CASE 13: Chordoma located in the sacrum and coccyx

• 58-year-old male patient
• The patient presented with complaints of swelling and pain in the tailbone area and inability to sit for extended periods, which had been present for 1.5 years.
• Subsequent scans following the discovery of chordoma on the patient's needle biopsy did not reveal any metastases.
• After the tumor was removed with clean margins (sacrcectomy), the wound was closed with a unilateral muscle flap (V-Y).
• The patient, who experienced no problems during or after the surgery, was discharged under close monitoring.

Before surgery: The X-ray shows significant damage to the sacrum and coccyx.

Before surgery: The MRI shows a large tumor with irregular borders extending into the muscle.

During the operation: The image shows a planned V-Y flap using skin tissue removed along with the tumor, and the space created after tumor removal.

During the operation: Clinical and fluoroscopy images of the removed tumor tissue.

During the operation: The image shows a V-Y flap used to close the wound.