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Medicine (Baltimore) ; 96(47): e8684, 2017 Nov.
Article in English | MEDLINE | ID: mdl-29381948

ABSTRACT

RATIONALE: Extraskeletal myxoid chondrosarcoma (EMC) is a rare malignant neoplasm of which intracranial EMC is the rarest. PATIENT CONCERNS: We present an unusual case report of a 41-year-old woman who was sent to the emergency department for a sudden headache and other symptoms related to increased intracranial pressure. INTERVENTIONS: Emergent CT revealed an occupying lesion in the left cerebellum with surrounding edema. A complete surgical excision of the lesion through a transcortical approach was performed. After the operation, this patient received adjuvant radiotherapy and temozolomide treatment. DIAGNOSES: Pathology diagnosis was an intracranial EMC. OUTCOMES: The patient survives with no tumor recurrence as of the last follow-up. Progression-free survival exceeded 20 months. LESSONS: We have reviewed the literature and here summarize the diagnosis and treatment options for intracranial EMC. Diagnosis and treatment options of this rare disease are discussed.


Subject(s)
Cerebellar Neoplasms , Cerebellum , Chondrosarcoma , Dacarbazine/analogs & derivatives , Neoplasms, Connective and Soft Tissue , Neurosurgical Procedures/methods , Adult , Antineoplastic Agents, Alkylating/administration & dosage , Cerebellar Neoplasms/complications , Cerebellar Neoplasms/pathology , Cerebellar Neoplasms/physiopathology , Cerebellar Neoplasms/surgery , Cerebellum/diagnostic imaging , Cerebellum/surgery , Chemoradiotherapy, Adjuvant/methods , Chondrosarcoma/complications , Chondrosarcoma/pathology , Chondrosarcoma/physiopathology , Chondrosarcoma/surgery , Dacarbazine/administration & dosage , Female , Humans , Intracranial Hypertension/diagnosis , Intracranial Hypertension/etiology , Neoplasms, Connective and Soft Tissue/complications , Neoplasms, Connective and Soft Tissue/pathology , Neoplasms, Connective and Soft Tissue/physiopathology , Neoplasms, Connective and Soft Tissue/surgery , Temozolomide , Tomography, X-Ray Computed/methods , Treatment Outcome
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