DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203584

Second primary chondrosarcoma of the maxilla: a case report

Shreeya Pabi, Yanpothung Yanthan, Sweety Gupta, Biswajyoti Das, Ajas Ibrahim, Naseef Kassim, Saurabh Varshney, Divya Singh, Manoj Gupta

Abstract


We are reporting an uncommon case of second primary chondrosarcoma of the maxilla in a 52-year-old male patient. Patient had first been diagnosed in 2004 with chondrosarcoma of the right maxilla. He had undergone right partial maxillectomy for the same. Since 2016 he had started noticing a swelling over the left side of the maxilla. Repeated biopsies from the growth showed no evidence of any malignancy. Hence, he was kept on routine follow up. However, in 2018, during follow up the growth had increased in size - hard swelling present in remnant post partial maxillectomy cavity, non-tender -and a punch biopsy was taken, revealing a well differentiated chondrosarcoma. A diagnosis of second primary chondrosarcoma of the maxilla was made based on Warren and Gates criteria. A brief discussion on the radiologic and histologic presentation of the tumor and the treatment modalities of this unusual tumor is discussed.


Keywords


Chondrosarcoma, Maxilla, Second primary, Adjuvant radiotherapy

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References


Halperin EC, Wazer DE, Perez CA, Brady LW. Perez and Brady's principles and practice of radiation oncology. 6thed. Philadelphia: Lippincott Williams & Wilkins. 2013:1613-14.

Izadi K, Lazow SK, Solomon MP, Berger JR. Chondrosarcoma of the anterior mandible. A case report. N Y State Dent J. 2000;66:32-4.

Angela C. Chi. Bone Pathology: In: Neville, Damm, Allen, Bouquot editors. Text Book of Oral and Maxillofacial Pathology. 3rded. Missouri: Elsevier. 2009:664-9.

Ram H, Mohammad S, Singh G, Singh SV. Chondrosarcoma of body of the mandible. Natl J Maxillofac Surg. 2013;4:242-4.

Warren S, Gates O. Multiple primary malignant tumors: A survey of the literature and statistical study. Am J Cancer. 1932;16:1358-414.

Saito K, K KU, Wollan PC, Lund BA. Chondrosarcoma of the jaw and facial bones. Cancer. 1995;76(9):1550-8.

Huang TC, Monsour PA, Chahoud CD. Parosteal osteosarcoma: Report of a case and review of the literature. Aust Dent J. 2010;55:86-91.

Hackney FL, Aragon SB, Aufdemorte TB, Holt GR, Van Sickels JE. Chondrosarcoma of the jaws: Clinical findings, histopathology and treatment. Oral Surg Oral Med Oral Pathol. 1991;71:139-43.

Chowdhary A, Kalsotra P, Bhagat DR, Sharma P, Katoch P. Chondrosarcoma of the maxilla-Recurrent. JK Sci. 2008;10:94-9610.

Greer RO, Mierau GW, Favara BF. 1st ed. Tumor of head and neck in children. New York: Prager Publishers. 1983:125.

Greer RO, Rohrer MD, Young SK. Non-odontogenic tumors. In: Thewley SE, Panje WR, Batsakis JG, editors. Comprehensive Management of Head and Neck Tumors. 2nd ed. Philadelphia: WB-Saunder's Company. 1987:1510-59.

Slaughter M, Danely P, Harry W, et al. Field cancerization in oral stratified squamous epithelium clinical implications of multicentric origin. Cancer. 1953;6:963-8.