This study describes fluoroscopy-guided percutaneous intratumoral injection 
therapy (PIIT) with a pingyangmycin lipiodol emulsion in the management of 
recurrent sacrococcygeal chordomas after surgical excision. Seven patients 
underwent a total of 22 treatment sessions (3-4 sessions per patient); treatment 
responses were evaluated clinically, and lesion size was determined using 
computed tomography (CT). Over 10-26 months of follow-up, tumor sizes and visual 
analogue scale (VAS) scores of all patients were decreased. No patients had 
complications during the follow-up period. Preliminary results showed that PIIT 
with pingyangmycin lipiodol emulsion under fluoroscopic guidance is effective 
and safe and may be considered as a treatment option.