While both ecchordosis physaliphora and chordoma are composed mainly of physaliphorous cells, stain for vimentin, the S-100 protein, epithelial membrane antigen, and low molecular weight cytokeratins, and are both negative for high molecular weight keratins [20], it is still unclear whether ecchordosis physaliphora can be a precursor of chordoma [19]; further investigations are needed to address this open question. Here, VIM is linked to chordoma.