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Case Report

Parachordoma of Soft Tissues of the Arm

  • Case Report
  • Tumor
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Parachordoma, or myoepithelioma, is a very rare tumor histologically resembling chordoma but occurring in the nonaxial soft tissues. It typically has an indolent nature, with occasional late recurrence and even rare metastases. Review of existing literature reveals a male predilection, with the tumor typically occurring in the fourth decade of life in the lower extremity. It typically is managed with wide resection. We report the case of a 60-year-old woman with a right distal upper arm parachordoma treated with wide resection of the tumor.

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References

  1. Abe S, Imamura T, Harasawa A, Ishida T, Unno K, Tateishi A, Tokizaki T, Yorikawa J, Matsushita T. Parachordoma with multiple metastases. J Comput Assist Tomogr. 2003;27:634–638.

    Article  PubMed  Google Scholar 

  2. Carlen B. Diagnostic value of electron microscopy in rare malignant musculoskeletal tumors. Ups J Med Sci. 1996;101:69–85.

    Article  PubMed  CAS  Google Scholar 

  3. Carstens PH. Chordoid tumor: a light, electron microscopic, and immunohistochemical study. Ultrastruct Pathol. 1995;19:291–295.

    Article  PubMed  CAS  Google Scholar 

  4. Dabska M. Parachordoma: a new clinicopathologic entity. Cancer. 1977;40:1586–1592.

    Article  PubMed  CAS  Google Scholar 

  5. Enzinger FM, Weiss SW. Extraskeletal myxoid chondrosarcoma. In: Gay SM, ed. Soft Tissue Tumors. St Louis, MO: CV Mosby; 1988:868.

    Google Scholar 

  6. Fisher C. Parachordoma exists—but what is it? Adv Anat Pathol. 2000;7:141–148.

    Article  PubMed  CAS  Google Scholar 

  7. Fisher C, Miettinen M. Parachordoma: a clinicopathologic and immunohistochemical study of four cases of an unusual soft tissue neoplasm. Ann Diagn Pathol. 1997;1:3–10.

    Article  PubMed  CAS  Google Scholar 

  8. Folpe AL, Agoff SN, Willis J, Weiss SW. Parachordoma is immunohistochemically and cytogenetically distinct from axial chordoma and extraskeletal myxoid chondrosarcoma. Am J Surg Pathol. 1999;23:1059–1067.

    Article  PubMed  CAS  Google Scholar 

  9. Hemalatha AL, Srinivasa MR, Parshwanath HA. Parachordoma of tibia: a case report. Indian J Pathol Microbiol. 2003;46:454–455.

    PubMed  CAS  Google Scholar 

  10. Hirokawa M, Manabe T, Sugihara K. Parachordoma of the buttock: an immunohistochemical case study and review. Jpn J Clin Oncol. 1994;24:336–339.

    PubMed  CAS  Google Scholar 

  11. Imlay SP, Argenyi ZB, Stone MS, McCollough ML, Henghold WB. Cutaneous parachordoma: a light microscopic and immunohistochemical report of two cases and review of the literature. J Cutan Pathol. 1998;25:279–284.

    Article  PubMed  CAS  Google Scholar 

  12. Ishida T, Oda H, Oka T, Imamura T, Machinami R. Parachordoma: an ultrastructural and immunohistochemical study. Virchows Arch A Pathol Anat Histopathol. 1993;422:239–245.

    Article  PubMed  CAS  Google Scholar 

  13. Karabela-Bouropoulou V, Skourtas C, Liapi-Avgeri G, Mahaira H. Parachordoma: a case report of a very rare soft tissue tumor. Pathol Res Pract. 1996;192:972–978; discussion 979–981.

    PubMed  CAS  Google Scholar 

  14. Kinoshita G, Yasoshima H. Case report: fatal parachordoma. J Orthop Sci. 2007;12:101–106.

    Article  PubMed  Google Scholar 

  15. Koh JS, Chung JH, Lee SY, Cho KJ. Parachordoma of the tibia: report of a rare case. Pathol Res Pract. 2000;196:269–273.

    PubMed  CAS  Google Scholar 

  16. Limon J, Babinska M, Denis A, Rys J, Niezabitowski A. Parachordoma: a rare sarcoma with clonal chromosomal changes. Cancer Genet Cytogenet. 1998;102:78–80.

    Article  PubMed  CAS  Google Scholar 

  17. Miettinen M, Gannon FH, Lackman R. Chordomalike soft tissue sarcoma in the leg: a light and electron microscopic and immunohistochemical study. Ultrastruct Pathol. 1992;16:577–586.

    Article  PubMed  CAS  Google Scholar 

  18. Niezabitowski A, Limon J, Wasilewska A. Parachordoma: a clinicopathologic, immunohistochemical, electron microscopic, flow cytometric, and cytogenetic study. Gen Diagn Pathol. 1995;141:49–55.

    PubMed  CAS  Google Scholar 

  19. Povysil C, Matejovsky Z. A comparative ultrastructural study of chondrosarcoma, chordoid sarcoma, chordoma, and chordoma periphericum. Pathol Res Pract. 1985;179:546–559.

    PubMed  CAS  Google Scholar 

  20. Sangueza OP, White CR. Parachordoma. Am J Dermatopathol. 1994;16:185–188.

    Article  PubMed  CAS  Google Scholar 

  21. Separović R, Glumbić I, Pigac B, Separović V, Kruslin B. Parachordoma: a case report. Tumori. 2001;87:207–210.

    PubMed  Google Scholar 

  22. Shin HJ, Mackay B, Ichinose H, Ayala AG, Romsdahl MM. Parachordoma. Ultrastruct Pathol. 1994;18:249–256.

    Article  PubMed  CAS  Google Scholar 

  23. Tihy F, Scott P, Russo P, Champagne M, Tabet JC, Lemieux N. Cytogenetic analysis of a parachordoma. Cancer Genet Cytogenet. 1998;105:14–19.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We thank Julie Davila for assistance with preparation of this manuscript.

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Upstate Medical University, Suite #130, 550 Harrison Street, Syracuse, NY, 13202, USA

    Jonathan Clabeaux MD & Timothy A. Damron MD

  2. Department of Radiology, Upstate Medical University, Syracuse, NY, USA

    Leonard Hojnowski MD

  3. Department of Pathology, Upstate Medical University, Syracuse, NY, USA

    Alfredo Valente MD

Authors
  1. Jonathan Clabeaux MD
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  2. Leonard Hojnowski MD
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  3. Alfredo Valente MD
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  4. Timothy A. Damron MD
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Corresponding author

Correspondence to Timothy A. Damron MD.

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Each author certifies that he has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing, arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved or waived approval for the reporting of this case and that all investigations were conducted in conformity with ethical principles of research.

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Clabeaux, J., Hojnowski, L., Valente, A. et al. Case Report. Clin Orthop Relat Res 466, 1251–1256 (2008). https://doi.org/10.1007/s11999-008-0125-7

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  • DOI: https://doi.org/10.1007/s11999-008-0125-7

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