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Giant Chordoma of the Upper Thoracic Spine with Mediastinal Involvement: A Surgical Challenge
Ottavio Rena,Fabio Davoli,Giuliano Allegra,Caterina Casadio,Davide Turello 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.3
Thoracic chordomas are very rare malignant tumours originating from notochordal remnants. These tumours develop within a vertebral body and enlarge involving the mediastinal compartment. Because of their slow-growing attitude, they become symptomatic only when they invade or compress the spinal cord and/or mediastinal organs. We present a rare case of a thoracic spine chordoma presenting with increasing paraparesis with a huge mediastinal component which was surgically debulked to decompress the spinal cord and medistinal organs.