Chordoma in Childhood Symptoms and Treatment - Oren Zarif - Chordoma in Childhood
Symptoms of chordoma in children vary widely depending on the location of the tumor. Pain, neurologic deficits, and cranial nerve impairment may occur in pediatric patients. They may also be associated with other disorders such as chondrosarcoma or tuberous sclerosis complex. During the course of a chordoma in childhood, a child will likely experience a wide range of symptoms.
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If a child has a chordoma in the skull, this can block the flow of cerebrospinal fluid (CSF) to the brain. If this happens, the patient will experience hydrocephalus. Symptoms of hydrocephalus will vary depending on the patient's age. They can include double vision, rapid eye movements, difficulty with balance, and nausea. In addition to headaches and neck pain, a child can also develop hoarseness or a hoarse voice.
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The best treatment for chordoma in children depends on the location of the tumor. The most common method is surgical resection. The goal of this procedure is to reduce the volume of the tumor, obtain a complete resection, and to remove as much of the affected tissue as possible. Surgery should also minimize residual tumor, especially in children, as these tumors usually invade other nerves or vascular structures. Although there are few studies of treatment for pediatric chordoma, PDQ summaries provide a current list of available treatments.
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Currently, there are no specific treatments for chordoma in childhood. However, treatment options for pediatric patients may include surgery, chemotherapy, or radiation. The doctor will check the condition of a child with chordoma using an MRI every three months for up to a year. Some patients will require another surgery once the cancer returns. If this occurs, the child should undergo a new diagnostic test such as an MRI to ensure the tumor has not recurred.
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A multicenter retrospective study found that 40 children with chordomas were diagnosed. Most of the patients had a classical type of chordoma, with most occurring at the base of the skull. The overall survival rate was 68.8% at five and 10 years, while the progression-free survival rate was 58.4%. A total resection is the best treatment for childhood-onset chordoma.
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The symptoms of chordoma in children include pain, tenderness, and swelling. There may also be pain, thrombus, or a mass on the spine. A pediatrician should perform a diagnosis as early as possible. If the symptoms persist, the child should visit a doctor and undergo further testing. The cancer will grow at a rapid rate. The tumor size may be large or small.
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An intracranial chordoma may cause hydrocephalus, or a buildup of CSF in the skull. Symptoms of hydrocephalus include: bulging at soft skull spots, nausea, and rapid eye movements. In the cervical region, the symptoms of chordoma in children may include a painful neck, hoarseness, and headache. If it causes any of these symptoms, the child should visit a pediatrician.
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Children who suffer from chordoma should consult a physician immediately. In children, the survival rate for this condition is higher than in adults. In most cases, a patient will not have any symptoms of chordoma in childhood. But in older children, the symptoms of chordoma in childhood will include a lump in the jaw and neck. Besides the pain, a patient should consult a doctor and seek treatment.
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The first step in the treatment of chordoma is surgery. In this procedure, the tumor is surgically removed, causing the formation of CSF in the skull. This condition can cause various symptoms depending on the age of the child. In addition to headaches and neck pain, patients with chordoma in the cervical spine may experience seizures, difficulty with balance, and double vision. The presence of hydrocephalus is a sign of a cordoma, and this can lead to a range of neurological problems, including deafness and blindness.
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The first step in the treatment of chordoma in children is surgery. In this treatment, the tumor is surgically removed to the maximum extent. It is sometimes combined with chemotherapy. This treatment involves a combination of drugs. If the symptoms of chordoma in childhood are not severe enough, the child will need to undergo a surgery. If the tumor is still present after surgery, radiation therapy may be necessary.
