Chordomas can present a challenge to the radiation oncologist and surgeon owing to the proximity to neurological structures. We describe a case of long-term tumour control in a chordoma of the lumbar spine following high-dose palliative radiotherapy. Image-guided intensity-modulated radiotherapy with photons provided a good solution to deliver 65 Gy to the tumour in a technically challenging case, and local control has been sustained over a period of years.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159199PMC
http://dx.doi.org/10.1259/bjrcr.20160145DOI Listing

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