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      Malignant Chondroid Syringoma With Nose and Paranasal Sinus Extension: A Case Report

      case-report
      , MS, MRCSEd 1 , , MS, DNB 1 , , MS, DNB 1 , , MS, DNB 1 , , MS 1
      Allergy & Rhinology
      SAGE Publications
      chondroid syringoma, malignant, nose and paranasal sinus, excision, recurrence

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          Abstract

          Chondroid syringoma is a rare, skin appendageal tumor. It is also known as mixed tumor of skin, as it histologically resembles mixed tumor of salivary gland (pleomorphic adenoma). It is most commonly a benign tumor, but a few malignant counterparts have been described in history. It usually presents as a solid, slow-growing, solitary, and painless nodule in the head and neck region. Malignant counterpart is rare and commonly affects trunk and extremities. Early diagnosis and surgery by wide local excision are the most reliable treatments to date. Recurrences are common and hence close follow-up is advised. In this study, we present a case of malignant chondroid syringoma of face with extensive extension into nose and paranasal sinuses, which was recurrent and managed by surgical excision and radiotherapy. To the best of our knowledge, this is the first reported case with extension and bone destruction into nose and sinuses.

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          Chondroid syringoma. Mixed tumor of skin, salivary gland type.

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            Recurrent malignant chondroid syringoma of the foot: a case report and review of the literature.

            Malignant chondroid syringoma, or mixed tumor of the skin, salivary gland type, is an uncommon neoplasm believed to originate in sweat glands. This neoplasm occurs mostly in women and is typically seen in the extremities and torso. A case of recurrent malignant chondroid syringoma of the right foot in a man aged 34 years is described with a review of pertinent literature. The surgically excised neoplasm was evaluated by routine histology, immunohistochemistry, and transmission electron microscopy. The malignant chondroid syringoma showed microscopic dermal satellite tumor nodules. Immunohistochemical staining was positive for keratin and S100 and negative for actin and p53. Ki-67 showed <10% positive staining. Ultrastructurally, the neoplasm was composed of epithelial cells with tonofilaments, cell junctions, and electron-dense amorphous keratin-like substance in the intercellular spaces. No evidence of myoepithelial differentiation was noted. Given the tumoral size, acral location, and histologic findings, the neoplasm was classified as a malignant chondroid syringoma. After reviewing the literature, it became apparent that wide surgical excision, adjuvant radiation therapy as well as patient education are critical in facilitating long-term survival.
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              Malignant chondroid syringoma of the face: a first reported case.

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                Author and article information

                Journal
                Allergy Rhinol (Providence)
                Allergy Rhinol (Providence)
                AAR
                spaar
                Allergy & Rhinology
                SAGE Publications (Sage CA: Los Angeles, CA )
                2152-6575
                2152-6567
                3 December 2019
                Jan-Dec 2019
                : 10
                : 2152656719893367
                Affiliations
                [1 ]Department of ENT, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
                Author notes
                [*]Raja Kalaiarasi, Department of ENT, Jawaharlal Institute of Post Graduate Medical Education and Research, Plot 3 and 4, Azhagarasi Street, NR Raja Nagar, Sokkanathanpet, Puducherry 605006, India. Email: kalaiarasi004@ 123456gmail.com
                Author information
                https://orcid.org/0000-0003-1026-4678
                Article
                10.1177_2152656719893367
                10.1177/2152656719893367
                6893930
                31840006
                becc0b4f-7b93-4100-9b8a-1490a20c35cc
                © The Author(s) 2019

                Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Case Report
                Custom metadata
                January-December 2019
                ts2

                Immunology
                chondroid syringoma,malignant,nose and paranasal sinus,excision,recurrence
                Immunology
                chondroid syringoma, malignant, nose and paranasal sinus, excision, recurrence

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