Table 1.
Summary table for sellar/suprasellar chordoma.
| Etiology | Acquired; arise from notochord remnant |
| Incidence | Few cases reported |
| Gender ratio | Male: Female = 2:1 |
| Age predilection | 4thβ5th decades of life |
| Risk factors | Unknown |
| Treatment | Mainly en-bloc surgical resection with or without radiotherapy |
| Prognosis | Favorable if extradural in location and fully removed surgically. Overall median survival time following treatment is 6 years. |
| Findings on imaging | Usually, an intracranial chordoma presents as a midline heterogenous soft tissue mass with internal calcifications due to adjacent bone destruction. Most of the time, it involves the clivus. It is hyperdense to brain parenchyma on CT. Intermediate-low T1 signal and high T2 signal are expected on MRI. Blooming artefact on T2* sequence on gradient-echo MRI may be seen, representing haemorrhage or calcifications from the eroded bony fragments. Variable enhancement is seen following intravenous contrast administration. FDG avid on PET. |