alexa First Case of Metastasis of a Chordoma in the Abdominal Wall | OMICS International | Abstract
ISSN: 1948-5956

Journal of Cancer Science & Therapy
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Case Report

First Case of Metastasis of a Chordoma in the Abdominal Wall

Rocío Santos-Rancaño1*, Carlos Cerdán-Santacruz2, Pablo Talavera1, Tomasz Rogula3, Erick Ahnfeldt3, Pablo Rodriguez4, Karina Antonio5, Javier Cerdán-Miguel2, Andrés Sánchez-Pernaute5, Antonio J Torres García1

1Department of General Surgery, San Carlos Clinic Hospital of Madrid, Spain

2Department of General Surgery, Santa Elena Clinic, Madrid, Spain

3Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA

4Unit of Abdomen Imaging Diagnosis, Department of Radiology and Imaging, San Carlos Clinic Hospital of Madrid, Spain

5Department of Histopathology, San Carlos Clinic Hospital of Madrid, Spain

*Corresponding Author:
Rocío Santos-Rancaño
C/o Arzobispo Morcillo
no 12, 70 B, Madrid, Spain
Tel: 0034 669 781 763
Fax: 0034 913303183
E-mail: [email protected]

Received Date: September 08, 2013; Accepted Date: November 11, 2013; Published Date: November 13, 2013

Citation: Santos-Rancaño R, Cerdán-Santacruz C, Talavera P, Rogula T, Ahnfeldt E, et al. (2013) First Case of Metastasis of a Chordoma in the Abdominal Wall. J Cancer Sci Ther 5:391-394. doi: 10.4172/1948-5956.1000231

Copyright: © 2013 Santos-Rancaño R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Chordomas are rare malignant primary bone tumors of ectodermal origin, that arise from notochordal remnants of the developing spine, which most often occur in the sacral area. It is an aggressive, locally invasive neoplasm, which carries a poor prognosis. Chordomas’ metastatic incidence ranges from 5 to 40%. It is generally believed that metastases without local recurrence of primary neoplasm are extremely rare. En-bloc excision with wide margins and postoperative radiation therapy remains the only curative treatment of primary chordoma. Its metastases should also be resected surgically.

We present the first case of metastasis of a previously surgically treated primary sacrococcygeal chordoma. Metastatic lesions developed in the abdominal wall of a 42-year-old man without local recurrence and were discovered incidentally. We also describe the surgical management of this case.

This phenomenon has not yet been described. We demonstrate that, incidentally discovered chordoma metastasis in the abdominal wall can occur and present a diagnostic challenge. This case report focuses on the importance of follow up with magnetic resonance imaging or computerized tomography scan after resection of sacral chordoma paying attention to the entire abdomen. After this experience we feel that surgery could be considered a valid option for the treatment of chordoma metastasis in this scenario.

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