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Year : 2014  |  Volume : 1  |  Issue : 2  |  Page : 101-103

A C7 chordoma masquerading as spinal tuberculosis

1 Consultant, Department of Neuro and Spine Surgery, Global Hospitals and Health City, Chennai, Tamil Nadu, India
2 Senior consultant, Department of Neurosurgery, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Phani Kiran Surapuraju
Consultant, Department of Neuro and Spine Surgery, Global Hospitals and Health City, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.5005/jp-journals-10039-1021

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Tuberculosis of cervical spine is a fairly common pathology encountered by the spine surgeon in India. It is not uncommon to find that empirical treatment with anti-tubercular drugs is started based on clinical, hematological and radiological features. We present one such patient who presented to us with dysphagia and was on anti-tubercular treatment for 18 months. It was later diagnosed as a C7 chordoma after an intralesional excision. This emphasizes the fact that a tissue diagnosis is imperative for starting any antimicrobial therapy. The purpose of this report is to highlight the fact that a chordoma should be considered as an important differential diagnosis in the axial skeleton lesions anywhere from the craniovertebral junction to the sacrum; as an early diagnosis has significant impact on the tumor recurrence and long-term survival. This report re-emphasizes the importance of tissue diagnosis by needle aspiration or biopsy before starting the definitive treatment.

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