Abstract

In 1960 Chalmers and Coulson reported a case of a sacral chordoma which was unusual in that it showed a tendency to metastasise to muscle and subcutaneous fat. The subsequent progress of this patient continued to be remarkable. Since the earlier report she produced over the years seven more metastases in muscle, making ten in all, and a second metastasis in subcutaneous fat. Each of these was treated by local excision without local recurrence. Four days after the excision of five muscle metastases in August 1968 the patient died suddenly and unexpectedly at the age of sixty-six, nearly fifteen years after the original excision of the primary tumour.

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