Condrossarcoma da base do crânio descoberto incidentalmente através de Síndrome de Maffucci
Conteúdo do artigo principal
Resumo
Introdução: A Síndrome de Maffucci (SM) é uma displasia mesodérmica não hereditária congênita associada a malformações venosas cutâneas com discondroplasia.
Objetivo: revisar a síndrome de MAffucci e apresentar um caso no qual o condrossarcoma assintomático da base do crânio foi diagnosticado como achado casual e tratado.
Resultados: Caracteriza-se por ser uma enfermidade rara com menos de 200 casos descritos pela literatura, não havendo estatísticas sobre sua epidemiologia e prevalência. A Síndrome de Maffucci tem como principal diagnóstico diferencial a Síndrome de Ollier. Outras patologias também devem ser pensadas diante do quadro apresentado, como o sarcoma de kaposi, síndrome de Klippel-Trenaunay-Weber,síndrome de Proteus e doença de Gorham.
Conclusão: deve-se ter alto grau de suspeita de lesões da base do crânio em pacientes com síndrome de maffucci.
Detalhes do artigo
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Referências
Ahmed AR, Tan TS, Unni KK, Collins MS, Wenger DE, Sim FH. Secondary chondrosarcoma in osteochondroma: report of 107 patients. Clin Orthop Relat Res. 2003;(411):193-206. Doi: 10.1097/01.blo.0000069888.31220.2b
Ahmed SK, Lee WC, Irving RM, Walsh AR. Is Ollier’s disease an understaging of Maffucci’s syndrome? J Laryngol Otol. 1999;113(9):861-4. Doi: 10.1017/s0022215100145438
Altay M, Bayrakci K, Yildiz Y, Erekul S, Saglik Y. Secondary chondrosarcoma in cartilage bone tumors: report of 32 patients. J Orthop Sci. 2007;12(5):415-23. Doi: 10.1007/s00776-007-1152-z
Angelini A, Guerra G, Mavrogenis AF, Pala E, Picci P, Ruggieri P. Clinical outcome of central conventional chondrosarcoma: Central Conventional Chondrosarcoma. J Surg Oncol. 2012;106(8):929-37. Doi: 10.1002/jso.23173
Chow WA. Chondrosarcoma: biology, genetics, and epigenetics. F1000Res. 2018;7:1826.Doi: 10.12688/f1000research.15953.1
Jain V, Oliveira I, Chavda A, Khoo M, Saifuddin A. MRI differentiation of low-grade and high-grade chondrosarcoma of the shoulder girdle, chest wall and pelvis: a pictorial review based on 111 consecutive cases. Br J Radiol. 2021;94(1126):20201404. Doi: 10.1259/bjr.20201404
Austin-Seymour M, Munzenrider J, Goitein M, Verhey L, Urie M, Gentry R, et al. Fractionated proton radiation therapy of chordoma and low-grade chondrosarcoma of the base of the skull. J Neurosurg. 1989;70(1):13-7. Doi: 10.3171/jns.1989.70.1.0013
Auyeung J, Mohanty K, Tayton K. Maffucci lymphangioma syndrome: an unusual variant of Ollier’s disease, a case report and a review of the literature. J Pediatr Orthop B. 2003;12(2):147-50. Doi: 10.1097/01.bpb.0000049563.52224.ef
Bertucci V, Krafchik BR. What syndrome is this? Ollier disease + vascular lesions: Maffucci syndrome. Pediatr Dermatol. 1995;12(1):55-8. Doi: 10.1111/j.1525-1470.1995.tb00127.x
Bovee JV, Cleton-Jansen AM, Wuyts W, Caethoven G, Taminiau AH, Bakker E, et al. EXT-mutation analysis and loss of heterozygosity in sporadic and hereditary osteochondromas and secondary chondrosarcomas. Am J Hum Genet. 1999;65(3):689-98. Doi: 10.1086/302532
Leddy LR, Holmes RE. Chondrosarcoma of bone. Cancer Treat Res. 2014;162:117-30. Doi: 10.1007/978-3-319-07323-1_6
Crockard HA, Cheeseman A, Steel T, Revesz T, Holton JL, Plowman N, et al. A multidisciplinary team approach to skull base chondrosarcomas. J Neurosurg. 2001;95(2):184-9. Doi: 10.3171/jns.2001.95.2.0184
Dini LI, Isolan GR, Saraiva GA, Dini SA, Gallo P. Maffucci’s syndrome complicated by intracranial chondrosarcoma: two new illustrative cases. Arq Neuropsiquiatr. 2007;65(3B):816-21. Doi: https://doi.org/10.1590/S0004-282X2007000500016
Evans HL, Ayala AG, Romsdahl MM. Prognostic factors in chondrosarcoma of bone: a clinicopathologic analysis with emphasis on histologic grading. Cancer. 1977;40(2):818-31. Doi: 10.1002/1097-0142(197708)40:2<818::aid-cncr2820400234>3.0.co;2-b
Feldman F, Heertum RV, Saxena C, Parisien M. 18FDG-PET applications for cartilage neoplasms. Skeletal Radiol. 2005;34(7):367-74. Doi: 10.1007/s00256-005-0894-y
Mavrogenis AF, Gambarotti M, Angelini A, Palmerini E, Staals EL, Ruggieri P, et al. Chondrosarcomas revisited. Orthopedics. 2012;35(3):e379-90. Doi: 10.3928/01477447-20120222-30
Feldman F, VanHeertum R, Saxena C. 18Fluoro-deoxyglucose positron emission tomography evaluation of benign versus malignant osteochondromas: preliminary observations. J Comput Assist Tomogr. 2006;30(5):858-64. Doi: 10.1097/01.rct.0000228160.86096.ca
