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Chordoma is a rare tumor arising from remnants of the primitive notochord usually between 4th and 7th decades of life with a slight male predilection. The tumors arise in the midline region of the body and usually involve sacrococcygeal region and the base of the skull. It is slow growing, locally invasive, and rarely metastasizes. The 7 cm tumor shown here arose in the sacrococcygeal region. Grossly, it has soft, lobulated, pinkish-gray, gelatinous appearance with foci of hemorrhage. Image courtesy of Dr. Bulent Celasun, Ankara, Turkey. Used with permission.

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