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Recurrent Sacral Chordoma: A Case Report
Abhash Shrestha1, Prami Nakarmi2, Animesh Nanda Vaidya1
1Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|September 10, 2021
Summary
Recurrent sacral chordoma, a rare bone tumor, can cause significant symptoms. This case highlights how subtotal surgical excision can effectively alleviate pain and improve quality of life for patients with recurrent chordoma.
Area of Science:
- Oncology
- Skeletal Tumors
Background:
- Chordoma is a rare, locally aggressive bone tumor originating from notochordal remnants.
- It predominantly affects the axial skeleton, with sacral chordoma being the most common primary malignant tumor of the sacrum.
- Wide surgical excision is the primary treatment, but recurrence is a risk due to the tumor's infiltrative nature.
Observation:
- A 56-year-old male presented with a two-year history of sacral pain, urinary issues, constipation, and leg weakness.
- Seven years post-initial surgery and radiotherapy for sacral chordoma, he was diagnosed with tumor recurrence.
- The patient underwent subtotal excision of the recurrent sacral chordoma.
Findings:
- Subtotal excision of the recurrent sacral chordoma led to significant postoperative symptom alleviation.
- The patient experienced relief from pain, urinary symptoms, constipation, and leg weakness.
- This intervention improved the patient's quality of life.
Implications:
- Timely surgical intervention is crucial for managing recurrent sacral chordoma.
- Effective symptom management through reoperation can significantly enhance patient quality of life.
- This case underscores the importance of vigilant follow-up for patients with chordoma to detect and manage recurrence promptly.
