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Chondroblastoma of the apex portion of petrousal bone

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Abstract

Background

Skull chondroblastoma is extremely rare. We described in this study the first case of petrousal bone apex chondroblastoma.

Methods

The tumor occurred in a 12-year-old girl and was revealed by left hypoacusis, vertigo, and walking instability. Computerized tomography scan depicted well-demarcated and osteolytic lesion of the left petrousal bone just before the internal acoustic meatus. The tumor was operated on by a subtemporal approach with a subtotal resection. Lesion recurred and was operated a second time by a combined approach subtemporal and translabyrinthine. This treatment was completed by radiotherapy. We used a combination of photon therapy and proton therapy. Outcome was good and free of recurrence 36 months after the second operation.

Conclusion

Proton therapy can be particularly useful for skull base tumors frequently radioresistant and near very important structures. This case is the first one of a successful treatment by proton therapy for chondroblastoma recurrence.

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Authors and Affiliations

  1. Department of Neurosurgery, Gui de Chauliac Hospital, 2 av Emile Bertin Sans, 34000, Montpellier, France

    Grégory Dran

  2. Department of Neurosurgery, Pasteur Hospital, 30 Voie Romaine, 06000, Nice, France

    Eric Niesar, Philippe Paquis & Michel Lonjon

  3. Department of Pathology, Pasteur Hospital, 30 Voie Romaine, 06000, Nice, France

    Fanny Vandenbos

  4. Department of Radiotherapy, Paul Strauss Center, BP42, 67065, Strasbourg Cedex, France

    Georges Noel

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  1. Grégory Dran
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  2. Eric Niesar
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  3. Fanny Vandenbos
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  4. Georges Noel
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  5. Philippe Paquis
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  6. Michel Lonjon
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Correspondence to Grégory Dran.

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Dran, G., Niesar, E., Vandenbos, F. et al. Chondroblastoma of the apex portion of petrousal bone. Childs Nerv Syst 23, 231–235 (2007). https://doi.org/10.1007/s00381-006-0201-9

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  • DOI: https://doi.org/10.1007/s00381-006-0201-9

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