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Retrorectal Chordoma: Case Report and Literature Review | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Retrorectal Chordoma: Case Report and Literature Review

Martínez Hernández Magro Paulino1*, Martínez Salcedo Néstor1, Koelliker Ayala Enrique2 and Guerrero Medrano Jaime3
1Colorectal Surgery Department, Hospital Guadalupano de Celaya, Celaya Gto, México
2Pulmonology, Hospital Guadalupano de Celaya, Celaya Gto, México
3Pathology Department, Hospital Guadalupano de Celaya, Celaya Gto, México
Corresponding Author : Paulino Martínez Hernández Magro
Eje Vial Norponiente No 200 Consultorio 509
Col. Villas de la Hacienda, CP 38100
Celaya Gto,México
Tel: +52(461)6162123
E-mail: [email protected]
Received March 24, 2012; Accepted April 12, 2012; Published April 18, 2012
Citation: Paulino MHM, Néstor MS, Enrique KA, Jaime GM (2012) Retrorectal Chordoma: Case Report and Literature Review. J Clinic Case Reports 2:121. doi:10.4172/2165-7920.1000121
Copyright: © 2012 Paulino MHM, 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

Objective: To present a case of retrorectal chordoma and a literature review of this condition. Introduction: Tumors of the retrorectal area are rather rare. Retrorectal lesions can be cystic or solid, benign or malignant, and can be classified as congenital, neurogenic, osseous or miscellaneous. Diagnosis is frequently delayed until the tumors reach considerable size. Wide en bloc resection should be performed once the diagnosis is made. Case report: A 63 year old male patient, who complaint of progressive and recent onset constipation, and light pain at the coccigeal area. At the digital examination of the rectum we appreciate a firm, smooth presacral mass swelling the posterior rectal wall, with intact rectal mucosa. The MRI showed a multilobulated retrorectal mass; and the patient underwent to a wide en bloc resection of the tumor. The histopathological study of the specimen corroborates the presence of chordoma. Conclusions: Retrorectal tumors are rare; their diagnosis is difficult and late. Treatment is surgical with wide resection; chordomas have poor sensitivity to radiotherapy and chemotherapy.

Keywords

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