The cytologic findings on cerebrospinal fluid examination of cervical
chordoma in a 2-year-old girl are presented. The major cell type was a
small, isolated, hyperchromatic cell with sharply defined nuclear mem
brane and granular cytoplasm. However, the characteristic cell of this
neoplasm, the so-called physaliferous cell with typical bubbly cytopl
asm, was also noted. Cytologic findings were compared to biopsy findin
gs,with a good correlation of tumor morphology. Clinical follow-up rev
ealed unusually aggressive tumor behavior, and the patient died a year
Inter despite intensive chemotherapy. The differential diagnosis of t
he condition is also discussed.