Zhou Yibiao, Hu Bolin, Wu Zhiwei, Cheng Hanxiong, Dai Min, Zhang Bin
Department of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang Shi, Jiangxi Sheng, China.
Medicine (Baltimore). 2018 Jun;97(25):e11128. doi: 10.1097/MD.0000000000011128.
Chordomas are malignant neoplasms derived from incomplete regression of notochordal tissue along the craniococcygeal axis.It is rare for Chordoma arising from the lumbar spine and the traditional long-term prognosis is typically poor.
The persistent pain in the left side of the waist about 2 years.
Chordoma.
The patient was treated with surgical resection of the total tumor, followed by the spinal internal fixation of L1 to L2 with pedicle screws.
After 5 month follow-up,we find the recurrence in the original lesion.At the 15 month follow-up,the patient was dead after a lot of times revisit by various doctor.
So It is suggest that the diagnosis should be carried out accurately at the early stage, the lesions and source of lesions should be cut away as broadly as possible, also the radiation and chemotherapy should be carried out after the operation as necessary.
脊索瘤是起源于沿颅尾轴的脊索组织不完全退化的恶性肿瘤。腰椎起源的脊索瘤罕见，传统的长期预后通常较差。
左侧腰部持续疼痛约2年。
脊索瘤。
患者接受了肿瘤全切手术，随后用椎弓根螺钉对L1至L2进行脊柱内固定。
随访5个月时，发现原病灶复发。随访15个月时，经多位医生多次复诊后患者死亡。
因此建议早期应准确诊断，尽可能广泛切除病灶及病灶来源，术后必要时还应进行放疗和化疗。
