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Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

Chondrosarcoma in the mastoid is extremely rare, and it is easily misdiagnosed as a facial nerve schwannoma.

Objective

To identify and compare computed tomography (CT) and magnetic resonance imaging (MRI) features of chondrosarcoma in the mastoid involving the facial nerve, including diffusion-weighted MRI characteristics, with those of facial nerve schwannoma.

Methods

CT and MRI features of 11 chondrosarcomas in the mastoid involving the facial nerve and 15 facial nerve schwannomas, confirmed by histopathology, were retrospectively reviewed. The tumor location, size, morphological features, bone change, calcification, signal intensity, texture, enhancement characteristics, the extent of lesions, and apparent diffusion coefficients (ADCs) were evaluated.

Results

On CT imaging, calcification could be found in 81.8% of chondrosarcomas (9/11) and 33.3% of facial nerve schwannomas (5/15). Chondrosarcoma in the mastoid appeared significantly hyperintense on T2-weighted images (T2WI) with low signal intensity septa in eight patients (72.7%, 8/11). After contrast, all chondrosarcomas showed inhomogeneous enhancement, and septal and peripheral enhancement could be found in six cases (54.5%, 6/11). Facial nerve schwannoma demonstrated inhomogeneous hyperintensity on T2WI in 12 cases (80%, 12/15), with obvious hyperintense cystic changes in seven cases. There were significant differences in calcification (P=0.014), T2 signal intensity (P=0.006), and septal and peripheral enhancement (P=0.001) between chondrosarcomas and facial nerve schwannomas. The ADCs of chondrosarcoma were significantly higher than those of facial nerve schwannomas (P<0.001).

Conclusion

CT and MRI with ADCs had the potential to improve the diagnostic accuracy of chondrosarcoma in the mastoid involving the facial nerve.

© 2024 The Author(s). Published by Bentham Open.
© 2024 The Author(s). Published by Bentham Open. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2024-01-01
2024-11-23

