Chordoma in Childhood Symptoms - Oren Zarif - Chordoma in Childhood
Children who have chordoma in their spinal cord should undergo immediate treatment. Conventional treatment involves surgical removal of the tumor. The surgeon should use specialized techniques to remove as much of the tumor as possible, while still minimizing the risk of side effects. The procedure may also involve radiation therapy. The goal of treatment is to kill any remaining cells. A child may receive a combination of radiation therapy and surgery to determine the best course of action.
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A pediatric patient with persistent headache and no other known symptoms was referred for evaluation by her pediatrician. A physical exam revealed no abnormality, and magnetic resonance imaging showed a 2 cm mass in the caudal region of the clivus. The tumor was low-intensity on T1-weighted imaging, and showed heterogeneous contrast enhancement on FLAIR sequence. On computed tomography, the mass had no bone tissue. The presence of this lesion prompted the physician to recommend a surgical resection.
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While the symptoms of chordoma in children can vary, most children have no signs or symptoms of the condition. However, if the condition continues to progress, it may spread to other parts of the body. In most cases, the disease will recur in the same location, although there are instances of a secondary recurrence. The treatment of this disease is aimed at relieving symptoms and preventing future tumors.
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A pediatrician referred a girl who complained of a persistent headache for more than a week was diagnosed with a sacro-coccygeal tumor in her clivus. The physical examination was normal, and magnetic resonance imaging revealed a 2 cm sharply delineated mass with low signal intensity on T1-weighted imaging. The tumor was heterogeneously hyperintense on T2-weighted imaging. The computed tomography showed a soft-tissue mass that did not contain bone tissue. Based on these imaging findings, the diagnosis was chordoma.
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In the most common cases of chordoma, a child's cranial nerves and spinal column are affected. In children, 40 percent of the patients will have a headache. Most often, the pediatrician will prescribe medication for pain management and radiation therapy, but the patient will likely suffer from severe pain after the surgery. The symptoms of a chordoma in childhood include increased intracranial pressure, neck pain, and a pyramidal syndrome.
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Approximately 40% of the children diagnosed with chordoma will experience some form of headache. Symptoms can include long tract signs, diplopia, and a throbbing headache. While the causes of the disorder vary, it can be treated successfully with chemotherapy or surgery. When diagnosed early, the patient will be given the best treatment options. A doctor will be able to make the best decisions based on their unique situation.
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If a child has a chordoma, he or she will undergo surgery. This procedure involves cutting the tumor in half and keeping the remaining tissue free of nerves and vascular tissue. While the resection of the tumor can help the child's condition, it can also have complications. It can affect the child's brain, spine, and skull. It is important to get an accurate diagnosis of this disease early so that a proper treatment plan can be developed.
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If the cordoma is located near the brain, it is an aggressive tumor. It may affect the spinal cord and the brain. During pregnancy, a baby has a thin bar called a notochord along the back. This notochord supports the spine and is removed before birth. But chordomas can also affect the skull. The reason why they develop is due to a gene change. This alteration causes the cells of the notochord to divide too fast.
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The disease is usually diagnosed in childhood, but it is important to seek out treatment. As with any cancer, a diagnosis should be made as soon as possible. The diagnosis should be accompanied by the symptoms of the disease. If a child has the symptoms of a chordoma, he or she will need to have surgery. During the same time, radiation therapy can help to shrink the tumor and relieve the patient's pain.
