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Japanese Journal of Clinical Oncology 2008 38(8):577; doi:10.1093/jjco/hyn084
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© The Author (2008). Published by Oxford University Press. All rights reserved

A Case of Chondrosarcoma of the Nasal Septum

Takayuki Ono and Masao Asai

Head and Neck Surgery Division,
National Cancer Center Hospital,
Tokyo, Japan

A 54-year-old man suffered from bilateral nasal obstruction for 4 years and nasal lump for 1 year. He was referred to our hospital for further evaluation and treatment of a cartilage tumor of the nasal septum. The preoperative pathological diagnosis was chondrosarcoma of the nasal septum. Computed tomography showed a large low-density mass with amorphous calcification at the nasal septum, eroding the right maxillary sinus, the right ethmoid sinus and the hard palate (Figs 1 and 2). He underwent subtotal bilateral palato-maxillectomy and reconstruction of palatal and maxillary defects using a free fibula osteocutaneous flap. The pathological diagnosis of the resected specimens was chondrosarcoma, Grade 2, of the nasal septum, with negative surgical margins. However, he developed a local recurrence 15 months after the primary surgery and underwent surgical resection of the recurrent tumor.


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This Article
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