“…In descending order of occurrence, the organs and tissues involved by metastasis include the lungs, lymph nodes, liver, bone, skin, muscle, peritoneum, heart, pleura, retroperitoneum, spleen, dura mater, kidney, and the adrenal glands. 1,[3][4][5][6][7][8][9][10][11]13,18,[22][23][24][25]27,29,30,32,33,35,36,38,39,[41][42][43][44][45][46][47][48][49][50] Markwalder, et al, 29 have suggested that metastasis is more common with spinal rather than clival chordomas because most tumor cells reach the circulation by invading large veins. Chambers and Schwinn 10 have suggested that irradiation may play some role in the genesis of metastasis, whereas surgery, length of survival, age, and sex do not.…”