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UNIVERSITY OF THE EAST
RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER
DEPARTMENT OF OTOLARYNGOLOGY
HEAD AND NECK SURGERY
TITLE
: Chondrosarcomaof the maxilla ( A case report)
AUTHORS : Tristan G. Custodio, MD; Rhodora LL. Ballestero, MD; Michael B. Pies, MD
Elmo R. Lago, Jr., MD; Alejandro P. Opulencia, MD; Teodoro P. Llamanzares, MD
INTRODUCTION: its etiology, histopathologic grading, management and
prognosis.
Chondrosarcoma is a neoplasm known for the
wide variability of its morphology and clinical course 2. to present the first reported case of chondroranging
from the locally aggressive type with no sarcoma managed thru a midfacial degloving provemetastatic
potential to the high grade malignancies dure at the UERMMMC.
with marked propensity to metastasize. Approximately,
10% of primary malignant tumors of bone are chon- CASE REPORT:
drosarcomas, comprising the second most common
form of bone cancer. Major sites of lesion usually D.M., 26 years old, female, single from Daraga,
occur in long bones of the upper and lower extremities Albay was admitted for the first time at the
as well as the pelvis. UERMMMC Department of Otolaryngology, Head
and Neck Surgery because of a left maxillary mass
Primary maxillary chondrosarcoma has been of 2 1/2 years duration.
reported in foreign literature. In 1950, Miles in a
review of literature accepted only s):_cases of maxillary One year PTA, she consulted a dentist in Albay
chondrosarcoma. Batsakis and Dito (1961), reported .who did tooth extraction and a tissue biopsy of the
ten cases of head and neck chondrosarcoma at the left gingival area. Histopath showed chondrosarcoma
Mayo Clinic from 1907 to March 1957, only two of of the maxilla. During this time she started complainthese
originated from the maxilla. Likewise, 1961 at ing of left sided headaches and pricking sensation of
the Walter Reed General Hospital three treated cases the left side of the face for which she was referred
were seen, thus bringing a total of 15 cases as of to the UERMMMC Department of Otolaryngology,
1961. Paddeson and Hanks (1971), after reviewing Head and Neck Surgery for further work-up and
the English literature disclosed only 16 reported cases, management.
In 1972, Alen et al. reported 18 cases of head and
neck chondrosarcoma, 10 of which were located in Pertinent physical examination showed a firm,
the maxilla.. Vener et al. (1984), had three documented non-tender, non-movable left maxillary mass approxicases
of maxillary chondrosarcoma at the UCLA Health mately 4x3.5 era. On anterior rhinoscopy the lateral
Services from 1960 to 1984. After reviewing some nasal wall was medially. A bulge at the left palatal
of the local journals, there has not been a single report area was noted. The rest of the ENT examination was
of chondrosarcoma of the maxilla and probably this unremarkable.
is the first reported case.
Radiologic examination of the paranasal sinuses
The objectives of the paper are : showed a soft tissue mass density on the left maxillary
sinus. Computerized tomography of the maxilla showed
1. to review some of the world literature on a large nonhomogenous mass with areas of relative
chondrosarcoma with regards to possible theories of hypodensity and calcification in the left maxillary
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