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Case Reports in Pathology
Volume 2016, Article ID 2187290, 4 pages
Case Report

Metastatic Chordoma: A Diagnostic Challenge on Fine Needle Aspiration

Department of Pathology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA

Received 14 October 2015; Accepted 24 December 2015

Academic Editor: Dhanpat Jain

Copyright © 2016 Ghassan Tranesh and Aziza Nassar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chordomas are primary low grade malignant tumors of bone that usually arise within both ends of axial skeleton. The Notochord is a midline, ectoderm-derived structure that defines the phylum of chordates. Chordomas may pose difficult diagnostic challenges when encountered in secondary locations, such as lungs or other parenchymatous organs. We report the cytologic findings of a metastatic chordoma sampled through CT-scan guided fine needle aspiration (FNA) of lower lobe lung nodule in a 54-year-old man diagnosed with recurrent chordoma involving the lumber spine and paraspinal region.