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KMID : 0357920100440050547
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Korean Journal of Pathology
2010 Volume.44 No. 5 p.547 ~ p.550
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Chondromyxoid Fibroma of the Ethmoid Sinus Complicated by a Brain Abscess
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Won Kyu-Yeoun
Lee Ju-Hee
Kim Youn-Hwa
Kim Eui-Jong
Kim Sung-Wan
Park Yong-Koo
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Abstract
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Chondromyxoid fibroma (CMF) is a relatively rare bone tumor that was first described by Jaffe and Lichtenstein in 1948. CMF of the sinonasal tract is very rare. A 28-year-old male presented with long-standing, intermittent, pulsatile pain in the right temporal area. A computed tomography scan showed a 20 × 19 mm round, bony density in the right ethmoid sinus with fluid collection in the ethmoid and frontal sinuses. Additionally, a cystic lesion with surrounding edema was found in the right frontal lobe. The patient underwent a partial ethmoidectomy and frontostomy. A histological examination showed polygonal and stellate cells in a myxoid and chondroid background with a pattern of lobulation and plaque-like calcification. The bone lesion was revealed as a CMF of the ethmoidal sinus, and the frontal lobe cystic lesion was a brain abscess associated with the CMF. We present the case of a CMF of the ethmoid sinus complicated by a brain abscess.
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KEYWORD
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Fibroma, Ethmoid bone, Brain abscess
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