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Washington University Experience | NEOPLASMS (MESENCHYMAL, NON-MENINGOTHELIAL) | Chordoma | 7A0 Case 7 History
Case 7 History ---- The patient was a 76-year-old woman with history of invasive ductal breast carcinoma (ER positive, PR positive, Her2 negative) on needle biopsy, status-post lumpectomy and radiation therapy, and now on maintenance anastrazole), who presented with a mild progressive third nerve palsy (with minor ptosis and occasional double vision), over the last six months. MRI showed a 2.3 x 3.0 x 3.2 cm heterogeneous lobulated and cystic T2 hyperintense enhancing soft tissue mass involving the clivus, sphenoid sinus, and pituitary gland. The mass bulges into and narrows the prepontine cistern, abuts the basilar artery, invades into the posterior and left pituitary gland, extends into the left cavernous sinus and left suprasellar space, displaces the optic chiasm superiorly, abuts the left supraclinoid internal carotid artery, and may encase the left 3rd nerve. Operative procedure: Transnasal endoscopic resection of clivus mass.
