What are Chordomas?

Chordomas
Immunohistochemical staining of HIF-1α, MDR1 and MRP1 in chordoma, CM-319 and nucleus pulpous. With immunohistochemical staining, the expression of chemotherapy resistant proteins using primary antibody to HIF-1α (A, B, G), MDR1 (E, F, I) and MRP1 (C, D, H) was determined in chordoma (B, D, F) and CM-319 (A, C, E). Intense membrane and cytoplasmic staining of MRP1 (×400) and cytoplasmic and nuclus staining of HIF (×400). Negative immunostaining of MDR1 was found in chordoma and CM-319. In control, negative immunostaining of HIF-1, MRP1 and MDR1 (G, H, I) was found in nucleus pulposus.Expression of MDR1, HIF-1α and MRP1 in sacral chordoma and chordoma cell line CM-319. Ji Z, Long H, Hu Y, Qiu X, Chen X, Li Z, Fan D, Ma B, Fan Q - Journal of experimental & clinical cancer research : CR (2010). Not Altered. CC.

Chondroma is a benign cartilaginous tumor, which is encapsulated with a lobular growing pattern. 

What is the Pathology of Chondromas?

The pathology of chondromas is:

-Etiology: The cause of chondromas is unknown. 

-Genes involved: IDH1, IDH2.

-Pathogenesis: The sequence of events that lead to chondromas involves mutations in IDH1 and IDH2 resulting in increased levels of the oncometabolite D-2-hydroxyglutarate (D-2-HG.) D-2-HG competitively inhibits alpha-ketoglutarate-dependent enzymes. 

-Histology: The histology associated with chondromas shows plump tumor cells with fine punctate calcification. 

How does Chondromas Present?

Patients with chondromas typically affect both males and females between 5-80 years of age. The symptoms, features, and clinical findings associated with chondromas are often nonspecific and found as a result of a pathologic fracture/trauma or localized versus radiating pain. 

How is Chondromas Diagnosed?

Chondromas are diagnosed by radiography, CT scan, and MRI.

How is Chondromas Treated?

Chondroma is treated by surgically scraped out of the bone.

What is the Prognosis of Chondromas?

The prognosis of chondromas is good since it is self-limiting, and recurrence is rare.