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References

  1. EllisM.A. GerryD.R. ByrdJ.K. Head and neck chondrosarcomas: Analysis of the surveillance, epidemiology, and end results database.Head Neck20163891359136610.1002/hed.2443427042949
     [Google Scholar]
  2. KochB.B. KarnellL.H. HoffmanH.T. ApostolakisL.W. RobinsonR.A. ZhenW. MenckH.R. National cancer database report on chondrosarcoma of the head and neck.Head Neck200022440842510.1002/1097‑0347(200007)22:4<408::AID‑HED15>3.0.CO;2‑H10862026
     [Google Scholar]
  3. HongP. TaylorS.M. TritesJ.R. BullockM. NasserJ.G. HartR.D. Chondrosarcoma of the head and neck: Report of 11 cases and literature review.J. Otolaryngol. Head Neck Surg.200938227928519442379
     [Google Scholar]
  4. Coca-PelazA. RodrigoJ.P. TriantafyllouA. HuntJ.L. Fernández-MirandaJ.C. StrojanP. de BreeR. RinaldoA. TakesR.P. FerlitoA. Chondrosarcomas of the head and neck.Eur. Arch. Otorhinolaryngol.2014271102601260924213203
     [Google Scholar]
  5. LeeS.Y. LimY.C. SongM.H. SeokJ.Y. LeeW.S. ChoiE.C. Chondrosarcoma of the head and neck.Yonsei Med. J.200546222823210.3349/ymj.2005.46.2.22815861495
     [Google Scholar]
  6. Van GompelJ.J. JanusJ.R. Chordoma and chondrosarcoma.Otolaryngol. Clin. North Am.201548350151410.1016/j.otc.2015.02.00925863568
     [Google Scholar]
  7. TaoD. HoffmanM.R. ChenB. Temporal bone chondrosarcoma: Presentation of 4 cases and review of the literature.Ear Nose Throat J.2014931249450025531842
     [Google Scholar]
  8. LustigL.R. SciubbaJ. HollidayM.J. Chondrosarcomas of the skull base and temporal bone.J. Laryngol. Otol.2007121872573510.1017/S002221510700608117319989
     [Google Scholar]
  9. FrischC.D. InwardsC.Y. LalichI.J. CarterJ.M. NeffB.A. Atypical cartilaginous tumor/chondrosarcoma, grade 1, of the mastoid in three family members: A new entity.Laryngoscope20161269E310E31310.1002/lary.2580226667047
     [Google Scholar]
  10. ZhaoE.E. LiuY.F. OyerS.L. SmithM.T. McRackanT.R. Chondrosarcoma arising in the mastoid involving the intratemporal facial nerve.JAMA Otolaryngol. Head Neck Surg.2019145439239310.1001/jamaoto.2018.414930816921
     [Google Scholar]
  11. DriessenJ.P. van KempenP.M.W. van der HeijdenG.J. PhilippensM.E.P. PameijerF.A. StegemanI. TerhaardC.H.J. JanssenL.M. GrolmanW. Diffusion-weighted imaging in head and neck squamous cell carcinomas: A systematic review.Head Neck201537344044810.1002/hed.2357524347513
     [Google Scholar]
  12. GinatD.T. MR imaging of nasal and paranasal sinus malignant neoplasms.Magn. Reson. Imaging Clin. N. Am.2022301738010.1016/j.mric.2021.07.00334802582
     [Google Scholar]
  13. ImhofH. HenkC.B. DirisamerA. CzernyC. GstöttnerW. [CT and MRI characteristics of tumours of the temporal bone and the cerebello-pontine angle].Radiologe200343321922610.1007/s00117‑003‑0870‑212664237
     [Google Scholar]
  14. WangaryattawanichP. AgarwalM. RathT. Imaging features of cartilaginous tumors of the head and neck.J. Clin. Imaging Sci.2021116610.25259/JCIS_186_202134992942
     [Google Scholar]
  15. BabaA. KurokawaR. KurokawaM. OtaY. LoboR. SrinivasanA. Imaging features of laryngeal chondrosarcomas: A case series and systematic review.J. Neuroimaging202232221322210.1111/jon.1296335019171
     [Google Scholar]
  16. FanX. LiuZ. DingC. ChangZ. MaQ. The value of turbo spin-echo diffusion-weighted imaging apparent diffusion coefficient in the diagnosis of temporal bone cholesteatoma.Clin. Radiol.20197412977.e1977.e710.1016/j.crad.2019.08.01631563292
     [Google Scholar]
  17. OkadaK. ItoK. YamasobaT. IshiiM. IwasakiS. KagaK. Benign mass lesions deep inside the temporal bone: Imaging diagnosis for proper management.Acta Otolaryngol.2007127sup559717710.1080/0365523070159712718340574
     [Google Scholar]
  18. ZuoW. WangF. YangS. HanD. DaiP. ShenW. HouZ. HanW. Clinical characteristics of petrosal cholesteatoma and value of MRI-DWI in the diagnosis.Acta Otolaryngol.2020140428128510.1080/00016489.2019.170170731876216
     [Google Scholar]
  19. YagisawaM. IshitoyaJ. TsukudaM. SakagamiM. Chondrosarcoma of the temporal bone.Auris Nasus Larynx200734452753110.1016/j.anl.2007.03.00917490837
     [Google Scholar]
  20. RaghuM. MoumoulidisI. DeR. MoffatD. Chondrosarcomas of the temporal bone: Presentation and management.J. Laryngol. Otol.2004118755155510.1258/002221504161527215318964
     [Google Scholar]
