Weekly Chest CasesArchive of Old Cases

Case No : 1189 Date 2020-08-03

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  • Courtesy of Kyongmin Sarah Beck, Suyon Chang, Dae Hee Han, Jung Im Jung / Seoul St. Mary
  • Age/Sex 52 / F
  • Chief ComplaintIncidentally found juxtaesophageal mass
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Mediastinal chordoma
Radiologic Findings
Figure 1-4. Chest CT scan reveals an about 3.0 x 1.9 cm sized well-defined, elongated, homogeneous soft tissue mass (measuring about 40 HU) in the posterior mediastinum at the level of T4-5. The mass abuts the posterior wall of the esophagus, and focal bony erosion of the vertebral body of T4 is noted.

Figure 5. Endoscopic ultrasound reveals an about 2.7-cm sized hypoechoic juxtaesophageal mass.

Brief Review
Chordoma is a rare, slow-growing malignant bone tumor exhibiting notochordal differentiation. It accounts for 1
References
1. Matsubayashi J, Sato E, Masaharu N, et al. A case of paravertebral mediastinal chordoma without bone destruction. Skeletal Radiol (2012) 41:1641
Keywords
posterior mediastinum, paravertebral mediastinum, malignant bone tumor, chordoma,

No. of Applicants : 62

▶ Correct Answer : 3/62,  4.8%
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - , Japan HIROAKI ARAKAWA
  • - Toranomon Hospital , Japan KAORU SUMIDA
▶ Correct Answer as Differential Diagnosis : 3/62,  4.8%
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Other , Korea (South) MINSU KIM
  • - , Japan YUMI MAEHARA
▶ Semi-Correct Answer : 1/62,  1.6%
  • - , India SHYJUMON GEORGE
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