Recurrence of clival chordoma along the surgical pathway.
Chordomas are locally aggressive malignant tumors of notochordal origin whose metastatic potential is increasingly recognized. Surgical pathway recurrence has been noted only rarely in the literature. We present three patients with clival chordomas whose sole or initial recurrence was along the pathway of prior surgical access. A characteristic mass found along the pathway of prior surgical access for resection of a chordoma should suggest recurrent chordoma.
Fischbein
N J
NJ
Department of Radiology, University of California, San Francisco 94143, USA.
Kaplan
M J
MJ
Holliday
R A
RA
Dillon
W P
WP
D000328:Adult; D002817:Chordoma / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D003388:Cranial Fossa, Posterior; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D009669:Nose Neoplasms / Q000175:diagnosis / Q000556:secondary; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis / Q000556:secondary; D019292:Skull Base Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed