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Case Reports in Surgery
Volume 2015 (2015), Article ID 165162, 5 pages
Case Report

Combined Therapy for Distant Metastasis of Sacral Chordoma

1Department of Neurosurgery, Alanya Government Hospital, 07400 Alanya, Turkey
2Department of Neurosurgery, Sakarya Training and Research Hospital, 54100 Sakarya, Turkey
3Department of Pathology, Medical Faculty, Celal Bayar University, 45030 Manisa, Turkey
4Department of Neurosurgery, Medical Faculty, Celal Bayar University, 45030 Manisa, Turkey

Received 13 October 2014; Accepted 13 December 2014

Academic Editor: Imran Hassan

Copyright © 2015 Birol Özkal et al. 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 known as rare primary malign tumours that have formed from primitive notochord remains. Sacral chordomas grow slowly but locally and aggressively. Chordomas are locally invasive and have low tendency to metastasis and have a poor prognosis in long-term follow-up. Metastasis may be seen in a rate of 5–40% of the chordomas. Metastasis of chordomas is common in liver, lung, lymph nodes, peritoneum, and brain. The treatment approaches, including surgery, have been discussed in the literature before. Susceptibility to radiotherapy and chemotherapy is controversial in these tumours. The success of surgical treatment affects survival directly. In this report, we will report a sacral chordoma case in which an intraperitoneal distant metastasis occurred and discuss the surgical approach.