Paravertebral High Cervical Chordoma. A Case Report

Overview

Journal Neuroradiol J

Publisher Sage Publications

Specialties Neurology
Radiology

Date 2013 Jul 18

PMID 23859247

Citations 10

Authors

A Elefante

F Caranci

M L Del Basso De Caro

C Peca

E Guadagno

R Severino

G Mariniello

F Maiuri

Affiliations

Soon will be listed here.

Abstract

Spinal chordomas are more often located on the midline and are associated with marked destruction of the vertebral bodies. We report a rare case of large cervical (C2-C3) right lateral paravertebral chordoma extending into the spinal canal through a very enlarged intervertebral foramen. The tumor was initially diagnosed as a mucous adenocarcinoma on a percutaneous needle biopsy. However, the neuroradiological features, including the well-defined tumor margins, the regular and sclerosing lytic bone changes with regular enlargement of the intervertebral C2-C3 foramen, were in favor of a more slowly growing lesion, such as schwannoma or neurofibroma. At surgery a well-demarcated capsulated tumor involving the nerve root was partially resected. Histology was in favor of a low-grade chordoma (Ki-67/MIB-1<1%). Postoperative proton beam therapy was also performed. The differential neuroradiological diagnosis is discussed.

Citing Articles

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Spontaneous emphysematous osteomyelitis of the spine: A case report.

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Spontaneous intracranial hypotension: two steroid-responsive cases.

Russo C, Buono V, Fenza G, Zandolino A, Serino A, Manto A Pol J Radiol. 2019; 83:e229-e233.

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Computed tomography and magnetic resonance imaging features of cervical chordoma.

Cui J, Hao D, Chen H, Liu J, Hou F, Xu W Oncol Lett. 2018; 16(1):861-865.

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