Case 3. Case 3. Chordoma in the nasopharynx in a 13-year-old boy misdiagnosed with nasopharyngeal angiofibroma by nasal endoscopy. In the nasopharynx and.

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Presentation transcript:

Case 3. Case 3. Chordoma in the nasopharynx in a 13-year-old boy misdiagnosed with nasopharyngeal angiofibroma by nasal endoscopy. In the nasopharynx and left paranasopharyngeal space, the lobulated tumor exhibits irregular calcification (arrow) on CT images (A), isointensity on T1-weighted images (B), heterogeneous hyperintensity on T2-weighted images (C), and mild heterogeneous enhancement on postcontrast T1-weighted images (D), with clear margins with adjacent structures. The clivus has a normal signal intensity and appearance. The characteristic physaliphorous cells with large, sharply delimited, clear vacuoles imparting a bubbly appearance form the hallmark of chordoma (hematoxylin-eosin, original magnification × 400; E). Z.Y. Yan et al. AJNR Am J Neuroradiol 2010;31:246-250 ©2010 by American Society of Neuroradiology