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Giant sacrococcygeal chordoma: A case report
RATIONALE: Chordoma is a relatively rare tumor that accounts for 1% to 4% of all malignant bone tumors, with an annual incidence of <0.1 per 100,000 people. Although chordoma is aligned with the axis of the spine and most commonly develops in the sacrum, to the best of our knowledge, giant sacroc...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320187/ https://www.ncbi.nlm.nih.gov/pubmed/30572517 http://dx.doi.org/10.1097/MD.0000000000013748 |
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author | Xu, Qiang Gu, Houyun Liu, Xuqiang Liu, Hucheng Zhou, Yibiao Chen, Guiping Dai, Min Zhang, Bin |
author_facet | Xu, Qiang Gu, Houyun Liu, Xuqiang Liu, Hucheng Zhou, Yibiao Chen, Guiping Dai, Min Zhang, Bin |
author_sort | Xu, Qiang |
collection | PubMed |
description | RATIONALE: Chordoma is a relatively rare tumor that accounts for 1% to 4% of all malignant bone tumors, with an annual incidence of <0.1 per 100,000 people. Although chordoma is aligned with the axis of the spine and most commonly develops in the sacrum, to the best of our knowledge, giant sacrococcygeal chordoma is extremely rare. PATIENT CONCERNS: A 61-year-old Chinese man presented with a massive dorsal sacral mass. The patient's primary complaint was that, during the last two months, the mass had been increasing in size and his right lower extremity was uncomfortable while he was sitting, although the discomfort was relieved when he was standing. DIAGNOSES: Based on the imaging findings, we suspected that the sacrococcygeal mass was a chordoma, and a postoperative pathological examination confirmed the diagnosis of a sacral chordoma. INTERVENTION: The patient underwent extensive open surgery to achieve complete resection of the sacrococcygeal mass. An occlusion balloon catheter was used in the abdominal aorta to minimize intraoperative bleeding and maintain a clear surgical field. OUTCOMES: The patient was discharged without complications at 27 days after surgery. The 3-month follow-up revealed that the patient had recovered well, the discomfort in his right lower extremity while standing had completely resolved and that there was no evidence of recurrence. LESSONS: The development of chordoma is not associated with clear symptoms, although early diagnosis and treatment are needed to prevent invasion of the nearby tissues and organs. Therefore, we believe that surgical treatment of sacral chordoma is effective, although care must be taken to completely remove all residual tumor tissue and reduce the risk of recurrence. Besides, This report adds to our limited understanding of the rare giant sacrococcygeal chordoma. |
format | Online Article Text |
id | pubmed-6320187 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-63201872019-01-14 Giant sacrococcygeal chordoma: A case report Xu, Qiang Gu, Houyun Liu, Xuqiang Liu, Hucheng Zhou, Yibiao Chen, Guiping Dai, Min Zhang, Bin Medicine (Baltimore) Research Article RATIONALE: Chordoma is a relatively rare tumor that accounts for 1% to 4% of all malignant bone tumors, with an annual incidence of <0.1 per 100,000 people. Although chordoma is aligned with the axis of the spine and most commonly develops in the sacrum, to the best of our knowledge, giant sacrococcygeal chordoma is extremely rare. PATIENT CONCERNS: A 61-year-old Chinese man presented with a massive dorsal sacral mass. The patient's primary complaint was that, during the last two months, the mass had been increasing in size and his right lower extremity was uncomfortable while he was sitting, although the discomfort was relieved when he was standing. DIAGNOSES: Based on the imaging findings, we suspected that the sacrococcygeal mass was a chordoma, and a postoperative pathological examination confirmed the diagnosis of a sacral chordoma. INTERVENTION: The patient underwent extensive open surgery to achieve complete resection of the sacrococcygeal mass. An occlusion balloon catheter was used in the abdominal aorta to minimize intraoperative bleeding and maintain a clear surgical field. OUTCOMES: The patient was discharged without complications at 27 days after surgery. The 3-month follow-up revealed that the patient had recovered well, the discomfort in his right lower extremity while standing had completely resolved and that there was no evidence of recurrence. LESSONS: The development of chordoma is not associated with clear symptoms, although early diagnosis and treatment are needed to prevent invasion of the nearby tissues and organs. Therefore, we believe that surgical treatment of sacral chordoma is effective, although care must be taken to completely remove all residual tumor tissue and reduce the risk of recurrence. Besides, This report adds to our limited understanding of the rare giant sacrococcygeal chordoma. Wolters Kluwer Health 2018-12-21 /pmc/articles/PMC6320187/ /pubmed/30572517 http://dx.doi.org/10.1097/MD.0000000000013748 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Xu, Qiang Gu, Houyun Liu, Xuqiang Liu, Hucheng Zhou, Yibiao Chen, Guiping Dai, Min Zhang, Bin Giant sacrococcygeal chordoma: A case report |
title | Giant sacrococcygeal chordoma: A case report |
title_full | Giant sacrococcygeal chordoma: A case report |
title_fullStr | Giant sacrococcygeal chordoma: A case report |
title_full_unstemmed | Giant sacrococcygeal chordoma: A case report |
title_short | Giant sacrococcygeal chordoma: A case report |
title_sort | giant sacrococcygeal chordoma: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320187/ https://www.ncbi.nlm.nih.gov/pubmed/30572517 http://dx.doi.org/10.1097/MD.0000000000013748 |
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