Intracranial metastasis from a “giant” nonoperated sacrococcygeal chordoma: An underestimated metastatic potential?

Abstract

Chordomas are locally invasive neoplasms, that arise from notochord remnants and may give metastases to distant sites; their potential of metastatic dissemination is commonly considered low. 1 However, recent literature suggests that systemic spread is not an uncommon finding. 1 Ϫ 3 Chordoma from the sacral region is known to give metastases to lungs and vertebrae, but has rarely seen to spread intracranially. Only six cases of brain metastases from sacrococcygeal chordoma have been reported in literature.We h…