COCCYGEAL CHORDOMA WITH INGUINAL LYMPH NODE AND SKIN METASTASIS -A CASE REPORT
Author: PATIL RASHMI K, AMEET G
Category: Pathology
Abstract:
A 65 five year old man developed back pain associated with a coccygeal mass 2 years prior to presentation. Fine needle aspiration and excision biopsy of the coccygeal mass showed fe at ures of Chordoma. The ImmunoHistoChemical stains S-100, cytokeratin, epihelial membrane antigen, brachyury were all positive. After 15months of follow up patient developed local recurrence of tumour and left inguinal lymph node metastasis. Subsequently he developed cutaneous metastasis. The patient died 24 months later from complication of metastatic disease. Chordomas are rare, presenting only 1%-4% of malignant bone tumours, most often occur in the sacrococcygeal area. Metastasis to skin and lymph node is unusual. We report a rare case of coccygeal Chordoma with inguinal lymph node and skin metastasis.