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Published in: Child's Nervous System 2/2021

01-02-2021 | Chondrosarcoma | Case Report

Intracranial extra-axial mesenchymal chondrosarcoma in a 16-month-old patient with a literature review of pediatric patients

Authors: Özlem Yapıcıer, Abdel Rahman Nanah, Mevlüt Özgür Taskapılıoglu, Mustafa Kemal Demir

Published in: Child's Nervous System | Issue 2/2021

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Abstract

Mesenchymal chondrosarcoma is a rare high-grade malignant subtype of chondrosarcoma that is characterized by undifferentiated, round, or spindled mesenchymal cells, interspersed with islands of hyaline cartilage. We report a primary intracranial extra-axial mesenchymal chondrosarcoma in a 16-month-old patient with a review of the literature focusing on intracranial extra-axial MCs with or without skull involvement in pediatric patients, including differential diagnosis. The patient was admitted with a swelling in the right temporooccipital region. There was intracranial extra-dural extension of the mass, which abuts the neural parenchyma without any invasion. A complete tumor resection was performed. Pathological diagnosis was mesenchymal chondrosarcoma. The patient was free of symptoms after surgery.
Literature
1.
go back to reference Shakked RJ, Geller DS, Gorlick R, Dorfman HD (2012) Mesenchymal chondrosarcoma: clinicopathologic study of 20 cases. Arch Pathol Lab Med 136(1):61–75CrossRef Shakked RJ, Geller DS, Gorlick R, Dorfman HD (2012) Mesenchymal chondrosarcoma: clinicopathologic study of 20 cases. Arch Pathol Lab Med 136(1):61–75CrossRef
2.
go back to reference Shabani S, Kaushal M, Kaufman B, Knipstein J, Lawlor MW, Lew S, Foy A (2019) Intracranial extraskeletal mesenchymal chondrosarcoma: case report and review of the literature of reported cases in adults and children. World Neurosurg 129:302–310CrossRef Shabani S, Kaushal M, Kaufman B, Knipstein J, Lawlor MW, Lew S, Foy A (2019) Intracranial extraskeletal mesenchymal chondrosarcoma: case report and review of the literature of reported cases in adults and children. World Neurosurg 129:302–310CrossRef
3.
go back to reference De Cecio R, Migliaccio I, Falleti J, Del Basso De Caro M, Pettinato G (2008) Congenital intracranial mesenchymal chondrosarcoma: case report and review of the literature in pediatric patients. Pediatr Dev Pathol 11:309–313CrossRef De Cecio R, Migliaccio I, Falleti J, Del Basso De Caro M, Pettinato G (2008) Congenital intracranial mesenchymal chondrosarcoma: case report and review of the literature in pediatric patients. Pediatr Dev Pathol 11:309–313CrossRef
4.
go back to reference Lichtenstein L, Bernstein D (1959) Unusual benign and malignant chondroid tumors of bone. A survey of some mesenchymal cartilage tumors and malignant chondroblastic tumors, including a few multicentric ones, as well as many atypical benign chondroblastomas and chondromyxoid fibromas. Cancer. 12:1142–1157CrossRef Lichtenstein L, Bernstein D (1959) Unusual benign and malignant chondroid tumors of bone. A survey of some mesenchymal cartilage tumors and malignant chondroblastic tumors, including a few multicentric ones, as well as many atypical benign chondroblastomas and chondromyxoid fibromas. Cancer. 12:1142–1157CrossRef
5.
go back to reference Dahlin DC, Henderson ED (1962) Mesenchymal chondrosarcoma. Further observations on a new entity. Cancer. 15:410–417CrossRef Dahlin DC, Henderson ED (1962) Mesenchymal chondrosarcoma. Further observations on a new entity. Cancer. 15:410–417CrossRef
