The Open Otorhinolaryngology Journal

2010, 4 : 1-4
Published online 2010 January 27. DOI: 10.2174/1874428101004010001
Publisher ID: TOOTORJ-4-1

Endoscopic Removal of Chondrosarcoma Originating from the Nasal Septum

Tatsunori Sakamoto , Takayuki Nakagawa and Juichi Ito
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kawaharacho 54, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

ABSTRACT

Background:

Chondrosarcomas are rare non-epithelial malignant tumours. Surgery is the primary treatment option for chondrosarcoma, with adjuvant therapy having a minor role. In cases of nasal chondrosarcoma, however, en bloc total removal by open approaches is often undesirable. Here we report a case of chondrosarcoma arising from the nasal septum, which was resected endoscopically.

Case Report:

The case was 50-year-old man with nasal stuffiness. Computed tomography revealed a large lesion arising from the nasal septum composed of a low-density area with scattered high-density areas. Grade I chondrosarcoma was diagnosed based on histopathological analysis. After tumour margins were carefully identified on CT images and in the nasal cavities, trans-nasal endoscopic piece-by-piece tumour removal was conducted. One year after the surgery, there was no sign of local recurrence or distant metastasis.

Clinical Implication:

Transnasal endoscopic removal could represent a safe and potentially curative treatment for this malignant tumour.