December 1987

Surgical Treatment of Spinal Chordomas

Author Affiliations

From the Department of Surgery, St Luke's/Roosevelt Hospital Center, New York (Dr Sundaresan); and Departments of Pathology (Dr Huvos), Radiology (Dr Krol), and Surgery (Drs Lane and Brennan), Memorial Sloan-Kettering Cancer Center, New York.

Arch Surg. 1987;122(12):1479-1482. doi:10.1001/archsurg.1987.01400240127024

• The clinical features and results of 34 patients with chordomas treated over a seven-year period were analyzed. Surgical treatment consisted of wide local excision (n=6), marginal resection (n=5), intralesional resection (n=20), and biopsy (n=3). Eighteen patients received postoperative radiotherapy. The local recurrence rate was 65%, with 30% of patients developing distant metastases. With the introduction of computed tomography, smaller tumors are currently being diagnosed; as a result, 35% of the patients in this series are disease free, compared with 10% described previously.

(Arch Surg 1987;122:1479-1482)