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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 21:578-583 (3 2000)
© 2000 American Society of Neuroradiology

ARTICLE

Recurrence of Clival Chordoma along theSurgical Pathway

Nancy J. Fischbein^,a, Michael J. Kaplan^a, Roy A. Holliday^a and William P. Dillon^a

^a From the Departments of Radiology (N.J.F., W.P.D.) and Otolaryngology (M.J.K.), University of California, San Francisco; and the Department of Radiology, New York University School of Medicine, New York (R.A.H.).

Summary: Chordomas are locally aggressive malignant tumors of notochordal origin whose metastatic potential is increasingly recognized. Surgical pathway recurrence has been noted only rarely in the literature. We present three patients with clival chordomas whose sole or initial recurrence was along the pathway of prior surgical access. A characteristic mass found along the pathway of prior surgical access for resection of a chordoma should suggest recurrent chordoma.

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