Sacral Chordoma: A Case Report and Literature Review

Abstract

Sacral chordoma is a type of cancer that starts from leftover tissues of the notochord and is mostly seen in individuals, between 50 to 70 years old. The diagnosis typically involves the use of MRI scans and a biopsy procedure to confirm it accurately; surgery is usually the approach for treatment. Given its behavior and tendency to come back after treatment (recurrence) continuous monitoring over a period is crucial. Researchers are actively working on enhancing treatments, like targeted therapies and immunotherapies through studies. A 66 year old individual, with a history of blood pressure and receiving treatment was sent for evaluation due to lower back pain along with a lump in the back and ongoing constipation for the past four months. Upon examination by the doctor or healthcare provider (or appropriate professional title) no physical impairment was detected except for sensation in the S3 area and a solid mass within the tissue that felt somewhat firm when touched but not very tender; there was no loss of movement in the leg. After performing an analysis, on a small tissue sample taken from this growth mass (or lump) it was confirmed through examination that it is classified as a chordoma. CT scans and MRI images revealed a tumor extending into branches, near the area of a patients body. The patient underwent a lumpectomy procedure, with radiotherapy recommended for treatment. This report emphasizes the significance of teamwork, in handling conditions, like sacral chordomas to provide top notch care and improve patient results effectively.