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Mesenchymal chondrosarcoma is a rare tumor that is distinctly different from
classic chondrosarcoma. The prognosis of this tumor is poor, with a high
incidence of locoregional and distant metastases. It shows a predilection for
the head and neck, however mesenchymal chondrosarcoma of hyoid bone has rarely
been reported. We experienced a case of mesenchymal chondrosarcoma of the hyoid
bone in a 39-year-old woman. She underwent excision of the tumor by right
hemihyoidectomy. Histologically, a combination of cellular zones composed of
undifferentiated small cells and chondroid zones typically presented a bimorphic
appearance. CD99 (DN16) immunohistochemical stain demonstrated that all
undifferentiated small cells had strong reactivity with a distinct membranous
pattern. There was microscopic tumor extension to the resection margin of the
hyoid bone, however, no evidence of reccurence is noted at follow-up of 4 months
with neck CT.