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Online Published: 11 Apr 2022
 


Slow but disabling progression

Rita dos Santos Marques, Andre Pinto, Juliana Magalhaes, Rita Fideles, Marina Coelho, Tiago Mascarenhas, Ana Costa.


Abstract
Male, 84 years old, presented to the emergency room with obstipation associated with acute severe pain in the lumbar region. He had been living in the bed because he wasn´t able to do anything because the pain had been too disabling. Personal history of asthma, myocardial infarction, atrial fibrillation, dyslipidemia and obstipation. Physical examination was unremarkable, except for rectal examination which had a palpable posterior mass, without blood on the gloves. Complete body computer tomography with sacrococcygeal mass with 15 cm associated with bone destruction. Compression of the rectum, without invasion. Pelvic MRI: posterior mass with 12,3x15x8,6 cm with adjacent bone destruction without organ invasion. Histology of mass biopsy: sacrococcygeal chordoma. There was no indication for surgical treatment due to the major risks for the patient.
Chordomas are rare, slow-growing, locally destructive bone tumours arising from the notochord. The most common locations are the clivus and the sacrococcygeal region. The annual incidence of these tumours is 1 in one million. MRI is the imaging modality of choice. Prognosis improves based on age, resected margins and postoperative treatment.

Key words: Cancer, bone tumour, notochord, Chordoma


 
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How to Cite this Article
Pubmed Style

Marques RdS, Pinto A, Magalhaes J, Fideles R, Coelho M, Mascarenhas T, Costa A. Slow but disabling progression. Int J Med Rev Case Rep. 2022; 6(8): 66-66. doi:10.5455/IJMRCR.20220124102034

Web Style

Marques RdS, Pinto A, Magalhaes J, Fideles R, Coelho M, Mascarenhas T, Costa A. Slow but disabling progression. https://www.mdpub.net/?mno=15527 [Access: October 13, 2024]. doi:10.5455/IJMRCR.20220124102034

AMA (American Medical Association) Style

Marques RdS, Pinto A, Magalhaes J, Fideles R, Coelho M, Mascarenhas T, Costa A. Slow but disabling progression. Int J Med Rev Case Rep. 2022; 6(8): 66-66. doi:10.5455/IJMRCR.20220124102034


Vancouver/ICMJE Style

Marques RdS, Pinto A, Magalhaes J, Fideles R, Coelho M, Mascarenhas T, Costa A. Slow but disabling progression. Int J Med Rev Case Rep. (2022), [cited October 13, 2024]; 6(8): 66-66. doi:10.5455/IJMRCR.20220124102034


Harvard Style

Marques, R. d. S., Pinto, . A., Magalhaes, . J., Fideles, . R., Coelho, . M., Mascarenhas, . T. & Costa, . A. (2022) Slow but disabling progression. Int J Med Rev Case Rep, 6 (8), 66-66. doi:10.5455/IJMRCR.20220124102034


Turabian Style

Marques, Rita dos Santos, Andre Pinto, Juliana Magalhaes, Rita Fideles, Marina Coelho, Tiago Mascarenhas, and Ana Costa. 2022. Slow but disabling progression. International Journal of Medical Reviews and Case Reports, 6 (8), 66-66. doi:10.5455/IJMRCR.20220124102034


Chicago Style

Marques, Rita dos Santos, Andre Pinto, Juliana Magalhaes, Rita Fideles, Marina Coelho, Tiago Mascarenhas, and Ana Costa. "Slow but disabling progression." International Journal of Medical Reviews and Case Reports 6 (2022), 66-66. doi:10.5455/IJMRCR.20220124102034


MLA (The Modern Language Association) Style

Marques, Rita dos Santos, Andre Pinto, Juliana Magalhaes, Rita Fideles, Marina Coelho, Tiago Mascarenhas, and Ana Costa. "Slow but disabling progression." International Journal of Medical Reviews and Case Reports 6.8 (2022), 66-66. Print. doi:10.5455/IJMRCR.20220124102034


APA (American Psychological Association) Style

Marques, R. d. S., Pinto, . A., Magalhaes, . J., Fideles, . R., Coelho, . M., Mascarenhas, . T. & Costa, . A. (2022) Slow but disabling progression. International Journal of Medical Reviews and Case Reports, 6 (8), 66-66. doi:10.5455/IJMRCR.20220124102034


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