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. 2019 May 8;9(1 Suppl):108S–116S. doi: 10.1177/2192568219828727

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© The Author(s) 2019

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 1. — En bloc resection of a L5 chordoma after inappropriate intralesional resection. (A) L5 chordoma at initial presentation. This patient underwent a decompressive laminectomy and intralesional resection. (B) Pathological specimen. Because of inappropriate intralesional resection, a skin ellipse was removed to excised tumor contaminated tissue when the Enneking appropriate en bloc resection was performed. This required a complex plastic closure. (C) Specimen x-ray.