Chordoma in Childhood Symptoms - Oren Zarif - Chordoma in Childhood
When a child develops a persistent headache, her pediatrician may suspect a chordoma. Her physical examination was normal and her tumor was found on magnetic resonance imaging. Her scans showed a 2 cm sharply delineated mass in the caudal part of the clivus, with low signal intensity on T1-weighted images and a hyperintense lesion on T2-weighted imaging. A computed tomography showed a mass composed of soft tissues, with no bone tissue. The diagnosis was made based on the imaging findings.
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A pediatrician may suspect a chordoma if the tumor is growing slowly or is recurrent. It is a rare but serious disorder that can affect the brain and spinal cord. The baby's spine is supported by a thin bar called the notochord in the womb. Once the child is born, the notochord disappears. A faulty gene can cause a chordoma to grow quickly, and the condition may not be detectable until later in life.
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The disease can cause a variety of symptoms, including a recurring infection. In children, chordomas are usually caused by a mutation of the gene SMARCB1. This mutation causes the cells in the notochord to multiply abnormally. If left untreated, the tumor will return. In some cases, a child may have no symptoms at all. The only way to be sure is to visit your pediatrician.
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While most pediatricians recognize chordomas as a condition of the spine, the disease can also affect other parts of the body. It can affect the brain and spinal cord. In the womb, the baby has a thin bar called a notochord along its back. It supports the spine as it grows in the womb. After birth, this bar disappears. The skull can also be affected. The cause of a chordoma is unknown, but the disease usually develops after a gene changes.
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A child with a chordoma may have symptoms of pain, swelling, and numbness in the affected area. These symptoms may occur anywhere along the spine. The most common areas affected are the coccyx and the clivus, which are bones in the base of the skull and behind the throat. The patient will need to undergo a biopsy if the tumor is detected early. The doctor will also perform a bone scan to confirm the diagnosis.
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Treatment for a chordoma in children is complex and may vary depending on the extent of the disease. The initial treatment involves removing the tumor as much as possible. The next step is determining whether the tumor has spread, and if so, how. The surgeon may remove it. If the tumor has spread, radiation therapy or surgery will be used to eradicate it. Sometimes, a child may have a few of these symptoms and will have to undergo additional treatments.
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The diagnosis of a chordoma in childhood should be made based on the age of the child. While children are more likely to develop the disease after their onset of symptoms, it is important to seek a professional diagnosis as soon as possible. In most cases, it will not be difficult to diagnose and treat. You may want to consult a pediatrician if you suspect a child has any symptoms of a chordoma.
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In the case of chordoma, treatment will vary, depending on the stage of the disease. Conventional treatments for chordoma include surgery to remove as much of the tumor as possible without causing any side effects. If the tumor is not removed, then radiation may be necessary. Surgical treatments for this condition have high success rates, but they can also be costly. As with all types of childhood cancer, it is important to find out how to manage the symptoms of the condition.
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In children, a chordoma may have a few different types of symptoms. In the case of a large, poorly differentiated chordoma, surgery is performed to remove as much of the tumor as possible. If the tumor is too small to remove, it will undergo radiation therapy. The cancer may also have a different type of treatment. In some cases, however, a biopsy is necessary to determine the correct diagnosis.
