J Chest Surg.  2021 Apr;54(2):158-161. 10.5090/jcs.20.030.

Thoracic Chordoma Misdiagnosed as Primary Adenocarcinoma of the Mediastinum

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

Chordoma is a rare malignant bone tumor originating from the embryonic notochord. Herein, we present a case of thoracic chordoma located at T3–T5 that was misdiagnosed as primary mediastinal adenocarcinoma. The patient underwent neoadjuvant chemoradiation and the disease showed little response. Due to vertebral body invasion, we performed en bloc mass removal and partial corpectomy (T4–5) in collaboration with orthopedic surgeons.

Keyword

Chordoma; Mediastinal neoplasms
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