6.
go back to reference Harsh GR, Wilson CB (1984) Central nervous system mesenchymal chondrosarcoma. Case report. J Neurosurg 61:375–381CrossRef Harsh GR, Wilson CB (1984) Central nervous system mesenchymal chondrosarcoma. Case report. J Neurosurg 61:375–381CrossRef
7.
go back to reference Scheithauer BW, Rubinstein LJ (1978) Meningeal mesenchymal chondrosarcoma: report of 8 cases with review of the literature. Cancer. 42:2744–2752CrossRef Scheithauer BW, Rubinstein LJ (1978) Meningeal mesenchymal chondrosarcoma: report of 8 cases with review of the literature. Cancer. 42:2744–2752CrossRef
8.
go back to reference Huang YL, P-h L, Lin SL, Yuan MK, Pan HB (2004) Mesenchymal chondrosarcoma at the falx cerebri. Chinese Journal of Radiology 29:337–341 Huang YL, P-h L, Lin SL, Yuan MK, Pan HB (2004) Mesenchymal chondrosarcoma at the falx cerebri. Chinese Journal of Radiology 29:337–341
9.
go back to reference La Spina M, Dollo C, Giangaspero F, Bertolini P, Russo G (2003) Intracranial mesenchymal chondrosarcoma with osteoid formation: report of a pediatric case. Childs Nerv Syst 19:680–682CrossRef La Spina M, Dollo C, Giangaspero F, Bertolini P, Russo G (2003) Intracranial mesenchymal chondrosarcoma with osteoid formation: report of a pediatric case. Childs Nerv Syst 19:680–682CrossRef
10.
go back to reference Lynch PG, Uriburu E (1973) An intracranial cartilage-containing meningeal tumor. Case report J Neurosurg 39:261–264PubMed Lynch PG, Uriburu E (1973) An intracranial cartilage-containing meningeal tumor. Case report J Neurosurg 39:261–264PubMed
11.
go back to reference Nagata S, Sawada K, Kitamura K (1986) Chondrosarcoma arising from the falx cerebri. Surg Neurol 25(5):505–509CrossRef Nagata S, Sawada K, Kitamura K (1986) Chondrosarcoma arising from the falx cerebri. Surg Neurol 25(5):505–509CrossRef
12.
go back to reference Nozaki K, Nagata I, Takahashi JA, Hashimoto N (1999) Intracranial mesenchymal chondrosarcoma associated with a left transverse sigmoid dural A-V fistula. Acta Neurochir 141(3):327–328CrossRef Nozaki K, Nagata I, Takahashi JA, Hashimoto N (1999) Intracranial mesenchymal chondrosarcoma associated with a left transverse sigmoid dural A-V fistula. Acta Neurochir 141(3):327–328CrossRef
13.
go back to reference Rushing EJ, Armonda RA, Ansari Q, Mena H (1996) Mesenchymal chondrosarcoma: a clinicopathologic and flow cytometric study of 13 cases presenting in the central nervous system. Cancer. 77:1884–1891CrossRef Rushing EJ, Armonda RA, Ansari Q, Mena H (1996) Mesenchymal chondrosarcoma: a clinicopathologic and flow cytometric study of 13 cases presenting in the central nervous system. Cancer. 77:1884–1891CrossRef
14.
go back to reference Sadashiva N, Sharma A, Shukla D, Rajalakshmi P, Mahadevan A, Devi BI (2016) Intracranial extraskeletal mesenchymal chondrosarcoma. World Neurosurg 95:618–e1-.e6CrossRef Sadashiva N, Sharma A, Shukla D, Rajalakshmi P, Mahadevan A, Devi BI (2016) Intracranial extraskeletal mesenchymal chondrosarcoma. World Neurosurg 95:618–e1-.e6CrossRef
15.
go back to reference Sardi I, Massimino M, Genitori L, Buccoliero AM, Giangaspero F, Ferrari A (2011) Intracranial mesenchymal chondrosarcoma: report of two pediatric cases. Pediatr Blood Cancer 56(4):685–686CrossRef Sardi I, Massimino M, Genitori L, Buccoliero AM, Giangaspero F, Ferrari A (2011) Intracranial mesenchymal chondrosarcoma: report of two pediatric cases. Pediatr Blood Cancer 56(4):685–686CrossRef
