Cutaneous Metastasis from Sacral Chordoma: A Case Report

Chordoma is a malignant, slow growing and locally aggressive tumor. It arises from remnants of the notochord and accounts for 1–4% of all primary bone tumors. They usually arise from anywhere along the spine, from base of the skull to the sacrococcygeal area and usually do not metastasize. Chordomas are slow-growing tumors which are not responsive to conventional chemotherapy or radiation. They are usually diagnosed late in the course of the disease, as they are low-grade tumors that show a slow progression. Complete surgical excision is the only therapeutic modality to offer a cure. We present a 48-year-old man with progressive paraparesis and disseminated cutaneous and lung metastases diagnosed as metastatic chordoma of the sacrum.