Open AccessSacral Chordoma with Bilateral Inguinal Lymph Node Metastasis and Metachronous Tumor of the Clivus: A Case Report
Author(s) -
Manal M. S. Elghareeb,
Mona Yy Abd Allah,
Sieza Samir Abd-Allah,
Ayman Eldesoky,
Amal Halim
Publication year - 2021
Publication title -
journal of orthopaedic case reports
Language(s) - English
Resource type - Journals
eISSN - 2321-3817
pISSN - 2250-0685
DOI - 10.13107/jocr.2021.v11.i05.2180
Subject(s) - medicine , clivus , chordoma , radiation therapy , metastasis , radiology , distant metastasis , lymph node , surgery , pathology , skull , cancer
Chordoma is a malignant neoplasm that arises from notochord remnants. Its incidence is highest above the age of 50 and behaves as a locally aggressive tumor with a slow growth rate. In most cases, complete surgical resection followed by radiotherapy offers the best chance of control. Developing metachronous tumors or distant metastasis is uncommon.Case Report: A 56-year-old male patient of sacral chordoma was treated by surgery and radiotherapy. He developed later bilateral inguinal lymph node metastasis and metachronous clivus chordoma.Conclusion: Chordomas are rare. Multiplicity of primary disease and distant metastasis could happen, so regular follow-up is warranted and more effective therapeutic modalities are needed.Keywords: Chordoma, sacrococcygeal tumors, notochord tumors, lymph node metastasis, clivus tumors.