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Sinonasal Chondrosarcoma With Unusual Orbital Invasion
James Pietris1,2, Jessica Y Tong3,4, Rowan Valentine5
1University of Queensland, Herston, Queensland, Australia.
Ophthalmic Plastic and Reconstructive Surgery
|February 19, 2024
Summary
A chondrosarcoma, a type of cartilage tumor, was diagnosed in a 43-year-old male presenting with nasal obstruction. Surgical resection was successful, with the patient undergoing routine surveillance.
Area of Science:
- Otolaryngology
- Orthopedic Oncology
- Head and Neck Surgery
Background:
- Chondrosarcoma is a rare malignant tumor arising from cartilage.
- Nasal and paranasal sinus chondrosarcomas are exceptionally uncommon, often presenting with nonspecific symptoms.
Observation:
- A 43-year-old male experienced chronic progressive nasal obstruction and epiphora.
- MRI revealed a heterogeneous mass in the nasal turbinates with orbital extension.
- Biopsy confirmed a conventional subtype, grade 2 chondrosarcoma.
Findings:
- Endonasal wide local resection achieved clear surgical margins.
- The patient experienced no functional deficits post-surgery.
Implications:
- This case highlights the importance of considering rare tumors in the differential diagnosis of sinonasal masses.
- Successful surgical management of sinonasal chondrosarcoma is achievable with a multidisciplinary approach.
- Routine surveillance is crucial for early detection of recurrence or metastasis.

