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Chondrosarcoma of Maxilla - A Rare Case Report
Hitesh Dewan1, Hiren Patel1, Haren Pandya1
1Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India.
Annals of Maxillofacial Surgery
|September 15, 2021
Summary
Chondrosarcoma of the jaw, a rare but potentially fatal tumor, requires accurate diagnosis and complete surgical excision. Misdiagnosis can lead to recurrence, emphasizing the need for careful management.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Pathology
Background:
- Chondrosarcoma is a rare malignant tumor of cartilage, often occurring in the jaws.
- Prognosis varies significantly with grade, with Grade II chondrosarcoma having an 81% 5-year survival rate.
- Maxillary chondrosarcomas pose surgical challenges due to complex anatomy.
Observation:
- A 35-year-old male presented with a painless, hard growth in the right maxillary molar region.
- Computed tomography revealed an ill-defined mass with calcifications in the upper jaw.
- Initial biopsy suggested a benign chondroma.
Findings:
- Wide excision and maxillectomy confirmed Grade II chondrosarcoma, contradicting the initial biopsy.
- Suboptimal excision due to misdiagnosis can result in local recurrence and metastasis.
- The complex anatomy of the maxilla makes achieving clear surgical margins difficult.
Implications:
- Accurate preoperative diagnosis is crucial for effective treatment of maxillary chondrosarcoma.
- Aggressive surgical management and long-term follow-up are essential for managing this condition.
- Improved diagnostic techniques and surgical strategies are needed to enhance outcomes for patients with jaw chondrosarcoma.
