Download PDF
CC BY-NC-ND 4.0 · J Neurol Surg Rep 2017; 78(02): e77-e80
DOI: 10.1055/s-0037-1601876
Case Report
Georg Thieme Verlag KG Stuttgart • New York

Unique Image Characteristics of an Occipital Primary Chondroblastic Osteosarcoma: A Rare Case Report and a Brief Literature Review

Xin He
1   Department of Radiology, the First Affiliated Hospital of Jilin University, Changchun, China
,
Tingting Yuan
1   Department of Radiology, the First Affiliated Hospital of Jilin University, Changchun, China
,
Yuzhu Yan
1   Department of Radiology, the First Affiliated Hospital of Jilin University, Changchun, China
,
Jinlu Yu
2   Department of Neurosurgery, the First Affiliated Hospital of Jilin University, Changchun, China
,
Dan Tong
1   Department of Radiology, the First Affiliated Hospital of Jilin University, Changchun, China
› Author Affiliations
Further Information

Publication History

15 November 2016

04 March 2017

Publication Date:
13 April 2017 (online)

   Permissions and Reprints

Abstract

Primary osteosarcomas of the skull and skull base are rare and comprise < 2% of all skull tumors. In head and neck osteosarcomas, the chondroblastic subtype occurs most frequently, which has an exceedingly poor outcome, but its image characteristic remains unknown. Herein, we report a case in the right occipital bone of the skull base and the unique characteristics of image. Pathologic examination of the surgical specimens led to the diagnosis of chondroblastic osteosarcomas. We believe those image characteristics can improve the understanding of skull chondroblastic osteosarcoma and the preoperative diagnosis.

Keywords

chondroblastic osteosarcoma - occipital bone - skull base - computed tomography - magnetic resonance imaging
 

