Publication: Recurrent Sacral Chordoma: A Case Report
Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Chordoma is a rare and locally aggressive tumor that arises from the notochordal remnants and has an incidence of 0.1/100000 per year. It has a predilection for the axial skeleton and is the most common primary malignant tumor of sacrum. The mainstay of treatment is wide surgical excision but there is a risk of recurrence due to the infiltrating nature of the tumor. Here, we report a case of a 56-years male who complained of pain over his sacral region for the past two years along with episodic urinary symptoms, constipation, and weakness of both legs. Seven years after undergoing surgery and radiotherapy for his sacral chordoma, he was diagnosed with recurrent sacral chordoma and planned for reoperation. Subtotal excision of the chordoma was done which significantly alleviated his symptoms postoperatively. Timely intervention helps to improve the quality of life in patients with either primary or recurrent sacral chordomas.
Description
Abhash Shrestha
Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
https://orcid.org/0000-0002-9960-5581
Prami Nakarmi
Venus Hospital, Mid Baneshwor, Kathmandu, Nepal
https://orcid.org/0000-0003-3369-6588
Animesh Vaidya
Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
https://orcid.org/0000-0001-7987-3119
Sumit Raut
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Binod Rajbhandari
Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
Mohan Raj Sharma
Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal
https://orcid.org/0000-0002-2924-6616
Keywords
chordoma, rare disease, recurrent, sacral chordoma, sacrum