Skull Base Rep 2011; 1(2): 071-082
DOI: 10.1055/s-0031-1284217
© Thieme Medical Publishers

Chondroblastoma of the Temporal Bone: A Case Series, Review, and Suggested Management Strategy

Luke B. Reid1 , David S. Wong2 , Bernard Lyons2
  • 1Department of Otolaryngology Head and Neck Surgery, Bayside Health, Middle Park, Victoria
  • 2Department of Anatomical Pathology and Otolaryngology Head and Neck, St. Vincent's Hospital, Melbourne, Australia
Further Information

Publication History

Publication Date:
04 August 2011 (online)

ABSTRACT

Chondroblastoma of the temporal bone is a rare condition. Chondroblastomas account for less than 1% of primary bone tumors, and those involving the temporal bone represent a tiny fraction of these tumors with most arising from the knee, rib, and pelvis. We present a case series of two patients who presented with chondroblastomas of the temporal bone over a period of 8 years to the St. Vincent's Hospital in Melbourne, Victoria, Australia. In particular, we outline the presenting complaint, diagnostic imaging undertaken, and the importance of preoperative histopathology in coming to the diagnosis and subsequent resection undertaken. A review of the current literature is presented with a suggested management strategy for these tumors.

REFERENCES

  • 1 Kutz Jr J W, Verma S, Tan H T, Lo W W, Slattery III W H, Friedman R A. Surgical management of skull base chondroblastoma.  Laryngoscope. 2007;  117 (5) 848-853
  • 2 Cotran R, Kumar V, Robbins S. Robbins: Pathological Basis of Disease. 5th ed. Pennsylvania: WB Saunders Company; 1994
  • 3 Spahr J, Elzay R P, Kay S, Frable W J. Chondroblastoma of the temporomandibular joint arising from articular cartilage: a previously unreported presentation of an uncommon neoplasm. Spahr JElzay RPFrable WJ.  Oral Surg Oral Med Oral Pathol. 1982;  54 (4) 430-435
  • 4 Flowers C H, Rodriguez J, Naseem M, Reyes M M, Verano A S. MR of benign chondroblastoma of the temporal bone.  AJNR Am J Neuroradiol. 1995;  16 (2) 414-416
  • 5 Dran G, Niesar E, Vandenbos F, Noel G, Paquis P, Lonjon M. Chondroblastoma of the apex portion of petrousal bone.  Childs Nerv Syst. 2007;  23 (2) 231-235
  • 6 Selesnick S H, Levine J M. Chondroblastoma of the temporal bone: consistent middle fossa involvement.  Skull Base Surg. 1999;  9 (4) 301-305
  • 7 Kurokawa R, Uchida K, Kawase T. Surgical treatment of temporal bone chondroblastoma.  Surg Neurol. 2005;  63 (3) 265-268 discussion 268
  • 8 Granados R, Martín-Hita A, Rodríguez-Barbero J M, Murillo N. Fine-needle aspiration cytology of chondroblastoma of soft parts: case report and differential diagnosis with other soft tissue tumors.  Diagn Cytopathol. 2003;  28 (2) 76-81
  • 9 Cabrera R A, Almeida M, Mendonça M E, Frable W J. Diagnostic pitfalls in fine-needle aspiration cytology of temporomandibular chondroblastoma: report of two cases.  Diagn Cytopathol. 2006;  34 (6) 424-429
  • 10 Lin P P, Thenappan A, Deavers M T, Lewis V O, Yasko A W. Treatment and prognosis of chondroblastoma.  Clin Orthop Relat Res. 2005;  438 103-109
  • 11 Harner S G, Cody D T, Dahlin D C. Benign chondroblastoma of the temporal bone.  Otolaryngol Head Neck Surg. 1979;  87 (2) 229-236
  • 12 Anim J T, Baraka M E. Chondroblastoma of temporal bone: unusual histologic features.  Ann Otol Rhinol Laryngol. 1986;  95 (3 Pt 1) 260-263
  • 13 Ben Salem D, Allaoui M, Dumousset E et al.. Chondroblastoma of the temporal bone associated with a persistent hypoglossal artery.  Acta Neurochir (Wien). 2002;  144 (12) 1315-1318
  • 14 Bertoni F, Unni K K, Beabout J W, Harner S G, Dahlin D C. Chondroblastoma of the skull and facial bones.  Am J Clin Pathol. 1987;  88 (1) 1-9
  • 15 Bian L G, Sun Q F, Zhao W G, Shen J K, Tirakotai W, Bertalanffy H. Temporal bone chondroblastoma: a review.  Neuropathology. 2005;  25 (2) 159-164
  • 16 Blaauw G, Prick J J, Versteege C. Chondroblastoma of the temporal bone.  Neurosurgery. 1988;  22 (6 Pt 1) 1102-1107
  • 17 Cares H L, Terplan K. Chondroblastoma of the skull. Case report.  J Neurosurg. 1971;  35 (5) 614-618
  • 18 Dahlin D C, Ivins J C. Benign chondroblastoma. A study of 125 cases.  Cancer. 1972;  30 (2) 401-413
  • 19 Denko J V, Krauel L H. Benign chondroblastoma of bone; an unusual localization in temporal bone.  AMA Arch Pathol. 1955;  59 (6) 710-711
  • 20 Fares G, Aïdan P, Bouccara D, Molas G, Gomulinski L, Sterkers O. [Chondroblastoma of the temporal bone. Apropos of a case].  Ann Otolaryngol Chir Cervicofac. 1997;  114 (4) 130-133
