Ectomesenchymal chondromyxoid neoplasm. An unusual presentation. A case report
Hussein Ali AlZamel1, Abdulmohsen AlBader1, Imtiyaz Nawaz Bhat1
1ENT Deptt., Al-Farwaniya Hospital, Kuwait.
International Journal of Surgery Case Reports
|October 29, 2017
Summary
Ectomesenchymal chondromyxoid tumor (ECMT) is a rare benign tongue tumor. This case report details a unique presentation and successful surgical resection of an ECMT.
Area of Science:
- Oral Pathology
- Oncology
- Head and Neck Surgery
Background:
- Ectomesenchymal chondromyxoid tumor (ECMT) is an exceptionally rare benign intraoral neoplasm.
- ECMT predominantly affects the anterior dorsum of the tongue, presenting as a slow-growing, painless submucosal mass.
- Fewer than 45 cases of ECMT have been documented in medical literature.
Purpose of the Study:
- To report a rare case of ectomesenchymal chondromyxoid tumor (ECMT) in a young male patient.
- To describe the clinical, histopathological, and surgical aspects of this unusual tongue tumor.
Main Methods:
- A comprehensive literature review was conducted.
- Clinical presentation and diagnostic findings were analyzed.
- Surgical excision and histopathological examination were performed.
Main Results:
- A 17-year-old male presented with a slow-growing, painless mass on the anterior tongue.
- The tumor measured 1.5 cm x 1.5 cm and was completely resected via excisional biopsy.
- Histopathology revealed a well-circumscribed, lobular proliferation of cells in a myxoid to chondromyxoid background, consistent with ECMT.
- The tumor was unencapsulated and showed muscle entrapment.
Conclusions:
- ECMT is a rare entity that requires careful histopathological evaluation for accurate diagnosis.
- Complete surgical excision is an effective treatment for ECMT.
- This case contributes to the limited understanding of ECMT, particularly in younger individuals.
