Thoracic Chordoma in an Atypical Location Mimicking an Esophageal Adenocarcinoma - A Case Report -

Sam Supreeth MBBS; Chang-Hee Cho; Sang-Il Kim; Kim Young Hoon

KJC Korea
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Journal of Korean Society of Spine Surgery 2021 KCI Impact Factor : 0.13

Korean | English

pISSN : 2093-4378 / eISSN : 2093-4386

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Thoracic Chordoma in an Atypical Location Mimicking an Esophageal Adenocarcinoma - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2020, 27(3), pp.109-114

Publisher : Korean Society Of Spine Surgery
Research Area : Orthopedic Surgery

Received : March 19, 2020
Accepted : September 4, 2020
Published : September 29, 2020

Sam Supreeth MBBS ¹, Chang-Hee Cho ², Sang-Il Kim ², Kim Young Hoon ²

¹Department of Orthopedic Surgery, Khoula Hospital, Oman
²가톨릭대학교 서울성모병원 정형외과학교실

ABSTRACT
열림/닫힘 버튼

Study Design: Case report. Objectives: To report a case of chordoma mimicking adenocarcinoma in a 52-year-old woman. Summary of Literature Review: Chordoma, a rare malignant tumor of primitive notochordal origin, accounts for 1-4% of all bone malignancies. Chordoma mimicking esophageal adenocarcinoma in the posterior mediastinum is unique. Materials and Methods: A 52-year-old asymptomatic woman was referred to our center with an incidentally detected posterior mediastinal mass and no significant medical history. The mass was diagnosed on a routine medical screening by esophagogastroduodenoscopy and the patient was receiving yearly follow-up. An increase in size was noticed during the second year of follow-up on endoscopic ultrasonography and the patient was referred to the Department of Gastrointestinal Surgery of our hospital. This paper was written after receiving institutional review board (IRB) approval (KC20ZASI0214). Results: En bloc resection was performed for the growing thoracic mass and pathologic findings confirmed it to be chordoma. A followup computed tomography examination was conducted at 8 months, as well as magnetic resonance imaging at 1 year, and there was no local recurrence. Conclusions: Posterior mediastinal chordoma at the thoracic level is very rare. Furthermore, it is difficult to diagnose because its immunohistochemical characteristics mimic those of esophageal adenocarcinoma, meaning that it can be missed. Management is a challenge due to its anatomical location and additional local invasion. Therefore, a multidisciplinary approach is needed, including careful consultation with the patient to provide the optimal treatment for the best possible outcome.
KEYWORDS
열림/닫힘 버튼

Chordoma, Mediastinum, Esophageal adenocarcinoma

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* 2021년 이후 발행 논문의 참고문헌은 현재 구축 중입니다.

[journal] Healey JH / 1989 / Chordoma : a critical review of diagnosis and treatment / Orthop Clin North Am 20(3) : 417~426

[journal] Tsai-Jung Wang / 2008 / Thoracic Chordoma: An Unusual Presentation of the Spinal Tumor / The American Journal of the Medical Sciences / Elsevier BV 335(3) : 239~241 / 10.1097/MAJ.0b013e3180ebeac3

[journal] Mary L. McMaster / 2001 / Chordoma:incidence and survival patterns in the United States / Cancer Causes and Control / Springer Science and Business Media LLC 12(1) : 1~11 / 10.1023/a:1008947301735

[journal] Brian P Walcott / 2012 / Chordoma: current concepts, management, and future directions / The Lancet Oncology / Elsevier BV 13(2) : e69~e76 / 10.1016/S1470-2045(11)70337-0

[journal] Iñigo Royo Crespo / 2013 / Cordoma condroide de localización atípica / Archivos de Bronconeumología / Elsevier BV 49(11) : 491~493 / 10.1016/j.arbres.2013.03.006

[journal] Bjornsson J / 1993 / Chordoma of the mobile spine. A clinicopathologic analysis of 40 patients / Cancer 71(3) : 735~740 / 10.1002/1097-0142(19930201)71:3<735::aidcncr2820710314>3.0.co;2-8

[journal] Coffin CM / 1993 / An immunohistochemical comparison of chordoma with renal cell carcinoma, colorectal adenocarcinoma, and myxopapillary ependymoma : a potential diagnostic dilemma in the diminutive biopsy / Mod Pathol 6(5) : 531~538

[journal] Gallet P / 2012 / Chondroid Chordoma and Nasal Adenocarcinoma : An Exceptional Association / Case Rep Oncol Med 2012 : 861217~ / 10.1155/2012/861217