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• W2044341723 abstract "C hordoma is a low-grade to intermediate-grade malignant bone tumor that arises from remnants of the embryonal notochord1. The tumor is characterized by slow growth, thus resulting in a relatively long history of symptoms related to it2. The generally accepted treatment of choice for a chordoma is en bloc excision2. However, a chordoma often may have a very late recurrence2. In this report, we present the case of a patient who had a tumor that disappeared without surgical excision or local radiation therapy. We are not aware of a report on a chordoma that has demonstrated a similar behavior. Our patient was informed that data concerning the case would be submitted for publication.A twenty-four-year-old man began having neck pain in the summer of 2002. He had no history of a fall or trauma. The symptoms progressed, and he had episodes of paresthesias in both hands and the chest. Later, urinary and bowel dysfunction occurred. A neurological examination at a local hospital revealed hyperreflexia of the upper and lower extremities. Computed tomography scans of the head showed no abnormality. Subsequently, a computed tomography scan and magnetic resonance imaging study of the cervical spine demonstrated a large tumor (2.5 × 2 × 4 cm) in the second cervical vertebra as well as bone destruction and local calcification resulting in severe spinal stenosis (Figs. 1-A and 1-B). The findings on the routine laboratory tests were normal. Because of the neurological symptoms, the patient was managed with intravenous administration of dexamethasone. A computed tomography-guided needle biopsy of the tumor was performed in November 2002, but no representative tissue was obtained. A specimen obtained from a second closed biopsy with use of a trephine needle also showed no signs of a tumor. An open biopsy from …" @default.
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• W2044341723 date "2005-08-01" @default.
• W2044341723 modified "2023-09-27" @default.
• W2044341723 title "Disappearance of a Cervical Spine Chordoma After Nonoperative Treatment: A Case Report" @default.
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• W2044341723 doi "https://doi.org/10.2106/jbjs.d.02408" @default.
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