Chondromyxoid Fibroma of Two Cervical Vertebrae with Involvement of Surrounding Soft Tissue: Radiologic Diagnostic Dilemma

Zahir, Shokouh Taghipour; Sharahjin, Naser Sefidrokh; Parizi, Farzad Sadlu; Rahmani, Koorosh

doi:10.5812/iranjradiol.19273

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…The common symptoms of CMF in cervical spine are neck and shoulder pain, limitation of movement, numbness and radiating pain of upper limbs after nerve root damage. Although CMF is a relatively rare benign tumour, vertebral CMF only accounts for 8% of all CMFs, and cervical CMF is even rarer, with fewer than 12 cases reported[ 10 ]. The features of vertebral CMF include the erosion of cortical bone, even beyond the extent of the periosteum into the surrounding soft tissue or spinal canal, and this feature indicates more serious destruction, which may indicate the malignant transformation of tumours.…”

Section: Discussionmentioning

confidence: 99%

Chondromyxoid fibroma of the cervical spine: A case report

Li¹,

Li²,

Hu³

2022

WJCC

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BACKGROUND Chondromyxoid fibroma (CMF) is an unusual benign tumour of cartilaginous tissues that may be confused with other malignant tumours. It is rarely seen in the cervical spine. CASE SUMMARY A 24-year-old young woman was admitted to the hospital because of neck and shoulder pain. Computed tomography, magnetic resonance imaging, X-ray and other imaging examinations of the cervical spine and laboratory-related indicators combined with intraoperative pathology revealed that the patient had cervical CMF. We performed total resection of the vertebral body and intervertebral disc, and internal fixation was performed to simultaneously maintain the stability of the entire spine. The clinical results from extensive resection were satisfactory. At the 2-year follow-up, the patient's symptoms had not recurred. CONCLUSION CMF is a benign primary bone tumour that is rarely located in the vertebral bone. Accurate initial diagnosis of these tumours is important for appropriate treatment. En bloc surgical resection of the tumour is the cornerstone of treatment.

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Section: Discussionmentioning

confidence: 99%

Chondromyxoid fibroma of the cervical spine: A case report

Li¹,

Li²,

Hu³

2022

WJCC

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Peering beneath the surface: Juxtacortical tumors of bone (part I)

2018

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Juxtacortical or surface tumors of bone are neoplasms arising from or just outside the cortex, and are composed of different histologic types. Although the imaging appearances of these lesions have similarities to their intramedullary counterparts, their location alters their radiographic and MR characteristics, creating difficulties in diagnosis. Meanwhile, several non-neoplastic lesions, such as stress reaction/stress fracture and indolent infectious processes, compound the differential diagnosis. Neoplastic juxtacortical lesions of bone have been classified into five categories: cartilaginous, fibrous, lipomatous, osseous, and metastatic tumors. Our goal in part one of this review is to illustrate the characteristic radiographic, CT and MR imaging features of various juxtacortical neoplasms, including pathognomonic imaging findings that can aid in diagnosis, and to develop an appropriate differential diagnosis for surface lesions based on imaging characteristics, lesion location and patient age.

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Chondromyxoid fibroma of the temporal bone

Liu

Yao

et al. 2020

Medicine

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Rationale: Chondromyxoid fibroma (CMF) is a rare form of benign bone tumor and easily misdiagnosed as fibrosarcoma. Hence, to explore the clinical manifestations, diagnostic tests, and therapeutic procedures for temporal bone cartilage myxoid fibroma, it is important to optimize patient treatment and avoid overtreatment. Previous research has discussed cases of CMF, but this paper presents a systematic, complete, and comprehensive introduction of this disease based on this case and related literature. Patient concerns: A 52-year-old male patient presented with pain in his right ear for 2 years and hearing loss in his right ear with tinnitus for 1 year. The patient had a history of hypertension for 9 years and it was well-controlled. Diagnosis: A computed tomography (CT) scan of the temporal bone showed an expansive growth on the right temporal bone plate and tympanic plate, presenting as a cloud-like ground glass opaque shadow involving the temporom and ibular joint, middle skull base, and small auditory bones. A magnetic resonance imaging (MRI) of the temporal bone showed a large and irregular soft tissue mass shadow on the right temporal bone plate. The right temporal bone plate was occupied by the lesion, consistent with a bone origin. From the results of the imaging examination of the patient, a lesion occupying the temporal bone in the right ear and mastoiditis in the right middle ear was initially diagnosed. Interventions: Right ear temporal bone tumor resection and abdominal fat extraction were conducted. Outcomes: Postoperative pathological results demonstrated myxoid fibroma of the temporal bone cartilage. No recurrence or severe complications were observed in 8 months of follow-up. Lessons: A finding of myxoid fibroma of the temporal bone cartilage is rare in the clinic. The growth of such tumors is slow. The temporal bone CT and inner ear MRI were helpful in diagnosis. Surgery was the principal treatment.

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Chondromyxoid Fibroma of Two Cervical Vertebrae with Involvement of Surrounding Soft Tissue: Radiologic Diagnostic Dilemma

Cited by 3 publications

References 13 publications

Chondromyxoid fibroma of the cervical spine: A case report

Chondromyxoid fibroma of the cervical spine: A case report

Peering beneath the surface: Juxtacortical tumors of bone (part I)

Chondromyxoid fibroma of the temporal bone

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