Radiation-induced dedifferentiated chondrosarcoma with orbital invasion

Ophthalmic Plast Reconstr Surg. 2014 May-Jun;30(3):205-8. doi: 10.1097/IOP.0000000000000168.

Abstract

Purpose: To report 2 interventional cases of dedifferentiated chondrosarcoma with orbital involvement after radiotherapy performed in childhood and to review the literature on chondrosarcoma in the orbit following radiation treatment.

Methods: Retrospective analysis of medical records of 2 patients with chondrosarcoma of the orbits with review of the literature.

Results: The first patient developed chondrosarcoma of the orbital and maxillary sinus 36 years after external beam radiation therapy to the OS to treat retinoblastoma. The second patient developed a large orbital chondrosarcoma 35 years after external beam radiation therapy in the treatment of craniofacial fibrous dysplasia.

Conclusions: These cases highlight the risk of secondary chondrosarcoma in patients following radiotherapy and the importance of lifetime monitoring.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cell Dedifferentiation
  • Chondrosarcoma / diagnosis
  • Chondrosarcoma / etiology*
  • Cobalt Radioisotopes / adverse effects*
  • Facial Bones / pathology*
  • Fatal Outcome
  • Female
  • Fibrous Dysplasia of Bone / radiotherapy
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Neoplasm Invasiveness
  • Neoplasms, Radiation-Induced / diagnosis
  • Neoplasms, Radiation-Induced / etiology*
  • Orbital Neoplasms / diagnostic imaging
  • Orbital Neoplasms / pathology*
  • Retinal Neoplasms / radiotherapy
  • Retinoblastoma / radiotherapy
  • Skull Neoplasms / diagnosis
  • Skull Neoplasms / etiology*
  • Tomography, X-Ray Computed

Substances

  • Cobalt Radioisotopes