Diagnosis of skull base chondrosarcoma and analysis on the causes of misdiagnosis
10.3760/cma.j.issn.1008-6315.2015.10.002
- VernacularTitle:颅底软骨肉瘤的诊断及误诊原因分析
- Author:
Sihui SUN
;
Qiang FU
;
Shaoshan LI
;
Qingjiu ZHOU
;
Xiaofeng ZHU
;
Bo LIU
;
Chen LIU
- Publication Type:Journal Article
- Keywords:
Chondrosarcoma;
Skull base;
Misdiagnosis cause
- From:
Clinical Medicine of China
2015;31(10):868-871
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and the causes of misdiagnosis of skull base chondrosarcoma.Methods The clinical data of 7 cases of skull base chondrosarcoma confirmed by pathology from April 2009 to February 2014 were analyzed retrospectively.Results Only 1 case of preoperative diagnosis was correct in 7 cases of skull base chondrosarcoma, other 6 cases were misdiagnosed, of which 2 cases were misdiagnosed as trigeminal schwannoma, 3 cases were misdiagnosed as chordoma, 1 case was misdiagnosed as meningioma,the misdiagnosis rate was 85.7%.Conclusion Chondrosarcoma of the skull base is rare, so clinicians are lack of knowledge, and non-characteristic clinical features and non-characteristic radiographic manifestations contribute to misdiagnosis.Strip calcification on CT and honeycomb reinforced on enhanced MRI existing at the same time,which prompts to diagnosis chondrosarcoma of the skull base.