Lumbo-sacral chordoma with high-grade malignant cartilaginous and spindle cell components Journal Article


Authors: Hruban, R. H.; May, M.; Marcove, R. C.; Huvos, A. G.
Article Title: Lumbo-sacral chordoma with high-grade malignant cartilaginous and spindle cell components
Abstract: A recurrent lumbo-sacral chordoma with high-grade cartilaginous and spindle cell components is described. The tumor was excised from a 71-year-old man who previously had a conventional chordoma resected from his sacrum 26 years earlier. The original conventional chordoma was treated postoperatively with external beam radiation therapy, and the patient was free of disease until he presented at the age of 71 with leg weakness. Computerized tomography revealed a lumbo-sacral soft tissue mass. This was excised and found to have three distinct histologic aspects. The largest component was that of a conventional chordoma. The second component consisted of islands of malignant cartilage intimately admixed with the cells of the conventional chordoma. The third component consisted of high-grade malignant, poorly differentiated spindle cells. This case suggests that chondroid chordomas do exist and that they may also occur outside of the spheno-occipital region.
Keywords: aged; bone neoplasms; human cell; histopathology; case report; histology; chordoma; chondroid chordoma; cartilage tumor; human; female; priority journal; article; dedifferentiated chordoma; cartilaginous neoplasms
Journal Title: American Journal of Surgical Pathology
Volume: 14
Issue: 4
ISSN: 0147-5185
Publisher: Lippincott Williams & Wilkins  
Date Published: 1990-04-01
Start Page: 384
End Page: 389
Language: English
DOI: 10.1097/00000478-199004000-00012
PUBMED: 1690955
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Andrew G Huvos
    289 Huvos
  2. Ralph C. Marcove
    25 Marcove