Monday, September 28, 2009

An unfortunate but interesting cause for this patient's "back pain".


posted by joe @ 9/28/2009 04:23:00 PM   5 comments


At 8:06 AM, Blogger Clay said...

Do have any more helpful history or hints or anything?

At 6:19 AM, Blogger joe said...

Hint--don't think colonic think embryology.

At 7:02 AM, Blogger Clay said...

Well I just remembered my best trick for getting your photo quizzes right. I read the name of the file and found that this must be a chordoma. I wouldn't have gotten it. After a little research, it looks like this is a one in a million case.

At 7:03 AM, Blogger Clay said...

What symptoms was this person having?

At 8:59 AM, Blogger joe said...

Yeah, I was wondering why you didn't go for the gold immediately.
I had never seen or heard of one.

Reading about chordoma it seems to come from notochord residual tissue.

The patient had had a lumbar disc surgery about 1 yr before this was dxed.

The path was confusing to the pathologists but once we read about chordoma and looked at the destruction of the sacrum there was no question on the dx.


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