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Query: UMLS:C0029463 (
osteosarcoma
)
16,637
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Classifying soft tissue tumors of the head and neck is often difficult for both surgeon and pathologist because of the potential similarities in appearance of metastatic lesions, epithelial tumors, lymphomas, and inflammatory processes. This paper discusses four unusual soft tissue tumors of the head and neck:
osteosarcoma
of the mandible, biphasic synovial cell sarcoma of the hypopharynx, soft part sarcoma of the maxillary sinus/alveolus, and adult rhabdomyoma of the larynx. Precise diagnosis of these lesions requires adequate tissue sampling, immunocytochemical staining, and electron microscopy. The clinical and pathological features of these tumors, as well as a practical approach to the diagnosis, is presented.
Ear
Nose
Throat J 1991 Oct
PMID:Diagnostic dilemmas in soft tissue tumors of the head and neck. 166 23
Chondrosarcoma of the skull base is a rare neoplasm. The most common presenting symptoms are hoarseness, dysphagia, and diplopia, which is associated with palsies of cranial nerves X, IX, and VI. The temporal bone is the most common site of tumor origin, followed by the sphenoid bone. These tumors must be differentiated from chordoma, chondroid chordoma,
osteogenic sarcoma
, enchondroma, and meningioma. Diagnosis is made by patient history, radiologic imaging, and biopsy. The treatment is surgical excision followed by radiation therapy. Five-year survival rates for grades I, II, and III are 90, 81, and 43%, respectively.
Ear
Nose
Throat J 1989 Aug
PMID:Extracranial skull base chondrosarcoma. 268 2
A 14-year-old girl developed a firm mass at the base of the tongue. Computed tomography indicated marked density suggesting either a foreign body or bony tissue. A thyroid scan confirmed the presence of a normally sized and positioned gland. The mass was removed in toto and found to be an osteoma. This is the first report of a case in which the diagnosis of this rare developmental lesion of the tongue was achieved preoperatively based on clinical and radiologic information. This experience should lead to greater awareness of this entity in the future. Recognition of this entity in the pediatric age group is especially useful in avoiding misdiagnosis of other, potentially more aggressive types of tongue mass lesions. Our case demonstrates that it is possible to detect this entity using computed tomography. The dense calcification is truly characteristic of the tumor and may be relied upon to exclude alternative soft tissue mass lesions. While other forms of osseous and cartilagenous neoplasms, such as extraskeletal
osteosarcoma
and chondrosarcoma, have been reported arising in the tongue, their malignant nature should otherwise be readily apparent. Osteoma of the tongue is the favored diagnosis when mature bone tissue is imaged at the base of the tongue.
Ear
Nose
Throat J 1997 Nov
PMID:Osteoma of the base of the tongue. 939 30
We conducted a retrospective case-series review to identify the various diagnoses of neoplasms of the nasal cavity and paranasal sinuses in a pediatric population. Our study group was made up of 54 children-23 boys and 31 girls, aged 8 months to 16 years (mean: 9 yr). All patients had been diagnosed with a tumor of the nasal cavity or paranasal sinuses between Jan. 1, 1955, and Dec. 31, 1999, at one of four university-based, tertiary care referral centers. We compiled data on tumoral characteristics (location, size, and histopathology), morbidity and mortality, and rates of recurrence. Lesions included adnexal neoplasm, ameloblastic fibro-odontoma, basal cell carcinoma, benign fibrous histiocytoma, blue nevus, chondrosarcoma, compound nevus, epithelioma adenoides cysticum, esthesioneuroblastoma, Ewing sarcoma, fibrosarcoma, giant cell granuloma, granulocytic sarcoma, hemangioma, hemangiopericytoma, Langerhans cell histiocytosis, lymphangioma, lymphoma, melanoma, neuroblastoma, neurofibroma, ossifying osteofibroma, osteochondroma,
osteosarcoma
, port wine stain, rhabdomyosarcoma, Spitz nevus, and xanthogranuloma. To the best of our knowledge, this is the largest such study of its kind to date. We believe that the large size of this study and the data on disease incidence will allow clinicians to be better informed of the differential diagnosis of neoplasms of the nasal cavity and paranasal sinuses in the pediatric population.
Ear
Nose
Throat J 2010 Nov
PMID:Differential diagnosis of pediatric tumors of the nasal cavity and paranasal sinuses: a 45-year multi-institutional review. 2108 77
Laryngeal
osteosarcoma
is an extremely rare disease. Only 23 cases have been published in the literature. Radiation-induced laryngeal
osteosarcoma
is even rarer; this is only the third such case to be reported. A 59-year-old man underwent radiotherapy for an in situ laryngeal squamous cell carcinoma at another institution. Five years later he developed a laryngeal
osteosarcoma
, and a total laryngectomy was performed. Although previous reports showed a poor prognosis, our patient was without disease at the 8-year follow-up. To the best of our knowledge, this is the longest disease-free follow-up to be reported in the literature. We also present a review of the world's literature.
Ear
Nose
Throat J 2012 Oct
PMID:Radiation-induced osteosarcoma of the larynx: case report and literature review. 2307 59
We describe the clinical presentation, management, and pathologic findings in a case of
osteosarcoma
of the petrous apex with an atypical metastasis to the lower abdominal wall. We retrospectively reviewed the record of a 49-year-old man who was diagnosed with a right petrous apex lesion, which biopsy identified as a high-grade osteoblastoma. After two attempts at en bloc resection were not curative, radiation and chemotherapy were recommended. The patient subsequently developed a cutaneous lower abdominal mass that was diagnosed as an
osteosarcoma
. Meanwhile, the petrous apex tumor continued to grow despite treatment until the patient died from the burden of disease. Temporal bone osteoblastomas and osteosarcomas are both extremely rare, and they can be difficult to differentiate histologically. Our case illustrates this difficulty and demonstrates the possibility of a high-grade osteoblastoma's malignant conversion to an
osteosarcoma
.
Ear
Nose
Throat J 2016 Jun
PMID:Malignant transformation of a high-grade osteoblastoma of the petrous apex with subcutaneous metastasis. 2730 42