16.
go back to reference Schut L, Canady AI, Sutton LN, Bruce DA. Meningeal tumors in children. 1983. Pediatr Neurosurg 1994;20(3):207–212; discussion 13 Schut L, Canady AI, Sutton LN, Bruce DA. Meningeal tumors in children. 1983. Pediatr Neurosurg 1994;20(3):207–212; discussion 13
17.
go back to reference Waliuddin A, Jamjoom A, Thomas J (2006) Intracranial extraskeletal mesenchymal chondrosarcoma. Neurosciences (Riyadh, Saudi Arabia) 11:205–209 Waliuddin A, Jamjoom A, Thomas J (2006) Intracranial extraskeletal mesenchymal chondrosarcoma. Neurosciences (Riyadh, Saudi Arabia) 11:205–209
18.
go back to reference Wu WQ, Lapi A (1970) Primary non-skeletal intracranial cartilaginous neoplasms: report of a chondroma and a mesenchymal chondrosarcoma. J Neurol Neurosurg Psychiatry 33(4):469–475CrossRef Wu WQ, Lapi A (1970) Primary non-skeletal intracranial cartilaginous neoplasms: report of a chondroma and a mesenchymal chondrosarcoma. J Neurol Neurosurg Psychiatry 33(4):469–475CrossRef
19.
go back to reference Cho BK, Chi JG, Wang KC, Chang KH, Choi KS (1993) Intracranial mesenchymal chondrosarcoma: a case report and literature review. Childs Nerv Syst 9:295–299CrossRef Cho BK, Chi JG, Wang KC, Chang KH, Choi KS (1993) Intracranial mesenchymal chondrosarcoma: a case report and literature review. Childs Nerv Syst 9:295–299CrossRef
20.
go back to reference Salvador AH, Beabout JW, Dahlin DC (1971) Mesenchymal chondrosarcoma —observations on 30 new cases. Cancer 28:605–615CrossRef Salvador AH, Beabout JW, Dahlin DC (1971) Mesenchymal chondrosarcoma —observations on 30 new cases. Cancer 28:605–615CrossRef
21.
go back to reference Arora K, Riddle ND (2018) Extraskeletal mesenchymal chondrosarcoma. Arch Pathol Lab Med 142:1421–1424CrossRef Arora K, Riddle ND (2018) Extraskeletal mesenchymal chondrosarcoma. Arch Pathol Lab Med 142:1421–1424CrossRef
22.
go back to reference Granter SR, Renshaw AA, Fletcher CDM, Bhan AK, Rosenberg AE (1996) CD99 reactivity in mesenchymal chondrosarcoma. Hum Pathol 27:1273–1276CrossRef Granter SR, Renshaw AA, Fletcher CDM, Bhan AK, Rosenberg AE (1996) CD99 reactivity in mesenchymal chondrosarcoma. Hum Pathol 27:1273–1276CrossRef
23.
go back to reference Machado I, Navarro S, Picci P, Llombart-Bosch A (2016) The utility of SATB2 immunohistochemical expression in distinguishing between osteosarcomas and their malignant bone tumor mimickers, such as Ewing sarcomas and chondrosarcomas. Pathol Res Pract 212:811–816CrossRef Machado I, Navarro S, Picci P, Llombart-Bosch A (2016) The utility of SATB2 immunohistochemical expression in distinguishing between osteosarcomas and their malignant bone tumor mimickers, such as Ewing sarcomas and chondrosarcomas. Pathol Res Pract 212:811–816CrossRef
24.
go back to reference Gengler C, Letovanec I, Taminelli L, Egger JF, Guillou L (2006) Desmin and myogenin reactivity in mesenchymal chondrosarcoma: a potential diagnostic pitfall. Histopathology. 48:201–203CrossRef Gengler C, Letovanec I, Taminelli L, Egger JF, Guillou L (2006) Desmin and myogenin reactivity in mesenchymal chondrosarcoma: a potential diagnostic pitfall. Histopathology. 48:201–203CrossRef
25.
