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  Indian J Med Microbiol
 

Figure 3: Giant sacral chordoma. A 56-years-old female patient admitted with pain in perianal area and left leg. Perianal sensory loss and urinary incontinence for 2 years. Additional psychosis has caused a neglect of treatment. Magnetic resonance images revealed a giant sacral tumor (a and b). Sacrum tumors may remain w/o symptoms for long periods, they reach big dimensions at the time of diagnosis. September 2009 biopsy chordoma. Significant blood loss during intralesional resection of big mass in October 2009 (c). Total four surgeries and radiotherapy, died in 2015 (6 years - 72 months survival)

Figure 3: Giant sacral chordoma. A 56-years-old female patient admitted with pain in perianal area and left leg. Perianal sensory loss and urinary incontinence for 2 years. Additional psychosis has caused a neglect of treatment. Magnetic resonance images revealed a giant sacral tumor (a and b). Sacrum tumors may remain w/o symptoms for long periods, they reach big dimensions at the time of diagnosis. September 2009 biopsy chordoma. Significant blood loss during intralesional resection of big mass in October 2009 (c). Total four surgeries and radiotherapy, died in 2015 (6 years - 72 months survival)