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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(01): 68-71
DOI: 10.4103/1793-5482.181116
Case Report

Falcine myxoid chondrosarcoma: A rare aggressive case

Authors

  • Akin Akakin

    Department of Neurosurgery, Bahçesehir University Medical Faculty, Istanbul

  • Kamran Urgun

    1   Department of Neurosurgery, Şişli Hamidiye Etfal Education and Research Hospital, Istanbul

  • Murat Ekşi

    2   Department of Orthopedic Surgery, Spine Center, University of California at San Francisco, San Francisco, California

  • Baran Yılmaz

    Department of Neurosurgery, Bahçesehir University Medical Faculty, Istanbul

  • Özlem Yapıcıer

    3   Department of Pathology, Bahçesehir University Medical Faculty, Istanbul

  • Mert Mestanoğlu

    4   Department of Medical Student, Bahçesehir University Medical Faculty, Istanbul

  • Zafer Toktaş

    Department of Neurosurgery, Bahçesehir University Medical Faculty, Istanbul

  • Mustafa Demir

    5   Department of Radiology, Bahçesehir University Medical Faculty, Istanbul

  • Türker Kılı

    Department of Neurosurgery, Bahçesehir University Medical Faculty, Istanbul
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Chondrosarcoma is the second most common primary malignancy of bone after osteosarcoma. Cranial primary chondrosarcomas mostly originate from the skull base cartilage formation zones. Parasagittal falcine origin is very rare for primary extra-skeletal intracranial chondrosarcomas. We report a rare case of primary myxoid chondrosarcoma at falx cerebri. The patient was a 35-year-old lady with right arm and leg weakness. Her brain magnetic resonance imaging depicted a left parasagittal mass lesion attached to the falx cerebri. En bloc resection via left frontal craniotomy was performed. Three more local recurrences occurred in 9 months' time since the index surgery, which were all managed with re-surgeries and/or adjuvant stereotactic radiosurgeries. This is the second case of myxoid type parasagittal chondrosarcoma but with the most protracted disease course. Even though surgery remains the mainstay of treatment for parasagittal chondrosarcomas, adjuvant therapy might be necessary in aggressive ones.

Key-words:

Chondrosarcoma - falx - surgery - stereotactic radiosurgery


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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