International Journal For Multidisciplinary Research

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Sacral Chordoma : A Case Report

Author(s) Triharto Banjaran Sakti, Muhammad Iqbal
Country Indonesia
Abstract Chordoma is a rare malignant tumor of musculoskeletal system and it only accounts for 1-4% of Primary bone Tumor. It originated from the remnant of notochord and the most frequently found in Sacrum. The treatment of choice is wide surgical excision with or without radiotherapy.
A 48 year-old male with chief complaint of lump at sacral region since 6 months with a size equal to a chicken egg. Physical examination showed a solid tumor with a diameter of 10 cm x 10 cm, there were no clinical neurological compromises found. A CT scan confirmed a tumor with a size of 10 cm x 14 cm x 14 cm that extended to pelvic cavity, later Fine Needle Aspiration suggested the mass as a chordoma. A wide excision with adequate margin was performed by a spine surgeon and with a digestive surgeon confirmed there was no abdominal viscera involvement.
Surgical wide excision is still the mainstay treatment of the chordoma. Although it is the treatment of choice, it comes with its own disadvantages due to the lower nerve root being resected. The neurological symptoms found after-surgery in our patient was loss of sensation and erectile dysfunction post-surgery.
Keywords Sacrum, Malignancy, Tumor, Orthopedic Oncology
Field Medical / Pharmacy
Published In Volume 5, Issue 3, May-June 2023
Published On 2023-05-14
Cite This Sacral Chordoma : A Case Report - Triharto Banjaran Sakti, Muhammad Iqbal - IJFMR Volume 5, Issue 3, May-June 2023. DOI 10.36948/ijfmr.2023.v05i03.3023
DOI https://doi.org/10.36948/ijfmr.2023.v05i03.3023
Short DOI https://doi.org/gr8p7g
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