Int Arch Otorhinolaryngol 2014; 18 - a2332
DOI: 10.1055/s-0034-1388915

Clival Chondrosarcoma: A Case Report

Rafael Leonardo Emerich Lentz Martins 1, João Ricardo Fonseca 1, Bruno Salgado Campos 1, Fernanda Tan Miyamura 1, Alexandre W. D. Felippu 1, Alexandre Felippu Neto 1
  • 1Instituto Felippu de Otorrinolaringologia

Introduction: The clival chondrosarcomas are a rare group of tumors whose origin is credited to the primitive mesenchymal cells of embryonic cartilage matrix portion of the cranium. They possessed characteristically aggressive and infiltrative profile. Currently, surgery is the treatment of choice for clival chondrosarcomas, but there is doubt about the option of surgery with radical resection or determine the oncological characteristics of the tumor and whether to opt for local control through a more limited approach.

Objectives: The study aims to report the case of a female patient (M. M. S. F.), 45-year-old, seen at the otorhinolaryngology department at Felippu Institute of Otolaryngology, Brazil, in March 2014.

Resumed Report: A female patient (M. M. S. F.), 45-year-old presented with progressive nasal obstruction for 2 years, making up the total of about 1 year. She reported progressive loss of vision in the right eye that began 2 months, and diplopia associated with the perception of exophthalmos. One month ago, the patient also started with contralateral loss of vision. In March 2014, she was referred to our team, having first medical appointment on March 14, 2014, with a complete loss of vision in the right eye.

Conclusion: The endonasal endoscopic surgical treatment is safe for removal of extensive lesions of the nasal cavity, proving to be a safe and minimally invasive with reduced postoperative morbidity alternative. In our case, after surgical treatment performed uneventfully, the patient proceeded without obstruction complaints and complete vision improvement after 1 month of postoperative evolution.