Giant Chordoma of the Upper Thoracic Spine with Mediastinal Involvement: A Surgical Challenge

Giant Chordoma of the Upper Thoracic Spine with Mediastinal Involvement: A Surgical Challenge

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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 Vegetable / Fruit Wedger Parts 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 RV Decal the spinal cord and medistinal organs.