Chordom C79.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Malignant, very invasively growing tumour of the ectodermal embryonic chordae that spreads to the skin.

Manifestation
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Mostly higher age.

Localization
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Mainly base of the skull; sacrococygeal area.

Clinical features
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Uncharacteristic pain, neurological deficits, destruction of the surrounding bone tissue. In case of skin invasion (per continuitatem), rough, bumpy, subcutaneous, later ulcerating nodules.

Histology
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Detection of chondroid and dedifferentiated cells with variable presence of large, polygonal, vacuolated, plant leaf-like cells in myxoid matrix. These stain positive for S100, keratin, EMA, vimentin and the transcription factor T .

Therapy
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Excision in healthy individuals, possibly in combination with radiation therapy or cytostatics by radiologists and oncologists.

Literature
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  1. Rich TA et al (1985) Clinical and pathologic review of 48 cases of chordoma. Cancer 56: 182-187
  2. Su WP et al (1993) Chordoma cutis: a report of nineteen patients with cutaeous involvement of chordoma. Am J Acad Dermatol. 29: 63-66

Outgoing links (2)

Cytostatics (overview); Excision;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020