  21. CarlsonM.L. O’ConnellB.P. BreenJ.T. WickC.C. DriscollC.L. HaynesD.S. ThompsonR.C. IsaacsonB. GidleyP.W. KutzJ.W.Jr Van GompelJ.J. WannaG.B. RazaS.M. DeMonteF. BarnettS.L. LinkM.J. Petroclival chondrosarcoma.Otol. Neurotol.201637794095010.1097/MAO.000000000000103727273403
     [Google Scholar]
  22. ZhangK. QuP. ZhangE. DaiC. ShuY. ChenB. Primary temporal bone chondrosarcoma: Experience with 10 cases.Acta Otolaryngol.20191391083784210.1080/00016489.2019.164122031373256
     [Google Scholar]
  23. AwadM. GogosA.J. KayeA.H. Skull base chondrosarcoma.J. Clin. Neurosci.2016241510.1016/j.jocn.2015.10.02926724847
     [Google Scholar]
  24. MurpheyM.D. WalkerE.A. WilsonA.J. KransdorfM.J. TempleH.T. GannonF.H. From the archives of the AFIP.Radiographics20032351245127810.1148/rg.23503513412975513
     [Google Scholar]
  25. FukudaA. de CastroO.D.L. FernandesJ.A. AmstaldenE.M.I. de SouzaQ.L. ReisF. Vertebral body chondrosarcoma with metastasis to the scalp.BJR Case Rep.2019512018003710.1259/bjrcr.2018003731131120
     [Google Scholar]
  26. KremenevskiN. SchlafferS.M. CorasR. KinfeT.M. GraillonT. BuchfelderM. Skull base chordomas and chondrosarcomas.Neuroendocrinology20201109-1083684710.1159/00050938632541136
     [Google Scholar]
  27. De BeuckeleerL.H.L. De SchepperA.M.A. RamonF. SomvilleJ. Magnetic resonance imaging of cartilaginous tumors: A retrospective study of 79 patients.Eur. J. Radiol.1995211344010.1016/0720‑048X(96)81067‑98654456
     [Google Scholar]
  28. GeirnaerdtM.J. BloemJ.L. EulderinkF. HogendoornP.C. TaminiauA.H. Cartilaginous tumors: Correlation of gadolinium-enhanced MR imaging and histopathologic findings.Radiology1993186381381710.1148/radiology.186.3.84301928430192
     [Google Scholar]
  29. SoldatosT. McCarthyE.F. AttarS. CarrinoJ.A. FayadL.M. Imaging features of chondrosarcoma.J. Comput. Assist. Tomogr.201135450451110.1097/RCT.0b013e31822048ff21765311
     [Google Scholar]
  30. DalaquaM. NascimentoF.B.P. MiuraL.K. GarciaM.R.T. Barbosa JuniorA.A. ReisF. Magnetic resonance imaging of the cranial nerves in infectious, neoplastic, and demyelinating diseases, as well as other inflammatory diseases: A pictorial essay.Radiol. Bras.2022551384610.1590/0100‑3984.2021.004235210663
     [Google Scholar]
  31. WippoldF.J.II LubnerM. PerrinR.J. LämmleM. PerryA. Neuropathology for the neuroradiologist: Antoni A and Antoni B tissue patterns.AJNR Am. J. Neuroradiol.20072891633163810.3174/ajnr.A068217893219
     [Google Scholar]
  32. LahlouG. NguyenY. RussoF.Y. FerraryE. SterkersO. BernardeschiD. Intratemporal facial nerve schwannoma: Clinical presentation and management.Eur. Arch. Otorhinolaryngol.2016273113497350410.1007/s00405‑015‑3850‑z26676873
     [Google Scholar]
  33. HayashidaY. HiraiT. YakushijiT. KatahiraK. ShimomuraO. ImutaM. NakauraT. UtsunomiyaD. AwaiK. YamashitaY. Evaluation of diffusion-weighted imaging for the differential diagnosis of poorly contrast-enhanced and T2-prolonged bone masses: Initial experience.J. Magn. Reson. Imaging200623337738210.1002/jmri.2051216475145
     [Google Scholar]
  34. YakushijiT. OkaK. SatoH. YorimitsuS. FujimotoT. YamashitaY. MizutaH. Characterization of chondroblastic osteosarcoma: Gadolinium-enhanced versus diffusion-weighted MR imaging.J. Magn. Reson. Imaging200929489590010.1002/jmri.2170319306430
     [Google Scholar]
  35. MüllerU. Kubik-HuchR.A. AresC. HugE.B. LöwR. ValavanisA. AhlhelmF.J. Is there a role for conventional MRI and MR diffusion-weighted imaging for distinction of skull base chordoma and chondrosarcoma?Acta Radiol.201657222523210.1177/028418511557415625722460
     [Google Scholar]
/content/journals/cmir/10.2174/1573405620666230328090514
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CT and MRI Features of Chondrosarcoma in the Mastoid Involving the Facial Nerve in Comparison to Facial Nerve Schwannoma
Curr. Med. Imaging 20, E280323215030 (2024); https://doi.org/10.2174/1573405620666230328090514
/content/journals/cmir/10.2174/1573405620666230328090514
/content/journals/cmir/10.2174/1573405620666230328090514
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  • Article Type:     Research Article
Keyword(s): Chondrosarcoma; Computed tomography; Diffusion-weighted imaging; Facial nerve schwannoma; Magnetic resonance imaging; Mastoid

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