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  • Title: Cervical chordoma in childhood without typical vertebral bony destruction: case report and review of the literature.
    Author: Zhou H, Liu Z, Liu C, Ma Q, Liu X, Jiang L, Wei F.
    Journal: Spine (Phila Pa 1976); 2009 Jun 15; 34(14):E493-7. PubMed ID: 19525829.
    Abstract:
    STUDY DESIGN: Case report. OBJECTIVE: We present a giant cervical chordoma without typical vertebral bony destruction in an 11-year-old girl. SUMMARY OF BACKGROUND DATA: Chordomas are rare malignant bone tumors that arise at both the cranial and the caudal ends of the axial skeleton, characteristically destroying the bone. Cervical chordomas comprise only 3% to 7% of all chordomas. To our knowledge, there is no case of cervical chordoma in a child, presenting without vertebral body involvement, in English literature. METHODS: Discussion on the patient's clinical, radiologic history, and histopathologic diagnosis of the resected tumor, with a review of the relevant background literature. RESULTS: We report the first case of cervical chordoma in a child without typical vertebral bony destruction, the diagnosis of which was difficult to confirm before and after operation. CONCLUSION: Giant notochordal rest and benign notochordal cell tumors (BNCTs) need to be recognized for differential diagnosis of this atypical chordoma. A long-term follow-up might be necessary for the diagnosis of this nontypical patient.
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