Submit
     
Case Report
 
Cervical paraspinal chordoma with left vertebral artery encasement
Chi-Man Yip1, Ping-Hong Lai2, Hui-Hwa Tseng3, Shu-Shong Hsu1
1Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
2Department of Radiology, Section of Neuroradiology Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
3Department of Pathology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

doi:10.5348/ijcri-2015112-CR-10573

Address correspondence to:
Dr. Chi-Man Yip
MD, Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital
386, Ta-Chung 1 st Road
Kaohsiung 813
Taiwan
Phone: +886-7-3422121 ext 3017
Fax: +886-7-346-8367

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Chi-Man Y, Ping-Hong L, Hui-Hwa T, Shu-Shong H. Cervical paraspinal chordoma with left vertebral artery encasement. Int J Case Rep Images 2015;6(11):698–701.


Abstract
Introduction: Chordomas are slow-growing, low-grade malignant but locally invasive tumors which originate from embryonic remnants of the primitive notochord. Chordomas are principally midline tumors. In the neuraxis, chordomas are most commonly located in the sacrococcygeal region (50–55%), followed by the cranio-occipital region (25–30%).
Case Report: A 71-year-old male has a left paraspinal tumor extending from C2 to C6 with bone erosion and left vertebral artery encasement. The tentative diagnosis before surgery was lymphoma or metastatic tumor. He underwent posterior cervical decompression with surgical debulking of the tumor to release the cord compression and posterior lamina screw fixation from C2 to C7 with allograft fusion and pathology confirmed the tumor to be chordoma.
Conclusion: Due to the rare occurrence of chordomas extra-axially, these lesions have not earned a great deal of consideration in the clinical and radiographic differential diagnoses of extra-axial paraspinal lesions. An accurate preoperative diagnosis of chordoma is crucial, as survival is optimal when radical en bloc resection is performed at primary surgery.

Keywords: Cervical paraspinal, Chordoma, Extra-axial paraspinal lesions, Radical en bloc resection


[HTML Full Text]   [PDF Full Text]
Author Contributions
Chi-Man Yip – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ping-Hong Lai – Substantial contributions to conception and design, Analysis and interpretation of data, Revising the article critically for important intellectual content, Final approval of the version to be published
Hui-Hwa Tseng – Substantial contributions to conception and design, Analysis and interpretation of data, Revising the article critically for important intellectual content, Final approval of the version to be published
Shu-Shong Hsu – Substantial contributions to conception and design, Revising the article critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Chi-Man Yip et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.