gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Chondromyxolipoma of the pterygopalatine fossa – A colibri among soft tissue tumours

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno109

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno109.shtml

Veröffentlicht: 8. August 2007

© 2007 Bartsch et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

There is a huge variety of soft tissue tumours. By combination of different kinds of tissues development of rare tumours is possible. Mesenchymal tumours consisting of lipoid, chondroid and myxoid tissue – chondromyxolipoma – are rarely described in literature.

We want to report on a case of an not yet described paraphayngeal chondromyxolipoma. In a 66-year-old woman without any symptoms a parapharyngeal tumour caudal of the base of the skull was detected by MRI scan. Clinically, a circumscribed, yellow swelling in front of the right auditive tube with intact mucosa was found. CT scan showed a circumscribed lesion of 2 x 3 x 3,5 cm in diameter in the right pterygopalatine fossa without signs of invasion. Density was similar to fat tissue. The tumour was supposed to be benign with fluid-like inner structures.

As the patient was free of symptoms and because of the difficult anatomic position a transcervical approach was chosen. Histology proved a benign mesenchymal mixed tumour formed of chondroid, myxoid and lipoid parts – a chondromyxolipoma.

Retrospectively, in this case a conservative resection of this not yet described tumour was possible despite difficult anatomic conditions and the dignity of the tumour could be defined.