• Abhash Shrestha, Prami Nakarmi, Animesh Nanda Vaidya, Sumit Raut, Binod Rajbhandari, and SharmaMohan RajMRChirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal..
• Chirayu National Hospital and Medical Institute, Basundhara, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2020 Nov 22; 58 (231): 915-917.

AbstractChordoma is a rare and locally aggressive tumor that arises from the notochordal remnants and has an incidence of 0.1/100000 per year. It has a predilection for the axial skeleton and is the most common primary malignant tumor of sacrum. The mainstay of treatment is wide surgical excision but there is a risk of recurrence due to the infiltrating nature of the tumor. Here, we report a case of a 56-years male who complained of pain over his sacral region for the past two years along with episodic urinary symptoms, constipation, and weakness of both legs. Seven years after undergoing surgery and radiotherapy for his sacral chordoma, he was diagnosed with recurrent sacral chordoma and planned for reoperation. Subtotal excision of the chordoma was done which significantly alleviated his symptoms postoperatively. Timely intervention helps to improve the quality of life in patients with either primary or recurrent sacral chordomas.

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