# Paraspinal Skip Lesion Encountered During the Resection of a Sacral Chordoma: A Case Report

## TL;DR

An 88-year-old man had a successful resection of a sacral chordoma with a rare paraspinal skip lesion and no recurrence after 30 months.

## Contribution

This case highlights a rare paraspinal skip lesion during chordoma resection managed successfully without adjuvant therapy.

## Key findings

- Resection of the sacral chordoma with a paraspinal skip lesion was completed without adjuvant radiation.
- At 30 months postoperatively, there were no signs of metastasis or local recurrence.
- Postoperative monitoring for recurrence is recommended following institutional protocols.

## Abstract

We present the case of an 88-year-old man who underwent a resection of a sacral chordoma. During the resection, a paraspinal skip lesion was encountered. Ultimately, resection of the sacral chordoma was completed with no adjuvant radiation, and at 30 months postoperatively, there are no signs of metastasis or local recurrence. This case represents an unusual case of discontinuous skip lesions in the paraspinal muscles encountered during chordoma resection. In this instance, resection without adjuvant therapy was successful in preventing recurrence. Postoperatively, the patient should be monitored for metastasis and local recurrence with imaging locally as well as of the chest per institutional protocols.