Treatment of Massive Low-Grade Chondrosarcoma of Nasal Septum with Helical Tomotherapy: A Case Report

Autor: Okan özdemir, Ozan Kuduban, Sibel Karaca, Ozlem Eser Kιlιnc, Sare Şipal, Timur Koca, Hamit Basaran, Arzu Tatar, Fikriye Gul Karauc
Rok vydání: 2016
Předmět:
Zdroj: International Journal of Medical Physics, Clinical Engineering and Radiation Oncology. :263-269
ISSN: 2168-5444
2168-5436
DOI: 10.4236/ijmpcero.2016.54026
Popis: Chondrosarcomas are malignant bone tumors which develop as a cartilaginous differentiation of primary mesenchymal cells and the second most frequently seen malignant tumor of the bone after osteosarcoma. These malignancies are slowly growing non-epithelial tumors with unknown etiology and most frequently seen during the 4 decades of life. They are frequently localized on pelvis, ribs and long bones. Nasal septum CSs are very rarely seen malignancies. They originate from septal mucosa or cartilage and it is difficult to make a diagnosis unless they reach a certain size. A few cases of CSs with nasal septum have been reported in the literature. In cases of CSs, surgery is the gold standard treatment modality; however in surgically unresectable cases or close to margins, radiotherapy plays a significant role in primary and adjuvant treatment. Based on the position of the tumor in head and neck and extremely closeness of the tumor to vital organs as optic nerve, chiasm and brain, image guided-intensity modulated radiation therapy (IG-IMRT) becomes very effective and reliable modalities and may be a favorable treatment alternative.
Databáze: OpenAIRE