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Skull base
chordoma

General things on skull base chordoma
35 % of all chordoma are located at the
so-called clivus (see red area on the picture down at
this page) at the base of the skull [2].
Prevalence and
Incidence
Skull base chordoma are
usually diagnosed at age 38 whereas sacral chordoma typically
develop around the age of 60. [9,10]. In
skull base chordoma both sexes show a similar incidence
rate.
Display of the skull
base
Histological variants
Three different
histological types are differentiated: conventional, chondroid
and
dedifferentiated chordoma [9]. Conventional chordoma per definition do not contain
chondroid (chondroid chordoma) or
mesenchymal (dedifferentiated chordoma)
components.
Skull base, the clivus
is displayed in red
(Taken from Wayne
State University, School of Medicine)
Symptoms
The most common symptoms in skull base chordoma are
headache and diplopia (one is seeing doubled images). Furthermore,
depending on what nerval structures are affected there might be pain in
the trigeminal region of the face for example or other pain / symptoms.
hinzu.
Prognosis
Chondroid Chordoma, which are common at the skull base [9], have an average survival rate of 16 years whereas conventional chordoma are reported to be associated with an average survival of 4-7 years. The worst prognosis is for the dedifferentiated chordoma, which contain additional mesenchymal components and that are similar to sarcoma. The average survival rate for tose tumors is 6-12 months following diagnosis. These types of chordoma tend to frequently build recurrences and tend to metastasize. However, only 1,3% - 8% of all chordoma belong to this typ.
The 5-year survival rate is approximately 82% [10].
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