Vertebral intra-osseous chordoma or giant notochordal rest?
Chordomas of the lumbar vertebral bodies are rare. We report an unusual case of an entirely intraosseous chordoma of the fifth lumbar vertebra treated by vertebrectomy. Conventional radiographs and scintigraphy were normal. The lesion was well visualised by MR imaging, but showed only slight sclerosis on CT. We give our reasons for making a diagnosis of chordoma rather than giant notochordal rest and discuss the problems of management resulting from this diagnostic dilemma.
Darby
A J
AJ
Department of Pathology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, UK.
Cassar-Pullicino
V N
VN
McCall
I W
IW
Jaffray
D C
DC
D000328:Adult; D002812:Chondroma / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009672:Notochord / Q000000981:diagnostic imaging / Q000473:pathology; D011877:Radionuclide Imaging; D013122:Spinal Diseases / Q000175:diagnosis; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed