A 74-year-old woman with a history of multiple resections and radiotherapy for recurrent sacral chordoma was referred with local recurrence, manifesting as symptoms of lower back pain, constipation and urinary… Click to show full abstract
A 74-year-old woman with a history of multiple resections and radiotherapy for recurrent sacral chordoma was referred with local recurrence, manifesting as symptoms of lower back pain, constipation and urinary incontinence. At baseline, she had no neurological de fi cit and had been mobilizing independently. The initial diagnosis was made 11 years ago. Since this time, she has undergone coccygeal resection, fi ve additional local resections with attempted clear margin, one opera-tive debulking procedure and a course of external beam radiotherapy.
               
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