CHORDOMAS in the maxillary antrums and nares are extremely rare. Rarer still are chordomatous metastases to cervical lymph nodes. Only 3 previous cases, those of Peters,1 Potoschnig2 and Lewis,3 have been found with positive involvement of cervical nodes. Bailey and Bagdasar4 thoroughly covered the history of chordoma from 1846 to 1929, and the origin and development of the notochord was aptly discussed anatomically by Huber.5 The classification supplied by Coenen6 is the most complete and satisfactory. This briefly recognizes three major groups: cranial, vertebral and sacrococcygeal. Under the first major cranial group, a fourth dental subgroup includes maxillary and mandibular chordomas.
Concerning biopsies, Adson, Kernohan and Woltman7 stated: But biopsy, too, may present difficulties, as was experienced by Hirsch, from whose patient repeated specimens taken from a tumor in the tonsillar region resulted in such a wide variety of diagnoses and comments by
PASTORE PN, SAHYOUN PF, MANDEVILLE FB. CHORDOMA OF THE MAXILLARY ANTRUM AND NARESReport of a Case Clinically Resembling Hodgkin's Disease First Diagnosed by Biopsy of a Cervical Node. Arch Otolaryngol. 1949;50(5):647–658. doi:10.1001/archotol.1949.00700010661012