We present the case of an 88-year-old man who underwent a resection of a sacral chordoma. During the resection, a paraspinal skip lesion was encountered. Ultimately, resection of the sacral chordoma was completed with no adjuvant radiation, and at 30 months postoperatively, there are no signs of metastasis or local recurrence. This case represents an unusual case of discontinuous skip lesions in the paraspinal muscles encountered during chordoma resection. In this instance, resection without adjuvant therapy was successful in preventing recurrence. Postoperatively, the patient should be monitored for metastasis and local recurrence with imaging locally as well as of the chest per institutional protocols.
Christman et al. (Thu,) studied this question.