  • 21 Feely M, Keohane C. Chondroblastoma of the temporal bone case report and literature review.  Ann Otol Rhinol Laryngol. 1992;  101 764-769
  • 22 Gaudet Jr E L, Nuss D W, Johnson Jr D H, Miranne Jr L S. Chondroblastoma of the temporal bone involving the temporomandibular joint, mandibular condyle, and middle cranial fossa: case report and review of the literature.  Cranio. 2004;  22 (2) 160-168
  • 23 Hirth R, Städtler F, Piepgras U. [An intracranial chondroblastoma].  Arch Psychiatr Nervenkr. 1972;  216 (4) 359-369
  • 24 Hong S M, Park Y K, Ro J Y. Chondroblastoma of the temporal bone: a clinicopathologic study of five cases.  J Korean Med Sci. 1999;  14 (5) 559-564
  • 25 Horn K L, Hankinson H, Nagel B, Erasmus M. Surgical management of chondroblastoma of the temporal bone.  Otolaryngol Head Neck Surg. 1990;  102 (3) 264-269
  • 26 Ishikawa E, Tsuboi K, Onizawa K et al.. Chondroblastoma of the temporal base with high mitotic activity.  Neurol Med Chir (Tokyo). 2002;  42 (11) 516-520
  • 27 Kobayashi Y, Murakami R, Toba M et al.. Chondroblastoma of the temporal bone.  Skeletal Radiol. 2001;  30 (12) 714-718
  • 28 Koerbel A, Loewenheim H, Beschorner R et al.. Surgical treatment and outcomes of temporal bone chondroblastoma.  Eur Arch Otorhinolaryngol. 2008;  265 1447-1454
  • 29 Leong H K, Chong P Y, Sinniah R. Temporal bone chondroblastoma: big and small.  J Laryngol Otol. 1994;  108 (12) 1115-1119
  • 30 Mizumatsu S, Sakai K, Nishimura T et al.. [Gamma knife radiosurgery for temporal bone chondroblastoma: case report].  No Shinkei Geka. 2008;  36 (1) 65-69
  • 31 Moon I S, Kim J, Lee H K, Lee W S. Surgical treatment and outcomes of temporal bone chondroblastoma.  Eur Arch Otorhinolaryngol. 2008;  265 (12) 1447-1454
  • 32 Moorthy R K, Daniel R T, Rajshekhar V, Chacko G. Skull base chondroblastoma: a case report.  Neurol India. 2002;  50 (4) 534-536
  • 33 Muntané A, Valls C, Angeles de Miquel M A, Pons L C. Chondroblastoma of the temporal bone: CT and MR appearance.  AJNR Am J Neuroradiol. 1993;  14 (1) 70-71
  • 34 Narita Y, Morimoto T, Nishikawa R et al.. [Chondroblastoma of the temporal bone—report of a case and a review of the literature of 54 cases].  No To Shinkei. 1992;  44 (2) 143-148
  • 35 Rodríguez Paramás A, Lendoiro Otero C, González García J A, Souviron Encabo R, Scola Yurrita B. [Temporal bone chondroblastoma. A clinical case and literature review].  Acta Otorrinolaringol Esp. 2006;  57 (7) 336-338
  • 36 Piepgras U, Hirth R, Städtler F, Kammerer V. Chondroblastoma of the temporal bone, an unusual cause of increasing intracranial pressure.  Neuroradiology. 1972;  4 (1) 25-29
  • 37 Politi M, Consolo U, Panziera G, Capelli P, Bonetti F. Chondroblastoma of the temporal bone. Case report.  J Craniomaxillofac Surg. 1991;  19 (7) 319-322
  • 38 Pontius A, Reder P, Ducic Y. Diagnostic pitfalls in fine needle aspiration cytology of temporomandibular chondroblastoma: report of two cases.  Diagn Cytopathol. 2006;  34 (6) 424-429
  • 39 Shimizu J, Kaito N, Akiba Y et al.. [Chondroblastoma of the temporal bone: a case report].  No Shinkei Geka. 1997;  25 (6) 555-559
  • 40 Spjut H J, Dorfmen H D, Fechner R E, Ackerman L V. Gamma Knife radiosurgery for temporal bone chondroblastoma: case report.  No Shinkei Geka. 2008;  36 (1) 65-69
  • 41 Tanohata K, Noda M, Katoh H et al.. Chondroblastoma of temporal bone.  Neuroradiology. 1986;  28 (4) 367-370
  • 42 Vandenberg H J, Coley B L. Chondroblastoma of the temporal bone: a case report.  No Shinkei Geka. 1950;  25 (6) 555-559
  • 43 Varvares M A, Cheney M L, Goodman M L, Ceisler E, Montgomery W W. Chondroblastoma of the temporal bone. Case report and literature review.  Ann Otol Rhinol Laryngol. 1992;  101 (9) 763-769
  • 44 Velizarov A, Lolova I, Hristov V. Rare localization of chondroblastoma.  Nauchni Tr Vissh Med Inst Sofiia. 1971;  50 (2) 39-46
  • 45 Watanabe N, Yoshida K, Shigemi H, Kurono Y, Mogi G. Temporal bone chondroblastoma.  Otolaryngol Head Neck Surg. 1999;  121 (3) 327-330
  • 46 Hong S M, Park Y K, Ro J Y. Primary tumors of the cranial bones, surgery.  Gynecol Obstet (Paris). 1950;  90 602-612

Luke B ReidM.B.B.S. (Hons) Dip.Surg.Anat. 

Advanced ENT Trainee, Bayside Health, 27 Wright Street

Middle Park, Victoria 3206

Email: drlukereid@hotmail.com

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