Chordoma: tumor classified as benign but sometimes aggressive as the most malignum tumors. Five cases related: two from clivus and three sacrum with terrible behaviors
EANS Academy. Kirchhoff D. 09/25/19; 275843; EP03078
Dierk Fritz Kirchhoff
Dierk Fritz Kirchhoff

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Background: Chordoma is a rare type of tumor that can occur from the base of the skull to the tailboneAs they grows, it puts pressure on the adjacent areas of the brain or spinal cord, leading to the signs and symptoms of the disorder.
Methods: We will show recent experience in five cases of chordomas that occurs in both extreme of neuroaxis that was submitted to a very good surgery resection and evaluated with recurrence, local metastasis and even metastasis of different systems as respiratory and skeletal muscle
Results and discussion: Chordomas are slow growing, yet aggressive and life-threatening tumors. Outcomes for chordoma patients vary widely and are highly dependent on the course of treatment received and the individual tumor's behavior. Modern treatment approaches can significantly prolong patient survival, and, with appropriate care, many patients can be cured. we will relate five cases that wasn´t good behaviors. The patients that have made de brain surgery was submitted to an adjuvant therapy with radiation. One of them have local relapse and cranial nerves paralysis partially. The other one didn´t accept adjuvanted treatment and have local metastasis to the occiput-cervical junction with a big loss quality of life. The patients that have sacral chordomas was submitted to a very safe border total resection, including in one of the cases, in amputation of the sacrum bone. They have a short time excellent evaluation but whith time, one have local relapse, one local relapse and metastasis to the muscles and the third one have metastasis in both lungs. they all were followed by an oncologist that didn´t recommended adjuvancehterapy
Conclusion: This paper current treatment options available to chordoma patients and lays out points to consider when making treatment decisions, sometimes we should look and act with this tumors as we were dealing with maligned and very aggressive lesions
Background: Chordoma is a rare type of tumor that can occur from the base of the skull to the tailboneAs they grows, it puts pressure on the adjacent areas of the brain or spinal cord, leading to the signs and symptoms of the disorder.
Methods: We will show recent experience in five cases of chordomas that occurs in both extreme of neuroaxis that was submitted to a very good surgery resection and evaluated with recurrence, local metastasis and even metastasis of different systems as respiratory and skeletal muscle
Results and discussion: Chordomas are slow growing, yet aggressive and life-threatening tumors. Outcomes for chordoma patients vary widely and are highly dependent on the course of treatment received and the individual tumor's behavior. Modern treatment approaches can significantly prolong patient survival, and, with appropriate care, many patients can be cured. we will relate five cases that wasn´t good behaviors. The patients that have made de brain surgery was submitted to an adjuvant therapy with radiation. One of them have local relapse and cranial nerves paralysis partially. The other one didn´t accept adjuvanted treatment and have local metastasis to the occiput-cervical junction with a big loss quality of life. The patients that have sacral chordomas was submitted to a very safe border total resection, including in one of the cases, in amputation of the sacrum bone. They have a short time excellent evaluation but whith time, one have local relapse, one local relapse and metastasis to the muscles and the third one have metastasis in both lungs. they all were followed by an oncologist that didn´t recommended adjuvancehterapy
Conclusion: This paper current treatment options available to chordoma patients and lays out points to consider when making treatment decisions, sometimes we should look and act with this tumors as we were dealing with maligned and very aggressive lesions
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