Question about coccyx chordoma

Question

Asked for Male, 26 Years

Hi doctors, I want to know what are the symptoms of this type of chordoma? Also, 1. I have pain in the cleft region tissue, reduces with painkillers but comes back. I am sure it's not bone pain. Can that be pilonidal disease? 2. In chordoma, when you palpate the bone, does that feel tender or not? I have pressed the bone there is no pain tho. Please help me answer these questions as i am outside India and unable to meet a doctor. Getting a lot scared and anxious as this tenderness is not going away after 2-3 weeks. Or is it not going because i keep putting my finger there and try to search for any cyst or tumour there, does doing that inflames that area?

Answers (2)

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Dr. Anita Malik

Radiation Oncologist 19 yrs exp Delhi

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Chordoma is a Tumor and non cancerous. Causes local pressure symptoms. Ie nerve compression / pain . Radiological confirmation is must. Do mri pelvis and consult doctor.

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Dr. N Thejeswar Medical Oncologist 12 yrs exp Nellore · Accepted Answer

Dr. N Thejeswar

Medical Oncologist 12 yrs exp Nellore

Hi Iam Thejeswar. Iam Medical and Hematooncologist. chordoma is a low-grade, slow-growing, but locally invasive and locally aggressive tumor. They arise, anterior to spinalcord. Cannot be palpated. Sacral chordomas presents with localized pain and possible radiculopathy (nerve pain), as well as possible dysfunction of the bladder, bowel, or autonomic nervous system if the tumor involves the lumbosacral plexus. Evaluation of chordoma revolves around imaging and biopsy. Pain of both chordoma and pilonidal sinus can be reduced temporarily with pain killers. To differentiate both need to examine as pilonidal sinus can be identified with local examination.

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