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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(6): 1059-62. |
A Case of Chordoma Invading Cervical Spine |
Sung Min Jin, MD1, Kee Hwan Kwon, MD1, Yong Bae Lee, MD1, and Jong Ouck Choi, MD2 |
1;Department of Otolaryngology, Samsung Medical Center, KangBuk Samsung Hospital, Seoul, 2;Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea |
경추부에 발생한 척색종 1례 |
진성민1 · 권기환1 · 이용배1 · 최종욱2 |
삼성의료원 강북삼성병원 이비인후과1;고려대학교 의과대학 이비인후-두경부외과학교실2; |
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ABSTRACT |
Chordomas are slowly growing, locally aggressive neoplasms of the axial skeleton and account for 1 to 4% in all mligant bone tumor. Their presumed origin is from embryonic notochord. Approximately 50% of chordomas arise in the sacrococcygeal region, 35% at the clivus, and 15% in the true vertera. The symptoms in patient with vertebral chordomas are usuallly back and radicular pain, altough tumors in the cervical region may produce dysphagia because of an expanding retropharyngeal mass. Once the diagnosis of chordoma is established, the correct treatment is complete resection. But since the majority of patients do not undergo curative resection, additional therapy, including postoperative irradiation and combination chemotherapy have to be considered. Recently we experienced one case of 62 years old woman who had suffered from right sided posterior nack pain, right sided shoulder pain, and right sided foarm paresthesia for 1 year prior to admission. Transoral extirpation was done and tumor was proved as chordoma.
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Keywords:
ChordomaㆍCervical spine. |
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