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. 2021 Mar 31;15(3):1–8. doi: 10.3941/jrcr.v15i3.4208

Table 1.

Summary table of poorly differentiated chordoma.

Etiology
  • The poorly differentiated chordoma is a rare subtype of chordoma, a primary malignancy from notochord remnants arising from bone.

Incidence
  • True incidence unknown.

  • Classical chordoma accounts for approximately 4% of primary bone tumours and the poorly differentiated subtype has only been recognized in recent years.

Gender Ratio
  • Chordoma classical type has a slight male predominance.

  • The poorly differentiated subtype has an unknown gender ratio.

Age Predilection
  • The classical skull base chordoma appears most frequently in adults (20–40 years).

  • The poorly differentiated subtype may have a predilection for the pediatric population.

Risk factors
  • No known risk factors.

Treatment
  • Traditionally, surgical excision is first line treatment for chordoma.

  • Some literature reports percutaneous radiofrequency ablation or external beam radiotherapy.

Prognosis
  • Poor. Poorly differentiated subtype of chordoma is more aggressive with a tendency to metastasize.

  • Our patient passed away due to complications of lung metastasis.

Imaging Findings
  • Centered at the skull base most commonly.

  • CT: Usually lytic and destructive lesion arising from bone, with surrounding soft tissue component.

  • MRI: Infiltrative, non-enhancing, of uniform intermediate to low signal intensity on T1 and T2 weighted imaging.