go back to reference Yang MJ, Whelan R, Madden J, Mulcahy Levy JM, Kleinschmidt-DeMasters BK, Hankinson TC, Foreman NK, Handler MH (2018) Intracranial Ewing sarcoma: four pediatric examples. Childs Nerv Syst 34:441–448CrossRef Yang MJ, Whelan R, Madden J, Mulcahy Levy JM, Kleinschmidt-DeMasters BK, Hankinson TC, Foreman NK, Handler MH (2018) Intracranial Ewing sarcoma: four pediatric examples. Childs Nerv Syst 34:441–448CrossRef
26.
go back to reference Chen Q, Chen XZ, Wang JM, Li SW, Jiang T, Dai JP (2012) Intracranial meningeal hemangiopericytomas in children and adolescents: CT and MR imaging findings. AJNR Am J Neuroradiol 33:195–199CrossRef Chen Q, Chen XZ, Wang JM, Li SW, Jiang T, Dai JP (2012) Intracranial meningeal hemangiopericytomas in children and adolescents: CT and MR imaging findings. AJNR Am J Neuroradiol 33:195–199CrossRef
27.
go back to reference Wang L, Motoi T, Khanin R, Olshen A, Mertens F, Bridge J, Cin PD, Antonescu CR, Singer S, Hameed M, Bovee JV, Hogendoorn PCW, Socci N, Ladanyi M (2012) Identification of a novel, recurrent HEY1-NCOA2 fusion in mesenchymal chondrosarcoma based on a genome-wide screen of exon-level expression data. Genes Chromosom Cancer 51:127–139CrossRef Wang L, Motoi T, Khanin R, Olshen A, Mertens F, Bridge J, Cin PD, Antonescu CR, Singer S, Hameed M, Bovee JV, Hogendoorn PCW, Socci N, Ladanyi M (2012) Identification of a novel, recurrent HEY1-NCOA2 fusion in mesenchymal chondrosarcoma based on a genome-wide screen of exon-level expression data. Genes Chromosom Cancer 51:127–139CrossRef
28.
go back to reference Nakayama R, Miura Y, Ogino J, Susa M, Watanabe I, Horiuchi K, Anazawa U, Toyama Y, Morioka H, Mukai M, Hasegawa T (2012) HEY1-NCOA2 in mesenchymal chondrosarcoma. Pathol Int 62:823–826CrossRef Nakayama R, Miura Y, Ogino J, Susa M, Watanabe I, Horiuchi K, Anazawa U, Toyama Y, Morioka H, Mukai M, Hasegawa T (2012) HEY1-NCOA2 in mesenchymal chondrosarcoma. Pathol Int 62:823–826CrossRef
30.
go back to reference Moriya K, Katayama S, Onuma M, Rikiishi T, Hosaka M, Watanabe M, Hasegawa T, Sasahara Y, Kure S (2014) MC diagnosed on FISH. Pediatr Int 56:e55–e57CrossRef Moriya K, Katayama S, Onuma M, Rikiishi T, Hosaka M, Watanabe M, Hasegawa T, Sasahara Y, Kure S (2014) MC diagnosed on FISH. Pediatr Int 56:e55–e57CrossRef
31.
go back to reference El Beaino M, Roszik J, Livingston JA, Wang WL, Lazar AJ, Amini B, Subbiah V, Lewis V, Conley AP (2018) Mesenchymal chondrosarcoma: a review with emphasis on its fusion-driven biology. Curr Oncol Rep 20:37CrossRef El Beaino M, Roszik J, Livingston JA, Wang WL, Lazar AJ, Amini B, Subbiah V, Lewis V, Conley AP (2018) Mesenchymal chondrosarcoma: a review with emphasis on its fusion-driven biology. Curr Oncol Rep 20:37CrossRef
32.
go back to reference Cesari M, Bertoni F, Bacchini P, Mercuri M, Palmerini E, Ferrari S (2007) Mesenchymal chondrosarcoma: an analysis of patients treated at a single institution. Tumori. 93:423–427CrossRef Cesari M, Bertoni F, Bacchini P, Mercuri M, Palmerini E, Ferrari S (2007) Mesenchymal chondrosarcoma: an analysis of patients treated at a single institution. Tumori. 93:423–427CrossRef
Metadata
Title
Intracranial extra-axial mesenchymal chondrosarcoma in a 16-month-old patient with a literature review of pediatric patients
Authors
Özlem Yapıcıer
Abdel Rahman Nanah
Mevlüt Özgür Taskapılıoglu
Mustafa Kemal Demir
Publication date
01-02-2021
Publisher
Springer Berlin Heidelberg
Keyword
Chondrosarcoma
Published in
Child's Nervous System / Issue 2/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04652-0

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