2. 60 YEARS, MALE
Right sided weakness followed by progressive drowsiness over 3 days
Past history of CHONDROSARCOMA in left 7th
Rib ----Excision 10 years
ago
On September,2014, he had left lower lobe of lung involvement-----
Resection of lower lobe with chest wall reconstruction was done.
On examination( at admission),
Haemodynamically stable
Drowsy ( E2M5V2), Pupil—equal and reacting both sides.
Right sided hemiparesis( grade 2)
CLINICAL PROFILE
13. LITERATURE REVIEW AND DISCUSSION
Primary intracranial chondro sarcoma constitutes only 0.16% of all intracranial
tumors. Primary Intracranial chondrosarcomas are of three variants: Classical,
mesenchymal and myxoid. Classical is graded as I, II, III.
Chondrosarcomas commonly arise from the skullbase. Extraskeletal
chondrosarcomas of dural origin are rare and only 53 cases have been
reported till date.
Primary intraparenchymal chondrosarcoma—only 4 cases reported
Brain Metastasis is exceedingly rare with only 12 reported cases.
Treatment with chemo- and radiotherapy has resulted
in poor results
Once BM is diagnosed, it is usually treated with excisional surgery
More recently, GKSRS has shown promise to be an
effective modality with long-term survival and improvement
in quality of life.
14. 1) Shweikeh F, Bukavina L, Saeed K, Sarkis R, Suneja
A, Sweiss F, Drazin D.
Brain metastasis in bone and soft tissue cancers:
a review of incidence, interventions, andoutcomes.
Sarcoma. 2014;2014:475175.
2) Krishnan SS, Panigrahi M, Varma D, Madigubba S.
Falcine and parasagittal intracranial chondrosarcomas of
the classical variant: Report of two cases with review of
literature. Neurol India 2011;59:451-4
3) Mishra S, Mishra RC, Subbarao KC, Sharma M C. Intraparenchymal
mesenchymal chondrosarcoma in an unusual location. Neurol India
2012;60:121-2
LITERATURE REVIEW