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Eur J Cardiothorac Surg 2003;23:248-250
© 2003 Elsevier Science NL

Case report

Superior mediastinal chordoma presenting as a bilobed paravertebral mass

Department of Cardiothoracic Surgery, St Bartholomew's Hospital, West Smithfield, London EC1A 7BE, UK

Received 27 July 2002; received in revised form 7 September 2002; accepted 11 September 2002.

* Corresponding author. Department of Cardiothoracic Surgery, London Chest Hospital, Bethnal Green, London E2 9JX, UK. Tel.: +44-20-7377-7000 Bleep 1914; fax: +44-20-8983-2331
e-mail: andrewselvaraj{at}hotmail.com

Thoracic chordomas are rare, low-grade malignant tumours arising from the notochordal remnants. These tumours are locally invasive and hence have a tendency for frequent local recurrence. This article presents an unusual appearance of a chordoma, as a bilobed tumour involving both the hemithoraxes. Since the treatment of choice for these tumours is complete surgical excision this involved multiple surgical procedures.

Key Words: Chordoma • Mediastinal tumor • Thoracic neoplasm

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