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Synchronous metastatic skull base chordoma to the breast: case report and literature review
S I Shakir1, M Pelmus2, A Florea2
1Department of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC;
Clinical Scenario:
During routine staging work-up for a left breast mass, a 68-year-old woman complained of dysphagia and dysphonia. During further investigations, a left-sided lesion at the foramen magnum was observed on brain imaging. Both lesions were biopsied and showed a classical chordoma.
Management:
The skull-base lesion and the breast lesion were surgically resected, and adjuvant radiotherapy was given.
Summary:
Chordoma is a rare primary central nervous system tumour that seldom metastasizes. The lung is the most common site of metastasis. Synchronous breast metastasis from a skull-base chordoma is very rare, and a safe management option includes a maximum resection followed by adjuvant radiotherapy.
