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Nasal and paranasal presentations of chordomas
Author(s) -
Campbell Winston M.,
Mcdonald Thomas J.,
Unni Krishnan K.,
Laws Edward R.
Publication year - 1980
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198004000-00007
Subject(s) - medicine , debulking , sinus (botany) , surgery , paranasal sinuses , bone erosion , radiology , radiation therapy , botany , ovarian cancer , cancer , biology , genus , rheumatoid arthritis
Eight patients with chordomas whose initial manifestations were caused by nasal and paranasal extension of the tumor are presented. Their ages ranged from 24 to 51 years. Disturbances of vision developed subsequently in all eight patients, and headache was present in each patient. Roentgenograms showed bony erosion of the sphenoid sinus or a naso‐pharyngeal mass. Because chordomas can be confused with chondrosarcomas histopatho‐logically, differentiation is important. Treatment consists of surgical debulking or radiotherapy (or both). Despite such treatment, six patients died from their disease. The average survival was five years. This emphasizes the well‐known poor prognosis for patients with clival chordomas.