Ecchordosis physaliphora

Case contributed by Andrew Lawson , 7 Jan 2014
Diagnosis certain
Changed by Bruno Di Muzio, 31 May 2015

Updates to Case Attributes

Body was changed:

Benign nodule of tissue in prepontine cistern dorsal to clivus considered to be ectopic notochordal remnant.

Top Differential Diagnoses

differential diagnoses:

  • Chordomachordoma
  • Skullskull base metastasis

  • Dermoiddermoid or epidermoid
  • Arachnoidarachnoid cyst

Pathology

  • Few clear cells ("physaliphorous cells") surrounded by chondromyxoid stroma.
  • -<p>Benign <strong>nodule</strong> of tissue in <strong>prepontine cistern</strong> dorsal to clivus considered to be ectopic notochordal remnant.</p><p>Top Differential Diagnoses</p><p> </p><ul>
  • -<li>Chordoma</li>
  • -<li><p>Skull base metastasis</p></li>
  • -<li>Dermoid or epidermoid</li>
  • -<li><p>Arachnoid cyst</p></li>
  • -</ul><p>Pathology</p><ul><li>Few clear cells ("<strong>physaliphorous cells</strong>") surrounded by chondromyxoid stroma</li></ul>
  • +<p>Benign nodule of tissue in <a title="Prepontine cistern" href="/articles/pontine-cistern">prepontine cistern</a> dorsal to clivus considered to be <a title="Physaliphorous ecchordosis" href="/articles/ecchordosis-physaliphora">ectopic notochordal remnant</a>.</p><p>Top differential diagnoses:</p><ul>
  • +<li>chordoma</li>
  • +<li><p>skull base metastasis</p></li>
  • +<li>dermoid or epidermoid</li>
  • +<li><p>arachnoid cyst</p></li>
  • +</ul><p>Pathology</p><ul><li>Few clear cells ("<strong>physaliphorous cells</strong>") surrounded by chondromyxoid stroma.</li></ul>

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