  • References

  • 1 Murphey MD, Robbin MR, McRae GA, Flemming DJ, Temple HT, Kransdorf MJ. The many faces of osteosarcoma. Radiographics 1997; 17 (05) 1205-1231
    CrossrefPubMedGoogle Scholar
  • 2 Meel R, Thulkar S, Sharma MC. , et al. Childhood osteosarcoma of greater wing of sphenoid: case report and review of literature. J Pediatr Hematol Oncol 2012; 34 (02) e59-e62
    CrossrefPubMedGoogle Scholar
  • 3 Mathkour M, Garces J, Beard B, Bartholomew A, Sulaiman OA, Ware ML. Primary high-grade osteosarcoma of the clivus: a case report and literature review. World Neurosurg 2016; 89: 730.e9-730.e13
    CrossrefPubMedGoogle Scholar
  • 4 Hayashi T, Kuroshima Y, Yoshida K, Kawase T, Ikeda E, Mukai M. Primary osteosarcoma of the sphenoid bone with extensive periosteal extension—case report. Neurol Med Chir (Tokyo) 2000; 40 (08) 419-422
    CrossrefPubMedGoogle Scholar
  • 5 Hadley C, Gressot LV, Patel AJ. , et al. Osteosarcoma of the cranial vault and skull base in pediatric patients. J Neurosurg Pediatr 2014; 13 (04) 380-387
    CrossrefPubMedGoogle Scholar
  • 6 Ha PK, Eisele DW, Frassica FJ, Zahurak ML, McCarthy EF. Osteosarcoma of the head and neck: a review of the Johns Hopkins experience. Laryngoscope 1999; 109 (06) 964-969
    CrossrefPubMedGoogle Scholar
  • 7 White VA, Fanning CV, Ayala AG, Raymond AK, Carrasco CH, Murray JA. Osteosarcoma and the role of fine-needle aspiration. A study of 51 cases. Cancer 1988; 62 (06) 1238-1246
    CrossrefPubMedGoogle Scholar
  • 8 Daw NC, Mahmoud HH, Meyer WH. , et al; Jude Children's Research Hospital Experience. Bone sarcomas of the head and neck in children: the St Jude Children's Research Hospital experience. Cancer 2000; 88 (09) 2172-2180
    CrossrefPubMedGoogle Scholar
  • 9 Yarmish G, Klein MJ, Landa J, Lefkowitz RA, Hwang S. Imaging characteristics of primary osteosarcoma: nonconventional subtypes. Radiographics 2010; 30 (06) 1653-1672
    CrossrefPubMedGoogle Scholar
  • 10 Haque F, Fazal ST, Ahmad SA, Abbas SZ, Naseem S. Primary osteosarcoma of the skull. Australas Radiol 2006; 50 (01) 63-65
    CrossrefPubMedGoogle Scholar
  • 11 Chennupati SK, Norris R, Dunham B, Kazahaya K. Osteosarcoma of the skull base: case report and review of literature. Int J Pediatr Otorhinolaryngol 2008; 72 (01) 115-119
    CrossrefPubMedGoogle Scholar
  • 12 Chen Y, Shen Q, Gokavarapu S. , et al. Osteosarcoma of head and neck: a retrospective study on prognostic factors from a single institute database. Oral Oncol 2016; 58: 1-7
    CrossrefPubMedGoogle Scholar
  • 13 Gadwal SR, Gannon FH, Fanburg-Smith JC, Becoskie EM, Thompson LD. Primary osteosarcoma of the head and neck in pediatric patients: a clinicopathologic study of 22 cases with a review of the literature. Cancer 2001; 91 (03) 598-605
    CrossrefPubMedGoogle Scholar
  • 14 van den Berg H, Merks JH. Incidence and grading of cranio-facial osteosarcomas. Int J Oral Maxillofac Surg 2014; 43 (01) 7-12
    CrossrefPubMedGoogle Scholar
  • 15 Gangadhar K, Santhosh D. Radiopathological evaluation of primary malignant skull tumors: a review. Clin Neurol Neurosurg 2012; 114 (07) 833-839
    CrossrefPubMedGoogle Scholar
  • 16 Yamada SM, Ishii Y, Yamada S, Kuribayashi S, Kumita S, Matsuno A. Advanced therapeutic strategy for radiation-induced osteosarcoma in the skull base: a case report and review. Radiat Oncol 2012; 7 (01) 136
    CrossrefPubMedGoogle Scholar
  • 17 Lee YY, Van Tassel P, Nauert C, Raymond AK, Edeiken J. Craniofacial osteosarcomas: plain film, CT, and MR findings in 46 cases. AJR Am J Roentgenol 1988; 150 (06) 1397-1402
    CrossrefPubMedGoogle Scholar
  • 18 Adwani D, Bhattacharya A, Adwani N, Adwani R, Sharma VW. Massive recurrent chondroblastic osteosarcoma of maxilla: a rare case report. J Clin Diagn Res 2014; 8 (01) 288-290
    PubMedGoogle Scholar
  • 19 Fox MG, Trotta BM. Osteosarcoma: review of the various types with emphasis on recent advancements in imaging. Semin Musculoskelet Radiol 2013; 17 (02) 123-136
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Bose B. Primary osteogenic sarcoma of the skull. Surg Neurol 2002; 58 (3-4): 234-239 , discussion 239–240
    CrossrefPubMedGoogle Scholar
  • 21 Geirnaerdt MJ, Bloem JL, van der Woude HJ, Taminiau AH, Nooy MA, Hogendoorn PC. Chondroblastic osteosarcoma: characterisation by gadolinium-enhanced MR imaging correlated with histopathology. Skeletal Radiol 1998; 27 (03) 145-153
    CrossrefPubMedGoogle Scholar
  • 22 Yen CH, Chang CY, Teng MM. , et al. Different and identical features of chondroblastic osteosarcoma and chondrosarcoma: highlights on radiography and magnetic resonance imaging. J Chin Med Assoc 2009; 72 (02) 76-82
    CrossrefPubMedGoogle Scholar
  • 23 Yakushiji T, Oka K, Sato H. , et al. Characterization of chondroblastic osteosarcoma: gadolinium-enhanced versus diffusion-weighted MR imaging. J Magn Reson Imaging 2009; 29 (04) 895-900
    CrossrefPubMedGoogle Scholar
  • 24 Gupta N, Rajwanshi A, Gupta P, Vaiphei K, Gupta AK. Chondroblastic osteosarcoma of the temporal region: a diagnostic dilemma. Diagn Cytopathol 2011; 39 (05) 377-379
    CrossrefPubMedGoogle Scholar