Suprasellar Benign Chondroma: A Case Report and Literature Review

Abstract

Intracranial chondroma is a rare benign tumor comprising only 0.2% of all intracranial tumors. A 27-year-old woman presented with visual dysfunction and headache. Brain computed tomography and magnetic resonance imaging revealed a suprasellar mass lesion with a calcified component. Gross total removal was achieved via a basal interhemispheric approach. Postoperatively, visual function improved to the normal range, and no recurrence was evident 4 years later. Histopathological examination confirmed the diagnosis of benign chondroma. Preoperative differentiation of chondromas from chordomas is clinically important, because of the different treatment and prognostic implications. The only effective treatment for chondroma is total surgical removal. We present a case of gross total resection of a suprasellar chondroma with reference to the literature.

Condroma Gigante da Região Parieto-Occipital: relato de caso e revisão de literatura

“…Podemos associar a fraqueza em membros inferiores, da paciente de nosso caso, ao fato de que seu tumor se encontrava em região parietooccipital esquerda. A cefaleia localizada e as náuseas e vômitos seriam advindos do próprio efeito de massa 2,4 .…”

“…Normalmente, estas neoplasias se apresentam como lesões metafisárias solitárias dos ossos tubulares das mãos e dos pés 1 . Contudo, mais raramente, podem se manifestar com localização intracraniana, correspondendo a apenas 0,2 a 0,3% de todos os tumores intracranianos 2 .…”

Surgical Strategies and Outcomes for Intracranial Chondromas: A Retrospective Study of 17 Cases and Systematic Review

“…With the development of endoscopic equipment and various extended endoscopic approaches, as well as the accumulation of experience for neurosurgeons, endoscopic resection of sellar and parasellar tumors has made great progress. When different craniotomy approaches were used for chondromas excision in the anterior, middle, and posterior cranial fossa ( 12 , 31 ), there were also a few retrospective reports about endoscopic tumor resection for chondromas in the sellar or parasellar region ( 32 ). When the tumor is located in convexity or intraparenchymal, craniotomy is implemented under the microscope.…”