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03/01/13

Chordoma - Surgery

Radical

Resection

(No tumor)

Subtotal

Resection

(>90% resected)

Partial

Resection

(<90% resected)

Biopsy

Al-Mefty

43%

48%

9%

Watkins

89%

11%

Gay

47% (total)

20% (near

total)

23%

10%

-

Multiple retrospective studies have suggested

improved local control and

survival in those patients with optimal surgical debulking

- Tzortzidis reported that in patients with chordomas who underwent surgery

aimed at performing a complete resection, GTR could be accomplished in only

72%.

- The 10-year recurrence-free survival was 31% indicating that

even after GTR,

the likelihood of tumor control is low with surgery alone