Endoscopic Resection of Clival Chordoma. A Case Report
Abstract Introduction: Chordoma is a rare malignant tumor that arises from remnants cells of the primitive notochord, which are located at caudal and cephalic ends of the vertebral column. It represents 2 to 5 % of all primary bone tumors. Description: We report the case of a patient with a clival chordoma, asymptomatic, diagnosed as an accidental finding in a paranasal sinus. imaging study. Discussion: The imaging findings were suggestive of a potentially malignant lesion given the underlying bone lysis. Once the diagnosis is histological, biopsy of clival suspicious lesions should be promptly carried out. In this case report, the surgical approach and the postoperative follow-up are presented.
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Amit M, Na'ara S, Binenbaum Y, Billan S, Sviri G, Cohen JT, et al. Treatment and Outcome of Patients with Skull Base Chordoma: A Meta-analysis. J Neurol Surg B Skull Base. 2014; 75:383-90. - https://doi.org/10.1055/s-0034-1376197 - PMid:25452895 PMCid:PMC4240761
Bolzoni-Villaret A, Stefini R, Fontanella M, Bottazzoli M, Turri Zanoni M, Pistochini A, et al. Transnasal endoscopic resection of symptomatic ecchordosis physaliphora. Laryngoscope. 2014 Jun;124(6):1325-8. - https://doi.org/10.1002/lary.24434 - PMid:24122935
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Heery CR. Chordoma: The Quest for Better Treatment Options. Oncol Ther. 2016;4:35-51. - https://doi.org/10.1007/s40487-016-0018-y - https://doi.org/10.1007/s40487-016-0016-0 - PMid:28261639 PMCid:PMC5315072
Kim JW, Suh CO, Hong CK, Kim EH, Lee IJ, Cho J, et al. Maximum surgical resection and adjuvant intensity-modulated radiotherapy with simultaneous integrated boost for skull base chordoma. Acta Neurochir (Wien); 2016 DOI:10.1007/s00701-016-2909-y - https://doi.org/10.1007/s00701-016-2909-y
Koechlin NO, Simmen D, Briner HR, Reisch R. Combined transnasal and transcranial removal of a giant clival chordoma. J Neurol Surg Rep. 2014;75(1): e98-e102. - https://doi.org/10.1055/s-0034-1373668 - PMid:25083400 PMCid:PMC4110148
Labidi M, Watanabe K, Bouazza S, Bresson D, Bernat AL, George B, et al. Clivus chordomas: a systematic review and metaanalysis of contemporary surgical management. J Neurosurg 2016; 60:476-84.
Shimony N, Gonen L, Shofty B, Abergel A, Fliss DM, Margalit N. Surgical resection of skull-base chordomas: experience in case selection for surgical approach according to anatomical compartments and review of the literature. Acta Neurochir (Wien). 2016 Dec 6. DOI:10.1007/s00701-016-3032-9 - https://doi.org/10.1007/s00701-016-3032-9
Tan NC, Naidoo Y, Oue S, Alexander H, Robinson S, Wickremesekera A, et al. Endoscopic surgery of skull base chordomas. J Neurol Surg B Skull Base. 2012; 73:379-86. - https://doi.org/10.1055/s-0032-1321508 - PMid:24294554 PMCid:PMC3578587
Yuh SJ, Woulfe J, Corsten MJ, Carrau RL, Prevedello DM, Kassam AB. Diagnostic imaging dilemma of a clival lesion and its clinical management implications. J Neurol Surg B Skull Base. 2014;75:177-82. - https://doi.org/10.1055/s-0033-1363171 - PMid:24967152 PMCid:PMC4067752
Bolzoni-Villaret A, Stefini R, Fontanella M, Bottazzoli M, Turri Zanoni M, Pistochini A, et al. Transnasal endoscopic resection of symptomatic ecchordosis physaliphora. Laryngoscope. 2014 Jun;124(6):1325-8. - https://doi.org/10.1002/lary.24434 - PMid:24122935
Golden LD, Small JE. Benign notochordal lesions of the posterior clivus: retrospective review of prevalence and imaging characteristics. J Neuroimaging. 2014;24(3):245-9. - https://doi.org/10.1111/jon.12013 - PMid:23464492
Heery CR. Chordoma: The Quest for Better Treatment Options. Oncol Ther. 2016;4:35-51. - https://doi.org/10.1007/s40487-016-0018-y - https://doi.org/10.1007/s40487-016-0016-0 - PMid:28261639 PMCid:PMC5315072
Kim JW, Suh CO, Hong CK, Kim EH, Lee IJ, Cho J, et al. Maximum surgical resection and adjuvant intensity-modulated radiotherapy with simultaneous integrated boost for skull base chordoma. Acta Neurochir (Wien); 2016 DOI:10.1007/s00701-016-2909-y - https://doi.org/10.1007/s00701-016-2909-y
Koechlin NO, Simmen D, Briner HR, Reisch R. Combined transnasal and transcranial removal of a giant clival chordoma. J Neurol Surg Rep. 2014;75(1): e98-e102. - https://doi.org/10.1055/s-0034-1373668 - PMid:25083400 PMCid:PMC4110148
Labidi M, Watanabe K, Bouazza S, Bresson D, Bernat AL, George B, et al. Clivus chordomas: a systematic review and metaanalysis of contemporary surgical management. J Neurosurg 2016; 60:476-84.
Shimony N, Gonen L, Shofty B, Abergel A, Fliss DM, Margalit N. Surgical resection of skull-base chordomas: experience in case selection for surgical approach according to anatomical compartments and review of the literature. Acta Neurochir (Wien). 2016 Dec 6. DOI:10.1007/s00701-016-3032-9 - https://doi.org/10.1007/s00701-016-3032-9
Tan NC, Naidoo Y, Oue S, Alexander H, Robinson S, Wickremesekera A, et al. Endoscopic surgery of skull base chordomas. J Neurol Surg B Skull Base. 2012; 73:379-86. - https://doi.org/10.1055/s-0032-1321508 - PMid:24294554 PMCid:PMC3578587
Yuh SJ, Woulfe J, Corsten MJ, Carrau RL, Prevedello DM, Kassam AB. Diagnostic imaging dilemma of a clival lesion and its clinical management implications. J Neurol Surg B Skull Base. 2014;75:177-82. - https://doi.org/10.1055/s-0033-1363171 - PMid:24967152 PMCid:PMC4067752
Gamboa, I., Vilhena, D., Resende, M., Duarte, D., & Lopes, G. (2017). Endoscopic Resection of Clival Chordoma. A Case Report. Revista ORL, 10(2), 141–145. https://doi.org/10.14201/orl.17383
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