low-grade chondrosarcoma in a 44-year-old woman who required laryngectomy for cure. The gross pathological, histologic and electron microscopic features of the tumour are analysed with respect to its clinical course, using histopathological criteria.

Adult↗

[A case of mesenchymal chondrosarcoma originating from the spinal dura (author's transl)].

A rare case of mesenchymal chondrosarcoma originating from the thoracic spinal dura was reported. A 10-year-old girl complained of paresis of the right leg in June 1977. Then she became unable to walk early in August, and a complete paraparesis developed on August 18. She was admitted to our department on August 22. On admission she had complete paraparesis, bilateral ankle clonus, upward plantar reflexes, sensory disturbance below T7, shincter disturbance and neck stiffness. Plain thoracic X-ray revealed bilateral decalcification of pedicles of T6. Myodil myelography showed a complete block between T6 and lower end of T7 vertebrae. Bilateral laminectomy from T3 to T8 was performed. A tumor originating from the spinal dura was located in the right dorsal extradural space. The tumor was totally removed together with a small area of the affected dura. Light microscopy showed mesenchymal chondrosarcoma. Her recovery from neurological deficiencies was excellent and now she can run 14 months after surgery. Metastasis or recurrence has not yet been seen.

Child↗

[Chondrosarcoma of soft tissue. Apropos of a case].

This article reports a case of soft-tissue chondrosarcoma in the subcutis of the right supraspinal fossa of an 18-year-old woman who had undergone irradiation in infancy. A review of 123 published cases of extraskeletal chondrosarcoma raises the question of whether or not these tumors are really malignant in patients other than children. Their relationship with previous irradiation is also examined.

Adult↗

Phosphorylation of chondroitin sulfate in proteoglycans from the swarm rat chondrosarcoma.

Proteoglycans isolated from the Swarm rat chondrosarcoma were shown to contain 35 mol of phosphate/mol of proteoglycan. While 20% of this phosphate was released by digestion with dilute alkali in the presence of sodium borohydride and is presumably of the phosphoserine/phosphothreonine type, 78% of the phosphate copurified with the peptide-free chondroitin sulfate chains. When chondroitin sulfate chains purified by ethanol precipitation or Sephacryl S200 column chromatography were digested with chondroitinase AC and the digests chromatographed on Bio-Gel P-4, the phosphate co-migrated with a carbohydrate fragment that contained 2 glucuronic acid (one as delta 4,5-unsaturated sugar), 1-galactosamine, 2-galactose, and 1-phosphate residue/xylitol. A second fragment of similar composition but lacking phosphate was also recovered in a ratio of about 3 to 1 relative to the phosphorylated fragment. The phosphate in the chondroitin sulfate linkage region fragment had the alkaline phosphatase sensitivity as well as 31P NMR spectra of a monophosphate esterified to a secondary sugar alcohol. The phosphate was localized on the C-2 of the chain initiating xylose since these residues as xylitol showed a delayed release during acid hydrolysis and the xylitol was recovered intact after periodate oxidation. In the chondrosarcoma, 2-phosphoxylose appears to be a normal synthetic product since [32P]phosphate was readily incorporated into the proteoglycan and the incorporated isotope had similar biochemical properties as the unlabeled phosphate.

Animals↗

[Parosteal chondrosarcoma. A report of two cases].

Parosteal chondrosarcoma is a tumour of the soft tissues different from juxta-cortical chondrosarcoma. It is extra-periosteal, has no attachment to bone and develops primary in the soft tissues. The authors review the literature and agree that the frequency of recurrence after local excision requires treatment by amputation.

Aged↗

Primary chondrosarcoma of the lung. A report of two cases.

This report describes two cases of primary chondrosarcoma arising in the lung. In both cases, the treatment was palliative due to unresectable primary tumours. One patient's tumour appears to have originated in a persistent hamartoma; the other, from lung parenchyma. Primary chondrosarcoma of the lung tends to remain localized. Wide local excision is the treatment of choice when possible. Palliation can be accomplished with radiation and/or systemic chemotherapy.

Aged↗

Chondrosarcoma in the radius of a horse.

An aged Thoroughbred stallion was examined because of progressive lameness, carpal swelling, and weight loss. Radiography revealed a destructive lesion in the caudomedial, distal portion of the radius. Chondrosarcoma was diagnosed by tumor-core biopsy. Gross and histologic evaluation of the neoplasm after necropsy revealed a locally invasive chondrosarcoma at the distal end of the radius that infiltrated the radiocarpal joint capsule and invaded the carpal bones. The malignant nature of this tumor was evident by its invasiveness and histologic features of cell pleomorphism and presence of mitotic figures.

Animals↗

CT diagnosis of laryngeal cricoid chondrosarcoma.

Computerized tomography is the imaging method of choice for evaluation of neoplastic involvement of the larynx. There are unusual primary neoplasms of the larynx which include chondroma and chondrosarcoma. These lesions may cause vocal cord paralysis and respiratory symptoms secondary to compression of the recurrent laryngeal nerve. We present a single patient with computerized tomographic imaging of laryngeal chondrosarcoma resulting in unilateral vocal cord paralysis and hoarseness.

Aged↗