CASE 12: Chordoma located in the sacrum

• 64-year-old male patient
• The patient presented with complaints of tailbone pain, difficulty sitting, and constipation that had been present for 10 months.
• A patient diagnosed with chordoma via needle biopsy of a sacrum-located mass showed no signs of metastasis in subsequent screenings.
• The patient underwent a successful sacrectomy and the wound was closed with bilateral V-Y flaps.
• The patient, who experienced no problems during or after the surgery, was discharged under close monitoring.

Before the surgery: X-rays show damage to the sacrum and coccyx, and scintigraphy reveals significantly increased activity.

Before the surgery: The MRI shows a large, irregular tumor tissue extending into the muscle and pressing on the rectum in the same area.

During the operation: The image shows the marking of the skin tissue to be removed along with the tumor, the cavity and rectal tissue created after tumor removal, and the closure of the wound with a V-Y flap.

During the operation: Clinical and fluoroscopic images showing that the tumor was removed in one piece with clean margins.

Post-surgery: It appears that the resection was performed starting from the distal end of the first sacrum.