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. 2018 Mar 31;12(3):1–9. doi: 10.3941/jrcr.v12i3.3281

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 4th–5th 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.