Chordoma of cervical vertebra protruding into the oral cavity

Pathol Int. 2002 Jan;52(1):59-62. doi: 10.1046/j.1440-1827.2002.01315.x.

Abstract

A 70-year-old man was admitted to hospital because of oral and cervical masses. Computed tomographic scanning revealed a lobulated mass lesion in the retropharyngeal region, with a protruding extension in the oral cavity and with destruction of the second cervical vertebra. A biopsy was performed under the diagnosis of a retropharyngeal tumor. Histologically, this lesion was composed of vacuolated tumor cells in a solid or cord-like arrangement, with an abundant myxoid matrix. Immunohistochemically, the tumor cells were positive for pancytokeratin, epithelial membrane antigen and S-100 protein. The tumor was diagnosed as chordoma. Chordoma presenting as an intra-oral mass lesion is very rare.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cervical Vertebrae*
  • Chordoma / metabolism
  • Chordoma / pathology*
  • Diagnosis, Differential
  • Humans
  • Immunohistochemistry
  • Keratins / analysis
  • Male
  • Mouth Neoplasms / metabolism
  • Mouth Neoplasms / pathology*
  • Mucin-1 / analysis
  • S100 Proteins / analysis
  • Spinal Neoplasms / metabolism
  • Spinal Neoplasms / pathology*

Substances

  • Mucin-1
  • S100 Proteins
  • Keratins