Abstract
Chondromyxoid fibroma (CMF) is a rare benign primary tumor which usually affects the metaphyses of the long bone of the lower extremities in childhood and young adults. Rarely, CMF occurs in the skull base and parasinuses, which may be difficult to distinguish from chondrosarcoma or chordoma and other tumors in the head. It is composed of chondroid, myxoid, and fibrous tissue growth in a lobular pattern, infrequently with calcifications. We report one case of CMF involving the sphenoid sinus mimicking a chondrosarcoma. The tumor mass showed calcifications on images and histology.
References
Jaffe HL, Lichtenstein L. Chondromyxoid fibroma of bone: a distinctive benign tumor likely to be mistaken especially for chondrosarcoma. Arch Pathol (Chic). 1948;45:541–51.
Dahlin DC. Chondromyxoid fibroma in bone tumors: general aspects and data on 6, 221 cases. Spring-field, IL: Charles C. Thomas; 1978. p. 57–70.
Gherlinzoni F, Rock M, Pucci P. Chondromyxoid fibroma: the experience at the Instituto Ortopedico Rizzoli. J Bone Joint Surg. 1983;65A:198–204.
Schajowicz F, Gallardo H, Argentina BA. Chondromyxoid fibroma (fibromyxoid chondroma) of bone: a clinico-pathologic study of 32 cases. J Bone Joint Surg. 1971;53:198–216.
Isenberg SF. Endoscopic removal of chondromyxoid fibroma of the ethmoid sinus. Am J Otolaryngol. 1995;16:205–8. doi:10.1016/0196-0709(95)90105-1.
Nazeer T, Ro JY, Varma DG, et al. Chondromyxoid fibroma of paranasal sinuses: report of two cases presenting with nasal obstruction. Skeletal Radiol. 1996;25:779–82. doi:10.1007/s002560050179.
Nielsen GP, Keel SB, Dickersin GR, et al. Chondromyxoid fibroma: a tumor showing myofibroblastic, myochondroblastic, and chondrocytic differentiation. Mod Pathol. 1999;12:514–7.
Baujat B, Attal P, Racy E, et al. Chondromyxoid fibroma of the nasal bone with extension into the frontal and ethmoidal sinuses: report of one cases and a review of the literature. Am J Otolaryngol. 2001;22:150–3. doi:10.1053/ajot.2001.22582.
Veras EFT, Santamaria IB, Luna MA. Sinonasal chondromyxoid fibroma. Ann Diagn Pathol. 2009;13:41–6. doi:10.1016/j.anndiagpath.2007.05.006.
Szmeja Z, Obrebowski A, Strzyzowski M, et al. Chondromyxofibroma ossificans of the ethmoid labyrinth in a child. Int J Ped Otorhin. 1981;3:151–6. doi:10.1016/0165-5876(81)90031-8.
Wu CT, Carrie YI, O’Laughlin S. Chondromyxoid fibroma of bone: a clinicopathologic review of 278 cases. Hum Pathol. 1998;29:438–46. doi:10.1016/S0046-8177(98)90058-2.
Azoein D, Sanchez-Aniceto G, Ballestin C, et al. Chondromyxoid fibroma of the frontal sinus. Br J Oral Maxillofac Surg. 2003;41:418–20. doi:10.1016/S0266-4356(03)00168-2.
Frank E, Deruaz JP, de Tribolet N. Chondromyxoid fibroma of the petrous-sphenoid junction. Surg Neurol. 1987;27:182–6. doi:10.1016/0090-3019(87)90293-X.
Keel SB, Bhan AK, Liebsch NJ, et al. Chondromyxoid fibroma of the skull base: a tumor which may be confused with chondroma and chondrosarcoma: a report of three cases and review of the literature. Am J Surg Pathol. 1997;21:577–82. doi:10.1097/00000478-199705000-00011.
Vernon SE, Casiano RR. Sphenoid sinus chondromyxoid fibroma mimicking a mucocele. Am J Otolaryngol. 2006;27:406–8. doi:10.1016/j.amjoto.2006.01.004.
Pinholt E, Eldeeb M, Waite D. Chondromyxoid fibroma. Int J Oral Maxillofac Surg. 1986;15:553–64.
Batsakis JG, Raymond AK. Pathology consultation: chondromyxoid fibroma. Ann Otol Rhinol Laryngol. 1989;98:571–2.
Karkuzhali P, Sethuraman C. Chondromyxoid fibroma of the parietal bone. Neuropathology. 2005;25:84–8. doi:10.1111/j.1440-1789.2004.00576.x.
Baker AC, Rezianu L, O’Laughlin S, et al. Juxtacortical chondromyxoid fibroma of bone: a unique variant. A case study of 20 patients. Am J Surg Pathol. 2007;31:1662–8. doi:10.1097/PAS.0b013e31806772ec.
Feldman F, Hecht HL, Johnston AD. Chondromyxoid fibroma of bone. Radiology. 1970;94:249–60.
Zillmer D, Dorfman H. Chondromyxoid fibroma of bone: thirty-six cases with clinicopathologic correlation. Hum Pathol. 1989;20:952–64. doi:10.1016/0046-8177(89)90267-0.
Yamaguchi T, Dorfman H. Radiographic and histologic patterns of calcification in chondromyxoid fibroma. Skeletal Radiol. 1998;27:559–64. doi:10.1007/s002560050437.
Safar A, Nelson M, Neff JR, et al. Recurrent anomalies of 6q25 in chondromyxoid fibroma. Hum Pathol. 2000;31:306–11. doi:10.1016/S0046-8177(00)80243-9.
Smith CA, Magenis RE, Himoe E, et al. Chondronmyxoid fibroma of the nasal cavity with an interstitial insertion between chromosome 6 and 19. Cancer Genet Cytogenet. 2006;171:97–100. doi:10.1016/j.cancergencyto.2006.05.018.
Rosenberg AE, Nielsen GP, Keel SB, et al. Chondrosarcoma of the base of the skull: a clinicopathologic study of 200 cases with emphasis of its distinction from chordoma. Am J Surg Pathol. 1999;23:1370–8. doi:10.1097/00000478-199911000-00007.
Shek TWH, Peh WCG, Leung G. Chondromyxoid fibroma of skull base: a tumour prone to local recurrence. J Laryngol Otol. 1999;113:380–5. doi:10.1017/S0022215100144044.
Acknowledgments
The authors thank Dr. Michael Klein from Hospital for Special Surgery and Dr. German Steiner from Hospital for Joint Disease, for their reviewing this case and providing their expertise to make the diagnosis.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Morris, L.G.T., Rihani, J., Lebowitz, R.A. et al. Chondromyxoid Fibroma of Sphenoid Sinus with Unusual Calcifications: Case Report with Literature Review. Head and Neck Pathol 3, 169–173 (2009). https://doi.org/10.1007/s12105-009-0121-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12105-009-0121-6