Case report: symptomatic metastasis from a sacrococcygeal chordoma

Chordoma is generally thought to be a locally invasive tumour of low metastatic potential. Review of the literature suggests that metastatic spread from chordoma is not an uncommon occurrence, but that the metastases are usually clinically silent. We present an unusual case where a metastasis from a sacrococcygeal chordoma produced a syndrome of lumbar root compression after resection of the primary lesion.