Chondromyxoid Fibroma of the Ethmoid Sinus Complicated by a Brain Abscess: A Case Report and Literature Review.
- Author:
Kyu Yeoun WON
1
;
Juhie LEE
;
Youn Wha KIM
;
Eui Jong KIM
;
Sung Wan KIM
;
Yong Koo PARK
Author Information
1. Department of Pathology, Kyung Hee Medical Center, Kyung Hee University College of Medicine, Seoul, Korea. ykpark@khmc.or.kr
- Publication Type:Case Report
- Keywords:
Fibroma;
Ethmoid bone;
Brain abscess
- MeSH:
Adult;
Brain;
Brain Abscess;
Edema;
Ethmoid Bone;
Ethmoid Sinus;
Fibroma;
Frontal Lobe;
Frontal Sinus;
Humans;
Male
- From:Korean Journal of Pathology
2010;44(5):547-550
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chondromyxoid fibroma (CMF) is a relatively rare bone tumor that was first described by Jaffe and Lichtenstein in 1948. CMF of the sinonasal tract is very rare. A 28-year-old male presented with long-standing, intermittent, pulsatile pain in the right temporal area. A computed tomography scan showed a 20 x 19 mm round, bony density in the right ethmoid sinus with fluid collection in the ethmoid and frontal sinuses. Additionally, a cystic lesion with surrounding edema was found in the right frontal lobe. The patient underwent a partial ethmoidectomy and frontostomy. A histological examination showed polygonal and stellate cells in a myxoid and chondroid background with a pattern of lobulation and plaque-like calcification. The bone lesion was revealed as a CMF of the ethmoidal sinus, and the frontal lobe cystic lesion was a brain abscess associated with the CMF. We present the case of a CMF of the ethmoid sinus complicated by a brain abscess.