Giant Intracranial Chondroma

Abstract

Intracranial chondroma is extremely rare. The treatment of choice is total tumor excision when resectable. A 30-year-old female patient presented with a giant intracranial chondroma that had enlarged for 18 years. In this case, we totally removed the tumor and reconstructed the meninges, cranium, and left ear using fascia lata, a combination of titan mesh and cement, and the posterior auricular artery axial flap, respectively. The aesthetic outcome was acceptable. No recurrence was identified after 7 months of follow-up. The patient was satisfied with the outcome. The lack of access to high-tech tools, such as 3-dimensional simulation, makes preoperative planning more difficult. Total tumor removal is currently the treatment of choice when the mass is resectable. It is a safe surgery, and with proper reconstruction procedures, an acceptable appearance can be achieved. Further multicenter studies with a greater sample size are needed to make a systematic treatment approach for intracranial chondroma.

Fig. 1.

Patient’s tumor preoperatively.

Fig. 2.

Cranial computed tomography imaging. A, Cranial computed tomography imaging preoperatively (frontal view). B, Cranial computed tomography imaging preoperatively (lateral view). C, Cranial computed tomography imaging postoperatively. AL, anterior left; AR, anterior right; L, left; PL, posterior left; PR, posterior right; R, right.