Sunday, July 2, 2017

Chordoma Drop Metastases

MRI of spine with chordoma drop metastasis

Chordoma drop metastases are extremely rare, with ~11 reported cases. Of these, 1 was present at the time of initial presentation and 3 were only seen at autopsy. The naturally slow growth of chordomas, lack of symptoms in several cases, and late age of onset may mask true incidence of intradural drop metastases.

The imaging features are nonspecific and tend to mirror those of the primary neoplasm.

References

Martin MP, Olson S. Intradural drop metastasis of a clival chordoma. J Clin Neurosci. 2009 Aug;16(8):1105-7.

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