A Case Report of a Patient Presenting With Extra-skeletal Myxoid Chondrosarcoma

Extra-skeletal myxoid chondrosarcoma (EMC) is a type of rare sarcoma of uncertain differentiation. This malignancy is marked by the growth of primitive chondroid cells forming multiple nodules within a rich myxoid matrix. It is distinguished by a specific translocation resulting in the fusion gene EWSR1::NR4A3, which is a distinctive molecular hallmark of EMC. EMC is categorised as an intermediate-grade tumour and is distinguished by a prolonged clinical course with a high likelihood of local recurrence and distant metastasis. Surgical treatment is the only option for a cure for EMC, while non-surgical treatments are typically considered for recurrent or distant disease. This case report discusses an interesting case of a patient with EMC and further elaborates on the history, examination, imaging, pathological findings, and management of EMC.

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Journal
Cureus
Published
2026-01-03
DOI
https://doi.org/10.7759/cureus.100687
Primary Topic
Bone Tumor Diagnosis and Treatments
Type
article
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A Case Report of a Patient Presenting With Extra-skeletal Myxoid Chondrosarcoma

Vindya Johnston, Andrew Coveney, Karthik Gunasekaran, Daniel Wong et al.
Cureus
Bone Tumor Diagnosis and Treatments
article

A Case Report of a Patient Presenting With Extra-skeletal Myxoid Chondrosarcoma

Vindya Johnston, Andrew Coveney, Karthik Gunasekaran, Daniel Wong, Rupert Hodder
article en

Abstract

Extra-skeletal myxoid chondrosarcoma (EMC) is a type of rare sarcoma of uncertain differentiation. This malignancy is marked by the growth of primitive chondroid cells forming multiple nodules within a rich myxoid matrix. It is distinguished by a specific translocation resulting in the fusion gene EWSR1::NR4A3, which is a distinctive molecular hallmark of EMC. EMC is categorised as an intermediate-grade tumour and is distinguished by a prolonged clinical course with a high likelihood of local recurrence and distant metastasis. Surgical treatment is the only option for a cure for EMC, while non-surgical treatments are typically considered for recurrent or distant disease. This case report discusses an interesting case of a patient with EMC and further elaborates on the history, examination, imaging, pathological findings, and management of EMC.

CureusVol. 18(1)
Curtin University (AU), Fiona Stanley Hospital (AU), Sir Charles Gairdner Hospital (AU), Pathwest Laboratory Medicine (AU)
Good health and well-being
Openalex Percentile: Top 98%
Bone Tumor Diagnosis and Treatments
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