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CORRESPONDENCE
Year : 2013  |  Volume : 9  |  Issue : 3  |  Page : 497-499

Multifocal thoracic chordoma mimicking a paraganglioma


1 Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General and Endocrine Surgery, Second University of Naples, Naples, Italy
2 Division of Endocrinology, Second University of Naples, Naples, Italy
3 Department of Surgical Pathology and Cytopathology, University "Federico II" of Naples, Naples, Italy
4 Endocrine Surgery Unit, University of Perugia, Perugia, Italy
5 Department of Anaesthesiologic, Surgical and Emergency Science, XI Division of General Surgery, Second University of Naples, Naples, Italy
6 Department of Anaesthesiologic, Surgical and Emergency Science, Endoscopic Unit, Second University of Naples, Naples, Italy

Correspondence Address:
Giovanni Conzo
Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General and Endocrine Surgery - Second University of Naples - Italy. Via Gen. Giordano Orsini 42 - 80132 Naples
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.119312

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Chordoma of thoracic vertebras is a very rare locally invasive neoplasm with low grade malignancy arising from embryonic notochordal remnants. Radical surgery remains the cornerstone of the treatment. We describe a case of multifocal T1-T2 chordoma, without bone and disc involvement, incidentally misdiagnosed as a paraganglioma, occurring in a 47-year-old male asymptomatic patient. Neoplasm was radically removed by an endocrine surgeon through a right extended cervicotomy. A preoperative reliable diagnosis of chordoma, as in the reported case, is often difficult. Radical surgery can provide a favorable outcome but, given the high rates of local recurrence of this neoplasm, a strict and careful follow-up is recommended. Although very rare, chordoma should be suggested in the differential diagnosis of the paravertebral cervical masses of unknown origin. Spine surgeon consultation and a FNB should be routinely included in the multidisciplinary preoperative work-up of these neoplasms.


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