We report a very rare case of a chondromyxoid fibroma of the mastoid portion of the temporal bone in a 38-year-old woman who presented with left-sided hearing loss. Magnetic resonance imaging identified an expansile mass in the left mastoid bone with a heterogeneous hyperintense signal on T2-weighted imaging and peripheral enhancement. Subsequent positron emission tomography/computed tomography identified erosive bony changes associated with hypermetabolism. The patient underwent an infra-temporal fossa resection with a suboccipital craniectomy/cranioplasty. We briefly review the aspects of this case, including a discussion of the differential diagnosis and the correlation between histologic and imaging findings.
References
1.
OttoBA, JacobA, KleinMJ, WellingDB.Chondromyxoid fibroma of the temporal bone: Case report and review of the literature. Ann Otol Rhinol Laryngol2007;116(12):922–7.
2.
GuptaS, Heman-AckahSE, HarrisJA, Chondromyxoid fibroma of the temporal bone. Otol Neurotol2012;33(8):e71–2.
3.
LeMayDR, SunJK, MendelE, Chondromyxoid fibroma of the temporal bone. Surg Neurol1997;48(2):148–52.
Lopez-BenR, SiegalGP, HadleyMN.Chondromyxoid fibroma of the cervical spine: Case report. Neurosurgery2002;50(2):409–11.
9.
WuismanP, ScheldH, TjanT, Chondromyxoid fibroma of the sternum. Case report. Arch Orthop Trauma Surg1993;112(5):255–6.
10.
SongDE, KhangSK, ChoKJ, KimDK.Chondromyxoid fibroma of the sternum. Ann Thorac Surg2003;75(6):1948–50.
11.
KitamuraK, NibuK, AsaiM, Chondromyxoid fibroma of the mastoid invading the occipital bone. Arch Otolaryngol Head Neck Surg1989;115(3):384–6.
12.
TarhanNC, YologluZ, TutarNU, Chondromyxoid fibroma of the temporal bone: CT and MRI findings. Eur Radiol2000;10(10):1678–80.
13.
FeuvretL, NoëlG, CalugaruV, Chondromyxoid fibroma of the skull base: Differential diagnosis and radiotherapy: Two case reports and a review of the literature. Acta Oncol2005;44(6):545–53.
14.
LatackJT, KartushJM, KeminkJL, Epidermoidomas of the cerebellopontine angle and temporal bone: CT and MR aspects. Radiology1985;157(2):361–6.
15.
RaoAB, KoellerKK, AdairCF.From the archives of the AFIP. Paragangliomas of the head and neck: Radiologic-pathologic correlation. Armed Forces Institute of Pathology. Radiographics1999;19(6):1605–32.
16.
KeelSB, BhanAK, LiebschNJ, RosenbergAE.Chondromyxoid fibroma of the skull base: A tumor which may be confused with chordoma and chondrosarcoma. A report of three cases and review of the literature. Am J Surg Pathol1997;21(5):577–82.
17.
ZillmerDA, DorfmanHD.Chondromyxoid fibroma of bone: Thirty-six cases with clinicopathologic correlation. Hum Pathol1989;20(10):952–64.
18.
DesaiSS, JambhekarNA, SamanthrayS, Chondromyxoid fibromas: A study of 10 cases. J Surg Oncol2005;89(1):28–31.
