Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review

Abstract Background Mesenchymal chondrosarcoma (MCS) is an ultra-rare, high-grade subtype of chondrosarcoma affecting both bone and soft tissues. Extra-skeletal MCS rarely occurs in intra- and extradural regions. Case presentation We presented a case of intraspinal dumbbell-shaped MCS at the T12-L2...

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Main Authors: Meigui Chen, Qingquan Lai
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Neurology
Subjects:
Online Access:https://doi.org/10.1186/s12883-022-02645-x
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author Meigui Chen
Qingquan Lai
author_facet Meigui Chen
Qingquan Lai
author_sort Meigui Chen
collection DOAJ
description Abstract Background Mesenchymal chondrosarcoma (MCS) is an ultra-rare, high-grade subtype of chondrosarcoma affecting both bone and soft tissues. Extra-skeletal MCS rarely occurs in intra- and extradural regions. Case presentation We presented a case of intraspinal dumbbell-shaped MCS at the T12-L2 level with isolated punctate calcification in a 19-year-old male complaining of progressive lower back pain. Surgical treatment for removal of the tumor was performed. The postoperative pathological result confirmed MCS. The patient showed symptomatic improvement and follow-up MRI showed no evidence of recurrence or metastasis for nearly 1 year after surgery. Conclusions CT and MRI play an important role in differential diagnosis for intraspinal MCS. MCS should be added to the differential diagnosis of intraspinal dumbbell-shaped tumors, especially when radiological examinations reveal punctate calcification in a homogeneous enhanced tumor without dural tail sign. However, the final diagnosis depends on histopathological results. Despite the good prognosis of intraspinal MCS, close follow-up after operation is still necessary.
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spelling doaj.art-1dce1bbf436240c5b12e4873e6a5049e2022-12-21T23:32:28ZengBMCBMC Neurology1471-23772022-03-012211610.1186/s12883-022-02645-xPrimary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature reviewMeigui Chen0Qingquan Lai1Department of Radiology, The Second Affiliated Hospital of Fujian Medical UniversityDepartment of Radiology, The Second Affiliated Hospital of Fujian Medical UniversityAbstract Background Mesenchymal chondrosarcoma (MCS) is an ultra-rare, high-grade subtype of chondrosarcoma affecting both bone and soft tissues. Extra-skeletal MCS rarely occurs in intra- and extradural regions. Case presentation We presented a case of intraspinal dumbbell-shaped MCS at the T12-L2 level with isolated punctate calcification in a 19-year-old male complaining of progressive lower back pain. Surgical treatment for removal of the tumor was performed. The postoperative pathological result confirmed MCS. The patient showed symptomatic improvement and follow-up MRI showed no evidence of recurrence or metastasis for nearly 1 year after surgery. Conclusions CT and MRI play an important role in differential diagnosis for intraspinal MCS. MCS should be added to the differential diagnosis of intraspinal dumbbell-shaped tumors, especially when radiological examinations reveal punctate calcification in a homogeneous enhanced tumor without dural tail sign. However, the final diagnosis depends on histopathological results. Despite the good prognosis of intraspinal MCS, close follow-up after operation is still necessary.https://doi.org/10.1186/s12883-022-02645-xCase report, Mesenchymal chondrosarcoma, intra- and extraduralDumbbell-shapeCalcification
spellingShingle Meigui Chen
Qingquan Lai
Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
BMC Neurology
Case report, Mesenchymal chondrosarcoma, intra- and extradural
Dumbbell-shape
Calcification
title Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
title_full Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
title_fullStr Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
title_full_unstemmed Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
title_short Primary intra- and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification: case report and literature review
title_sort primary intra and extradural extramedullary mesenchymal chondrosarcoma with isolated punctate calcification case report and literature review
topic Case report, Mesenchymal chondrosarcoma, intra- and extradural
Dumbbell-shape
Calcification
url https://doi.org/10.1186/s12883-022-02645-x
work_keys_str_mv AT meiguichen primaryintraandextraduralextramedullarymesenchymalchondrosarcomawithisolatedpunctatecalcificationcasereportandliteraturereview
AT qingquanlai primaryintraandextraduralextramedullarymesenchymalchondrosarcomawithisolatedpunctatecalcificationcasereportandliteraturereview