Computed tomography and magnetic resonance imaging features of cervical chordoma

Cui, Jiufa; Hao, Dapeng; Chen, Haisong; Liu, Jihua; Hou, Feng; Xu, Wenjian

doi:10.3892/ol.2018.8721

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…Chordomas are tumors of notochordal origin with genes involved in the expression of the transcription factor Brachyury 6 , 7 . The most common sites of tumor development include the sacrococcygeal region (50–60%), sphenoid-occipital region (25–35%), and mobile spine (15%) 1 , 2 . Lesions of the cervical spine are rare, comprising between 3 and 7% of all chordomas and between 20 and 50% of spinal chordomas 4 , 8 .…”

Section: Discussionmentioning

confidence: 99%

A case report of Sustained triumph: 15-year recurrence-free survival following surgical resection of a cervical chordoma in a 15-year-old girl

Haddad,

Rimawi,

Hussein

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Chordoma of the cervical spine is a rare condition associated with poor long-term outcomes. This is mainly attributed to its pathological involvement of vital structures such as the cervical roots and vertebral artery (VA). Although the most appropriate management in these cases is total en bloc excision, attaining complete resection is relatively challenging due to the vicinity of the critical anatomical structures mentioned above. Case description: A 15-year-old female with middle cervical spine chordoma was treated by a multidisciplinary team involving neurosurgery and head and neck surgeons utilizing anterior and posterior approaches followed by high beam X-ray radiotherapy. Histopathological examination matched the description of a chordoma. Fifteen years after the initial excision, the patient maintained her normal neurological function without local recurrence or metastasis. Clinical discussion: The patient underwent surgery in two stages. A posterior approach for C3, C4 and C5 laminectomies was performed on the first stage with the second stage involving head and neck surgery for complete resection of the tumor. The patient also underwent radiotherapy three months after surgery for a total duration of one month. The patient is currently 30 years old with no evidence of chordoma recurrence. Conclusion: Patients afflicted with cervical chordomas often find themselves undergoing multiple operations due to high recurrence rates. Fortunately, the utilization of en bloc resection coupled with adjuvant radiotherapy presents as a hopeful treatment modality that can serve to substantially reduce recurrence rates, increase survival rates, and ultimately enhance the quality of life.

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Section: Discussionmentioning

confidence: 99%

A case report of Sustained triumph: 15-year recurrence-free survival following surgical resection of a cervical chordoma in a 15-year-old girl

Haddad,

Rimawi,

Hussein

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Cervical chordomas are not a common disease, they are often overlooked as a diagnostic possibility in patients with neck pain or palpable mass. [4,10] However there are few reports of imaging features in literature. In 1998 Wippold et al published one of the most cited articles regarding this topic.…”

Section: Discussionmentioning

confidence: 99%

“…All cases were heterogeneous and hypodense compared with adjacent muscle. [ 4 ] T1 and T2-weighted features were the same as those described by Wippold. These radiological features are the most common pattern as described by previous studies, being lobulated in gross appearance, T1-weighted hypointense, T2-weighted hyperintense, with multi-level involvement.…”

Section: Discussionmentioning

confidence: 99%

360-surgery for a giant cervical chordoma with involvement of the right vertebral artery

Molina-Martínez

Medina-Illueca

Betancourt-Quiroz

et al. 2021

Surgical Neurology International

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Background: Chordomas are malignant tumors that arise from the remnants of the notochord. Complete en bloc radical resection with postoperative radiation therapy is currently considered the gold standard. Here, we performed a 360-staged approach to manage a C3-C4 chordoma that involved the right vertebral artery. Case Description: A 40-year-old woman presented with a C3-C4 chordoma that invaded the right vertebral artery. She responded well to a circumferential approach including resection and stabilization. Conclusion: A 40-year-old woman with a C3-C4 spinal chordoma was optimally managed with a combined anterior/posterior surgical approach including decompression/fusion.

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“…On CT, chordomas appear as well-defined expansile soft tissue masses that arise from the clivus with associated destructive lytic lesions and occasionally marginal sclerosis [ 43 ]. They appear as hypoattenuating heterogeneous lesions with areas of necrosis, hemorrhage and calcifications.…”

Section: Pathological and Radiological Features Of The Cvj Neoplasmsmentioning

confidence: 99%

Craniovertebral Junction Instability after Oncological Resection: A Narrative Review

et al. 2023

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The craniovertebral junction (CVJ) is a complex transition area between the skull and cervical spine. Pathologies such as chordoma, chondrosarcoma and aneurysmal bone cysts may be encountered in this anatomical area and may predispose individuals to joint instability. An adequate clinical and radiological assessment is mandatory to predict any postoperative instability and the need for fixation. There is no common consensus on the need for, timing and setting of craniovertebral fixation techniques after a craniovertebral oncological surgery. The aim of the present review is to summarize the anatomy, biomechanics and pathology of the craniovertebral junction and to describe the available surgical approaches to and considerations of joint instability after craniovertebral tumor resections. Although a one-size-fits-all approach cannot encompass the extremely challenging pathologies encountered in the CVJ area, including the possible mechanical instability that is a consequence of oncological resections, the optimal surgical strategy (anterior vs posterior vs posterolateral) tailored to the patient’s needs can be assessed preoperatively in many instances. Preserving the intrinsic and extrinsic ligaments, principally the transverse ligament, and the bony structures, namely the C1 anterior arch and occipital condyle, ensures spinal stability in most of the cases. Conversely, in situations that require the removal of those structures, or in cases where they are disrupted by the tumor, a thorough clinical and radiological assessment is needed to timely detect any instability and to plan a surgical stabilization procedure. We hope that this review will help shed light on the current evidence and pave the way for future studies on this topic.

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Computed tomography and magnetic resonance imaging features of cervical chordoma

Cited by 5 publications

References 26 publications

A case report of Sustained triumph: 15-year recurrence-free survival following surgical resection of a cervical chordoma in a 15-year-old girl

A case report of Sustained triumph: 15-year recurrence-free survival following surgical resection of a cervical chordoma in a 15-year-old girl

360-surgery for a giant cervical chordoma with involvement of the right vertebral artery

Craniovertebral Junction Instability after Oncological Resection: A Narrative Review

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