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Eur J Cardiothorac Surg 1998;14:520-522
© 1998 Elsevier Science NL

Case report

A case of giant chondrosarcoma of the cricoid cartilage presenting as a superior mediastinal tumour

Philippe Guillema, Henri Portea, Marie-Christine Copinb, Dominique Chevallierc

a Clinique Chirurgicale, Hôpital Albert Calmette, University Hospital, F-59037 Lille, France
b Service d'Anatomie Pathologique, Hôpital Albert Calmette, University Hospital, Lille, France
c Service d'Otorhinolaryngologie, Hôpital Huriez, University Hospital, Lille, France

Received 22 April 1998; received in revised form 6 July 1998; accepted 27 July 1998.

Corresponding author. Tel.: +33 3 20444559; fax: +33 3 20444890

We report the case of a 73-year-old man operated on for a symptomatic superior mediastinal mass which developed from the cricoid cartilage. Through cervicotomy and partial sternotomy, laryngeal subglottic resection allowed complete removal of the tumour. From pathological examination, a benign chondroma was initially diagnosed without any criterion of malignancy. However, subsequent review of the pathological slides showed the lesion to be a low grade chondrosarcoma with an epithelial quota of spindle cells, responsible for the patient's death. This case illustrates the need for resection of presumed cricoid cartilage chondromas because of their potential mediastinal development and associated malignancies.

Key Words: Mediastinum • Neoplasia • Chondrosarcoma • Cricoid cartilage






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Copyright © 1998 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.