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Updated: May 19, 2026
Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
Sacral chordoma: management of a rare disease in a tertiary hospital
Gada Housari1, Mariana González, Purificación Calero
1Department of General and Digestive Surgery, Hospital Universitario Ramón y Cajal, C/Buenos Aires, 5. 1° 2, 28822 Coslada, Madrid, Spain. ghada_housari@yahoo.es
Introduction:
Chordoma is a rare malignant bone tumor. The outcome depends on the adequate surgical treatment with complete excision of the tumor with microscopic clear margins.
Materials And Methods:
We performed a retrospective review of 13 cases of chordomas operated in our center between 1988 and 2009.
Results:
All cases were treated with wide excision. Inadequate margins were found in seven patients. There were complications in ten patients and long-term sequels in 11 patients. Nine had recurrence within the first 2 years, six of which had inadequate margins. Five had metastatic disease, three of them with inadequate margins. During the follow-up, four patients died. In a posterior review, three patients survive and all of them had clear margins.
Conclusions:
In our experience, the best treatment is complete excision of the tumor with clear microscopic margins. When this is not possible, local recurrences increase and survival rate decreases.
