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Chordoma

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Posted by fatima.shakeel@opmc.co | Nov 16, 2024

What is Chordoma?

Chordoma is a rare bone cancer that originates from remnants of the notochord, a structure involved in spine formation during early development in the womb. Chordomas usually develop along the spine, commonly at the base of the skull or in the lower spine (sacrum). Though slow-growing, they can be aggressive and may invade nearby tissues.

Causes

The exact cause is unknown, but genetic mutations, particularly in the T gene, may play a role. No environmental causes have been identified.

Signs and Symptoms

Symptoms depend on the tumour’s location and may include:

  • Persistent pain at the tumour site
  • Neurological issues like numbness or weakness (if the spinal cord is affected)
  • Difficulty swallowing (if the tumour is near the skull)

Diagnosis

Diagnosis typically involves MRI and CT scans to assess the tumour’s size and location, and a biopsy to confirm the diagnosis through tissue analysis.

Treatment

The primary treatment is surgical removal of the tumour, often followed by radiation therapy to lower the chance of recurrence. Research into targeted therapies is ongoing.

Prognosis

Outlook depends on factors like tumour size, location, and the ability to remove it completely. The five-year survival rate ranges from 50% to 70%, with smaller, fully removable tumours having the best outcomes.


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