Management of Chondrosarcoma of the Mandible

Aim: The aim of this study is to present the clinicopathological characteristics of chondrosarcoma of the mandible. Material and Method: This retrospective study included patients diagnosed with chondrosarcoma of the mandible who underwent tumor excision with subsequent reconstruction. Results:...

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Main Authors: KRISHNAPPA R, RAHUL SHAH, ARSHAD ALI, JAYKUMAR PATEL
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2025-08-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
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Online Access:https://bjohns.in/journal23/index.php/bjohns/article/view/128
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author KRISHNAPPA R
RAHUL SHAH
ARSHAD ALI
JAYKUMAR PATEL
author_facet KRISHNAPPA R
RAHUL SHAH
ARSHAD ALI
JAYKUMAR PATEL
author_sort KRISHNAPPA R
collection DOAJ
description Aim: The aim of this study is to present the clinicopathological characteristics of chondrosarcoma of the mandible. Material and Method: This retrospective study included patients diagnosed with chondrosarcoma of the mandible who underwent tumor excision with subsequent reconstruction. Results: Three female patients, with a median age of 35 years, underwent wide local excision of mandibular chondrosarcoma followed by reconstruction. All patients presented with rapidly progressing painless facial swelling, and biopsy revealed neoplasms arranged in lobules composed of spindle cells exhibiting moderate cytoplasm, pleomorphic vesicular nuclei, and prominent nucleoli demonstrating moderate nuclear atypia. Central chondroid matrix containing atypical chondrocytes in lacunae was observed, along with a mitotic rate of 7-8/10 hpf, areas of necrosis, calcification, and Ki-67 positivity. Wide local excision of the primary tumor was performed in all cases, and none of the patients received radiotherapy. All patients were followed for at least one year, with no recurrence observed. Conclusion: Early detection followed by radical surgical resection remains pivotal for achieving a favorable prognosis in mandibular chondrosarcoma. Given the high risk of recurrence, diligent long-term follow-up is imperative.
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institution Kabale University
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language English
publishDate 2025-08-01
publisher The Association of Otolaryngologists of India, West Bengal
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series Bengal Journal of Otolaryngology and Head Neck Surgery
spelling doaj-art-c55d897cd1d14701948f2fe069b40e792025-08-26T08:45:22ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072025-08-0132310.47210/bjohns.2024.v32i3.128Management of Chondrosarcoma of the MandibleKRISHNAPPA R0RAHUL SHAH1ARSHAD ALI2JAYKUMAR PATEL3Kidwai Memorial Institute of Oncology, Dr. M. H. Marigowda Road, Bengaluru - 560029 The Gujarat Cancer & Research Institute, Civil Hospital Campus, Asarwa, Ahmedabad-380016. Gujarat, INDIAKidwai Memorial Institute of Oncology, Dr. M. H. Marigowda Road, Bengaluru - 560029Kidwai Memorial Institute of Oncology, Dr. M. H. Marigowda Road, Bengaluru - 560029 Aim: The aim of this study is to present the clinicopathological characteristics of chondrosarcoma of the mandible. Material and Method: This retrospective study included patients diagnosed with chondrosarcoma of the mandible who underwent tumor excision with subsequent reconstruction. Results: Three female patients, with a median age of 35 years, underwent wide local excision of mandibular chondrosarcoma followed by reconstruction. All patients presented with rapidly progressing painless facial swelling, and biopsy revealed neoplasms arranged in lobules composed of spindle cells exhibiting moderate cytoplasm, pleomorphic vesicular nuclei, and prominent nucleoli demonstrating moderate nuclear atypia. Central chondroid matrix containing atypical chondrocytes in lacunae was observed, along with a mitotic rate of 7-8/10 hpf, areas of necrosis, calcification, and Ki-67 positivity. Wide local excision of the primary tumor was performed in all cases, and none of the patients received radiotherapy. All patients were followed for at least one year, with no recurrence observed. Conclusion: Early detection followed by radical surgical resection remains pivotal for achieving a favorable prognosis in mandibular chondrosarcoma. Given the high risk of recurrence, diligent long-term follow-up is imperative. https://bjohns.in/journal23/index.php/bjohns/article/view/128Chondrosarcoma of mandible, Head and neck chondrosarcoma, Management of chondrosarcoma, Oral chondrosarcoma.
spellingShingle KRISHNAPPA R
RAHUL SHAH
ARSHAD ALI
JAYKUMAR PATEL
Management of Chondrosarcoma of the Mandible
Bengal Journal of Otolaryngology and Head Neck Surgery
Chondrosarcoma of mandible, Head and neck chondrosarcoma, Management of chondrosarcoma, Oral chondrosarcoma.
title Management of Chondrosarcoma of the Mandible
title_full Management of Chondrosarcoma of the Mandible
title_fullStr Management of Chondrosarcoma of the Mandible
title_full_unstemmed Management of Chondrosarcoma of the Mandible
title_short Management of Chondrosarcoma of the Mandible
title_sort management of chondrosarcoma of the mandible
topic Chondrosarcoma of mandible, Head and neck chondrosarcoma, Management of chondrosarcoma, Oral chondrosarcoma.
url https://bjohns.in/journal23/index.php/bjohns/article/view/128
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AT rahulshah managementofchondrosarcomaofthemandible
AT arshadali managementofchondrosarcomaofthemandible
AT jaykumarpatel managementofchondrosarcomaofthemandible