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Primary nasal chondrosarcoma. The pediatric experience
J Lacovara1, K Patterson, G H Reaman
1Department of Hematology-Oncology, Children's National Medical Center, Washington, DC 20010.
Summary
Pediatric nasal cavity chondrosarcoma is rare. This report details a 5-year-old boy
Area of Science:
- Oncology
- Pediatric Oncology
- Head and Neck Surgery
Background:
- Chondrosarcomas are rare tumors, particularly in the head and neck region, accounting for only 4% of nonepithelial tumors in the nasal cavity, paranasal sinuses, and nasopharynx.
- The peak incidence of chondrosarcoma is typically in the fourth decade of life.
- Pediatric cases of head or neck chondrosarcoma are exceptionally rare, with only four reported in children aged 10 years or younger.
Observation:
- This report focuses on a rare case of a 5-year-old boy diagnosed with chondrosarcoma of the nasal cavity.
- The patient underwent complete surgical resection of the tumor.
- Adjuvant chemotherapy was administered post-operatively.
Findings:
- This case represents one of the few documented instances of primary nasal cavity chondrosarcoma in a child under 10 years old.
- The rarity of this tumor in pediatric patients highlights the need for specialized diagnostic and treatment approaches.
- The literature review associated with this case provides further context on the epidemiology and clinical presentation of pediatric head and neck chondrosarcomas.
Implications:
- This case underscores the importance of considering rare diagnoses like chondrosarcoma in pediatric head and neck masses.
- The successful treatment of this young patient with adjuvant chemotherapy following resection suggests potential therapeutic avenues for similar rare pediatric tumors.
- Further research and case reporting are crucial for understanding and improving outcomes for pediatric chondrosarcoma in the head and neck.

