Declarations:-
-Funding - not applicable
-Ethics approval- not applicable
-Patient consent for publication- has been taken from the patient’s father as the patient is a minor. He has no objections to this publication. The consent paper would be provided to the journal whenever sought.
-Conflicts of interest - The authors declare that they have no competing financial or non-financial interests.
Manuscript type : Case report
Key words : Sacral chordoma, paediatric cancer, Lung metastases, poorly differentiated
Key Clinical Message : Sacral chordoma are usually slow-growing. Distant metastases can be seen on prolonged follow-up, but rarely early in the disease course. Lung metastasis at presentation and poorly differentiated tumors have rapid disease progression. Early aggressive treatment including surgery and/or radiotherapy (RT) with exploration of targeted therapy may improve outcome.