• Yibiao Zhou, Bolin Hu, Zhiwei Wu, Hanxiong Cheng, Min Dai, and Bin Zhang.
• Department of Orthopaedics, The First Affiliated Hospital of Nanchang University, Nanchang Shi, Jiangxi Sheng, China.
• Medicine (Baltimore). 2018 Jun 1; 97 (25): e11128.

RationaleChordomas are malignant neoplasms derived from incomplete regression of notochordal tissue along the craniococcygeal axis.It is rare for Chordoma arising from the lumbar spine and the traditional long-term prognosis is typically poor.Patient ConcernsThe persistent pain in the left side of the waist about 2 years.DiagnosesChordoma.InterventionsThe patient was treated with surgical resection of the total tumor, followed by the spinal internal fixation of L1 to L2 with pedicle screws.OutcomesAfter 5 month follow-up,we find the recurrence in the original lesion.At the 15 month follow-up,the patient was dead after a lot of times revisit by various doctor.LessonsSo It is suggest that the diagnosis should be carried out accurately at the early stage, the lesions and source of lesions should be cut away as broadly as possible, also the radiation and chemotherapy should be carried out after the operation as necessary.

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