Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Chordomas Involving Multiple Neuraxial Bones

  • Lim, Jae-Joon (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Kim, Sang-Hyun (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Cho, Ki-Hong (Department of Neurosurgery, Ajou University School of Medicine) ;
  • Yoon, Do-Heum (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Kim, Se-Hoon (Department of Pathology, Yonsei University College of Medicine)
  • Published : 2009.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

We present a patient with multifocal symptomatic osseous chordomas having unusual growth patterns with review of the pertinent literature. The patient was 62-year-old male and had multiple osseous chordomas located in sacral, thoracic, and paraclival jugular foramen areas. There was no metastasis in other organs. All affected sites were osseous. The multicentric chordomas are extremely rare. This case could be considered as a chordoma involving multiple neuraxial bones. But, the possibility of multicentricity could also be thought. In such cases radical resection should be performed for each lesion at the initial diagnosis. If complete surgical resections are infeasible or impossible, preoperative or postoperative radiation therapy should be planned for the highest possibility of successful treatment.

Keywords

References

  1. Anderson WB, Meyers HI : Multicentric chordoma. Report of a case. Cancer 21 : 126-128, 1968 https://doi.org/10.1002/1097-0142(196801)21:1<126::AID-CNCR2820210120>3.0.CO;2-Q
  2. Baratti D, Gronchi A, Pennacchioli E, Lozza L, Colecchia M, Fiore M, et al : Chordoma : natural history and results in 28 patients treated at a single institution. Ann Surg Oncol 10 : 291-296, 2003 https://doi.org/10.1245/ASO.2003.06.002
  3. D’Haen B, De Jaegere T, Goffin J, Dom R, Demaerel P, Plets C : Chordoma of the lower cervical spine. Clin Neurol Neurosurg 97 : 245-248, 1995 https://doi.org/10.1016/0303-8467(95)00043-J
  4. Maclean FM, Soo MY, Ng T : Chordoma. radiological-pathological correlation. Australas Radiol 49 : 261-268, 2005 https://doi.org/10.1111/j.1440-1673.2005.01433.x
  5. Manzone P, Fiore N, Forlino D, Alcala M, Cabrera CF : Chordoma of the lumbar L2 vertebra. Case report and review of the literature. Eur Spine J 7 : 252-256,1998 https://doi.org/10.1007/s005860050068
  6. Murphy JM, Wallis F, Toland J, Toner M, Wilson GF : CT and MRI appearances of a thoracic chordoma. Eur Radiol 8 : 1677- 1679, 1998 https://doi.org/10.1007/s003300050611
  7. Papagelopoulos PJ, Mavrogenis AF, Galanis EC, Savvidou OD, Boscainos PJ, Katonis PG, et al : Chordoma of the spine : clinicopathological features, diagnosis, and treatment. Orthopedics 27 : 1256-1263; quiz 1264-1265, 2004
  8. Pistorio PR, Latino R, Graziano A, Angirillo G, Vagnoni G : [Chordoma. Diagnostic and therapeutic problems] Ann Ital Chir 72 : 495-498, 2001
  9. Qian LT, Liu XF, Li YX : [Treatment modalities and prognostic factors of chordoma in the skull base] Zhonghua Zhong Liu Za Zhi 27 : 635-637, 2005

Cited by

  1. Multicentric Chordoma: A Case Report and Review of the Literature vol.69, pp.6, 2009, https://doi.org/10.1227/neu.0b013e31822a994d
  2. Atlantoaxial Chordoma in Two Patients with Occipital Neuralgia and Cervicalgia vol.4, pp.2, 2009, https://doi.org/10.15280/jlm.2014.4.2.104
  3. A vertebral extra dural chordoma at C5, possibly deriving from a clival chordoma vol.6, pp.None, 2009, https://doi.org/10.4103/2152-7806.157948
  4. Frequency and Risk Factors for Additional Lesions in the Axial Spine in Subjects With Chordoma: Indications for Screening vol.42, pp.1, 2009, https://doi.org/10.1097/brs.0000000000001723
  5. Multicentric Chordoma in a Child vol.12, pp.2, 2009, https://doi.org/10.4103/jpn.jpn_157_16
  6. Chordoma of the posterior mediastinum accompanied by synchronous lesion vol.50, pp.5, 2017, https://doi.org/10.1590/0100-3984.2016.0059
  7. Multicentric Chordoma : An Uncommon and Incompletely Understood Presentation vol.28, pp.2, 2009, https://doi.org/10.1007/s00062-017-0610-z
  8. ‘Bodrami’, Mid-Maturing Brown Rice Cultivar with High Grain Quality and Soft Texture Suitable for Cooking vol.51, pp.3, 2019, https://doi.org/10.9787/kjbs.2019.51.3.234
  9. Genetic Testing Distinguishes Multiple Chondroid Chordomas with Neuraxial Bone Metastases from Multicentric Tumors vol.2020, pp.None, 2009, https://doi.org/10.1155/2020/8877722
  10. ‘Keunpum’: A Mid-Late Maturing, High Yielding, Giant Embryo Rice Cultivar with Resistance to Multiple Diseases and Used as Germinated Brown Rice vol.53, pp.4, 2009, https://doi.org/10.9787/kjbs.2021.53.4.515
  11. Multicentric Chordoma With Initial Resection by Bilateral Transcondylar Approach: 2-Dimensional Operative Video vol.22, pp.1, 2009, https://doi.org/10.1227/ons.0000000000000001