Endoscopic Management of a Rare Nasal Septal Chondrosarcoma: A Case Report and Literature Review

Introduction: Chondrosarcomas are malignant cartilaginous tumors, rarely occurring in the head and neck region. Nasal septal chondrosarcomas are exceptionally uncommon, presenting diagnostic and therapeutic challenges due to their rarity and nonspecific symptoms. Case Presentation: We report a case of a 59-year-old male with a history of type II diabetes mellitus and previous tobacco use, presenting with rotatory vertigo and headaches. Imaging revealed a calcified mass originating from the posterior nasal septum, extending into the nasal cavities and right maxillary sinus. Endoscopic resection was performed, and histopathological analysis confirmed a grade I chondrosarcoma. A second surgery ensured complete excision. Follow-up imaging showed no recurrence. Conclusion: This case underscores the importance of considering chondrosarcoma in differential diagnoses of nasal masses and highlights the efficacy of endoscopic surgical approaches in managing such rare tumors.