Abstract CHORDOMA is a tumor arising from the remnants of the primitive notochord, slowly progressive, resistant to treatment, with a tendency to invade and destroy bone by direct extension, occasionally metastasizing to distant lymph nodes or viscera. In 1948 Gentil and Coley1 reported seven cases of sacrococcygeal chordoma treated in the Memorial Hospital from 1930 to 1943 and reviewed 128 cases previously reported in the literature. The following is the report of a case with a review of eight additional cases collected from the literature from 1943 to 1948. REPORT OF CASE Mrs. M. Z., aged 70, had been observed in the clinic since 1947 for various unrelated conditions. Her last examination was in July, 1950. A month later she was referred for surgical consultation because of low-back pain of about four weeks' duration. A week prior to this consultation the pain had increased in intensity and was most marked References 1. Gentil, F., and Coley, B. L.: Sacrococcygeal Chordoma , Ann. Surg. 127:432-455 ( (March) ) 1948.Crossref 2. Hsieh, C. K., and Hsieh, H. H.: Roentgenologic Study of Sacro-Coccygeal Chordoma , Radiology 27:101-108 ( (July) ) 1936.Crossref 3. DeVoe, R. W.; Lovelady, S. B.; Dockerty, M. B., and Gray, H. K.: Pregnancy Complicated by Presacral Neurofibroma, One of the So-Called Middeldorpf Tumors , Proc. Staff Meet., Mayo Clin. 23:239-244 ( (May 12) ) 1948. 4. Virchow, R. L. K.: Entwicklung des Schädelgrundes: Die krankhaften Geschwültse, 1856 5. Müller, H.: Über das Vorkommen von Resten der Chorda dorsalis bei Menschen nach der Geburt und über ihr Verhältniss zu den Gallertgeschwülsten am Clivus , Ztschr. rat. Med. 2:202-229, 1858. 6. Ribbert: Über die Ecchondrosis physalifora sphenooccipitalis , Centralbl. allg. Path. 5:457-461, 1894. 7. Henning, L.: Über congenitale echte Sakraltumoren , Beitr. path. Anat. 28:593-619, 1900. 8. Brindley, G. V.: Sacral and Presacral Tumors , Ann. Surg. 121:721-736 ( (May) ) 1945.Crossref 9. In the discussion it developed that this patient is still alive. 10. Anguli, V. C.: Case of Sacrococcygeal Chordoma , Indian J. Surg. 10:208-210 ( (June) ) 1948. 11. Roux, J. R.: La chordome sacro-coccygien , Union méd. Canada 74:1707-1710 ( (Dec.) ) 1945. 12. Marottoli, O. R., and Cid, J. M.: Sacrococcygeal Chordoma, with Report of a Case , Bol. Soc. cir. Rosario 12:211-220 ( (Aug.-Nov.) ) 1945 13. Ann. cir. 11:50-60 ( (March-June) ) 1946. 14. Wells, A. H.; Swenson, A. O., and Joffe, H. H.: Sacrococcygeal Chordoma: Presentation of Case , Minnesota Med. 30:863-866 ( (Aug.) ) 1947. 15. Carranza, F. F.: Sacrococcygeal Chordoma: Surgical Therapy of Case , Bol. y trab., Acad. agrent. de cir. 31:183-194 ( (May 7) ) 1947. 16. Pérez Fontana, V., and Cabrera Roca, M. T.: Cordoma en la región sacra-coccígea en uno niño 14 años , Cong. interam. cir. (1946) 3:145-150, 1947. 17. Guri, J.: Tumors of the Vertebral Column , Surg., Gynec. & Obst. 87:583-598 ( (Nov.) ) 1948.
A.M.A. Archives Surgery – American Medical Association
Published: Jul 1, 1952
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