Home|Journals|Articles by Year|Audio Abstracts


Slow but disabling progression

Rita dos Santos Marques, Andre Pinto, Juliana Magalhaes, Rita Fideles, Marina Coelho, Tiago Mascarenhas, Ana Costa.

Cited by 0 Articles

Male, 84 years old, presented to the emergency room with obstipation associated with acute severe pain in the lumbar region. He had been living in the bed because he wasn´t able to do anything because the pain had been too disabling. Personal history of asthma, myocardial infarction, atrial fibrillation, dyslipidemia and obstipation. Physical examination was unremarkable, except for rectal examination which had a palpable posterior mass, without blood on the gloves. Complete body computer tomography with sacrococcygeal mass with 15 cm associated with bone destruction. Compression of the rectum, without invasion. Pelvic MRI: posterior mass with 12,3x15x8,6 cm with adjacent bone destruction without organ invasion. Histology of mass biopsy: sacrococcygeal chordoma. There was no indication for surgical treatment due to the major risks for the patient.
Chordomas are rare, slow-growing, locally destructive bone tumours arising from the notochord. The most common locations are the clivus and the sacrococcygeal region. The annual incidence of these tumours is 1 in one million. MRI is the imaging modality of choice. Prognosis improves based on age, resected margins and postoperative treatment.

Key words: Cancer, bone tumour, notochord, Chordoma

Full-text options

Share this Article

Online Article Submission
• ejmanager.com

ejPort - eJManager.com
Review(er)s Central
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.