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Thoracic Chordoma Misdiagnosed as Primary Adenocarcinoma of the Mediastinum

Korean Journal of Thoracic and Cardiovascular Surgery 2021³â 54±Ç 2È£ p.158 ~ 161
À±½Â±Ù, Moon Mi-Hyoung, ¹®¼®È¯,
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À±½Â±Ù ( Yoon Seung-Keun ) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Thoracic and Cardiovascular Surgery
 ( Moon Mi-Hyoung ) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Thoracic and Cardiovascular Surgery
¹®¼®È¯ ( Moon Seok-Whan ) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Thoracic and Cardiovascular Surgery

Abstract


Chordoma is a rare malignant bone tumor originating from the embryonic notochord. Herein, we present a case of thoracic chordoma located at T3?T5 that was misdiagnosed as primary mediastinal adenocarcinoma. The patient underwent neoadjuvant chemoradiation and the disease showed little response. Due to vertebral body invasion, we performed en bloc mass removal and partial corpectomy (T4?5) in collaboration with orthopedic surgeons.

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Chordoma; Mediastinal neoplasms

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