6533b7ddfe1ef96bd1274b58

RESEARCH PRODUCT

Thoracic dumbbell spinal chordoma mimicking a schwannoma

Salvatore MarroneDomenico Gerardo IacopinoRoberta CostanzoMassimiliano GiuffridaGianluca ScaliaFrancesca GrazianoGiovanni Federico NicolettiGiancarlo PonzoMassimo FurnariGiuseppe Emmanuele Umana

subject

musculoskeletal diseasesmedicine.medical_specialtySchwannomamedicine.diagnostic_testbusiness.industryThoracicTumor resectionCase ReportMagnetic resonance imagingSchwannomamedicine.diseaseSpineLesionBiopsyChordomamedicineSurgeryNeurology (clinical)ChordomaRadiologymedicine.symptomSpinal ChordomabusinessDumbbellHistological examination

description

Background: Epidural dumbbell-shaped chordomas are localized slow growing, and malignant/aggressive neoplasms. Here, we present a 62-year-old male with a T3-T4 dumbbell-shaped chordoma and reviewed the appropriate literature. Case Description: A 62-year-old male presented with a three-month history of thoracic pain. When the thoracolumbar magnetic resonance (MR) showed a T3-T4 dumbbell-shaped intracanalicular/extradural tumor, he underwent tumor removal. After the histological examination proved the lesion was a spinal chordoma, he underwent a secondary radical transthoracic tumor resection. Postoperatively, the patient was able to walk without assistance, and at 6-month follow-up, was neurologically intact with only residual paresthesias. Conclusion: Malignant spinal chordomas may mimic benign neurinomas on MR scans. Here, biopsy of the lesion to confirm the diagnosis of chordoma was critical and directed subsequent definitive transthoracic tumor resection.

yearjournalcountryeditionlanguage
2021-09-30Surgical Neurology International
https://doi.org/10.25259/sni_838_2021