Goud AL, Wuyts W, Bessems J, Bramer J, Woude HJVD, Ham J. Intraosseous atypical chondroid tumor or chondrosarcoma grade 1 in patients with multiple osteochondromas. J Bone Joint Surg Am. 2015;97(1):24-31. Doi: 10.2106/JBJS.N.00121
Grimer RJ, Gosheger G, Taminiau A, Biau D, Matejovsky Z, Kollender Y, et al. Dedifferentiated chondrosarcoma: prognostic factors and outcome from a European group. Eur J Cancer. 2007;43(14):2060-5. Doi: 10.1016/j.ejca.2007.06.016
Guo W, Li D, Tang X, Ji T. Surgical treatment of pelvic chondrosarcoma involving periacetabulum: Surgery for Periacetabular Chondrosarcoma. J Surg Oncol. 2010;101(2):160-5. Doi: 10.1002/jso.21442
Kaplan RP, Wang JT, Amron DM, Kaplan L. Maffucci’s syndrome: two case reports with a literature review. J Am Acad Dermatol. 1993;29(5 Pt 2):894-9. Doi: 10.1016/0190-9622(93)70265-u
Lee NH, Choi EH, Choi WK, Lee SH, Ahn SK. Maffucci’s syndrome with oral and intestinal haemangioma. Br J Dermatol. 1999;140(5):968-9. Doi: 10.1046/j.1365-2133.1999.02840.x
Littrell LA, Wenger DE, Wold LE, Bertoni F, Unni KK, White LM, et al. Radiographic, CT, and MR imaging features of dedifferentiated chondrosarcomas: a retrospective review of 174 de novo cases. Radiographics. 2004;24(5):1397-409. Doi: 10.1148/rg.245045009
Loewinger RJ, Lichtenstei JR, Dodson WE, Eisen AZ. Maffucci’s syndrome: a mesenchymal dysplasia and multiple tumour syndrome. Br J Dermatol. 1977;96(3):317-22. Doi: 10.1111/j.1365-2133.1977.tb06145.x
Lv H, Jiang H, Zhang M, Luo H, Hong Z, Yang H, et al. Maffucci syndrome complicated by giant chondrosarcoma in the left ankle with an IDH1 R132C mutation: a case report. World J Surg Oncol. 2022;20(1):218. Doi: 10.1186/s12957-022-02686-z
McDermott AL, Dutt SN, Chavda SV, Morgan DW. Maffucci’s syndrome: clinical and radiological features of a rare condition. J Laryngol Otol. 2001;115(10):845-7. Doi: 10.1258/0022215011909152
Mellon CD, Carter JE, Owen DB. Ollier’s disease and Maffucci’s syndrome: distinct entities or a continuum. Case report: enchondromatosis complicated by an intracranial glioma. J Neurol. 1988;235(6):376-8. Doi: 10.1007/BF00314239
Murphey MD, Walker EA, Wilson AJ, Kransdorf MJ, Temple HT, Gannon FH. From the archives of the AFIP: imaging of primary chondrosarcoma: radiologic-pathologic correlation. Radiographics. 2003;23(5):1245-78. Doi: 10.1148/rg.235035134
Pannier S, Legeai-Mallet L. Hereditary multiple exostoses and enchondromatosis. Best Pract Res Clin Rheumatol. 2008;22(1):45-54. Doi: 10.1016/j.berh.2007.12.004
Pedrini E, Jennes I, Tremosini M, Milanesi A, Mordenti M, Parra A, et al. Genotype-Phenotype Correlation Study in 529 Patients with Multiple Hereditary Exostoses: Identification of "Protective" and "Risk" Factors. J Bone Joint Surg Am. 2011;93(24):2294-302. Doi: 10.2106/JBJS.J.00949.
Prokopchuk O, Andres S, Becker K, Holzapfel K, Hartmann D, Friess H. Maffucci syndrome and neoplasms: a case report and review of the literature. BMC Res Notes. 2016;9(1):126. Doi: 10.1186/s13104-016-1913-x
Ramina R, Coelho-Neto M, Meneses MS, Pedrozo AA. Maffucci’s syndrome associated with a cranial base chondrosarcoma: case report and literature review. Neurosurgery. 1997;41(1):269-72. Doi: 10.1097/00006123-199707000-00046
Reuter K, Weber AL. Parasellar chondrosarcoma in a patient with Ollier’s disease. Neuroradiology. 1981;22:151-4. Doi: 10.1007/BF00346758
(51) Richardson MS. Pathology of skull base tumors. Otolaryngol Clin North Am. 2001;34(6):1025-42. Doi: 10.1016/s0030-6665(05)70363-7
Robinson D, Tieder M, Halperin N, Burshtein D, Nevo Z. Maffucci’s syndrome--the result of neural abnormalities? Evidence of mitogenic neurotransmitters present in enchondromas and soft tissue hemangiomas. Cancer. 1994;74(3):949-57. Doi: 10.1002/1097-0142(19940801)74:3<949::aid-cncr2820740325>3.0.co;2-y
Rosenberg AE, Nielsen GP, Keel SB, Renard LG, Fitzek MM, Munzenrider JE, et al. Chondrosarcoma of the base of the skull: a clinicopathologic study of 200 cases with emphasis on its distinction from chordoma. Am J Surg Pathol. 1999;23(11):1370-8. Doi: 10.1097/00000478-199911000-00007
Seçkin U, Borman P, Ozoran K. Clinical images: Maffucci’s syndrome. Arthritis Rheum. 2000;43(8):1672.
Shepherd V, Godbolt A, Casey T. Maffucci’s syndrome with extensive gastrointestinal involvement. Australas J Dermatol. 2005;46(1):33-7. Doi: 10.1111/j.1440-0960.2005.00133.x