Clival chordoma presenting as a parapharyngeal mass: a diagnostic challenge

Prita Pradhan; Rudra Narayan Biswal; Khageswar Rout; Ranjita Panigrahi; Pranati Misra; Urmila Senapati; Jayasree Rath

doi:10.18203/issn.2454-5929.ijohns20192741

Authors

Prita Pradhan Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Rudra Narayan Biswal Department of ENT, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Khageswar Rout Department of ENT, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Ranjita Panigrahi Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Pranati Misra Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Urmila Senapati Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha
Jayasree Rath Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20192741

Keywords:

Notochordal, Dysphagia, Sphenoid sinus, S100

Abstract

Though the parapharyngeal space is sites of primary involvement by neoplastic process, they can rarely house masses descending from a base of skull tumour. Chordoma is an uncommon tumour of the skull base and sacrococcyx. Originating from the notochordal remnants, they are locally aggressive causing lytic destruction of the adjacent bony structures, particularly in the base of the skull. The use of surgery and adjuvant high-dose proton RT is documented to produce best results. Here we report a diagnostic challenge posed by a chordoma occurring as a parapharyngeal mass in a 68 year old male.

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