Best practices for the management of local-regional recurrent chordoma: a position paper by the Chordoma Global Consensus Group

نویسندگان

  • S. Stacchiotti
  • A. Gronchi
  • P. Fossati
  • T. Akiyama
  • C. Alapetite
  • M. Baumann
  • J. Y. Blay
  • S. Bolle
  • S. Boriani
  • P. Bruzzi
  • R. Capanna
  • A. Caraceni
  • R. Casadei
  • V. Colia
  • J. Debus
  • T. Delaney
  • A. Desai
  • P. Dileo
  • S. Dijkstra
  • F. Doglietto
  • A. Flanagan
  • S. Froelich
  • P. A. Gardner
  • H. Gelderblom
  • Z. L. Gokaslan
  • R. Haas
  • C. Heery
  • N. Hindi
  • P. Hohenberger
  • F. Hornicek
  • R. Imai
  • L. Jeys
  • R. L. Jones
  • B. Kasper
  • A. Kawai
  • M. Krengli
  • A. Leithner
  • I. Logowska
  • J. Martin Broto
  • D. Mazzatenta
  • C. Morosi
  • P. Nicolai
  • O. J. Norum
  • S. Patel
  • N. Penel
  • P. Picci
  • S. Pilotti
  • S. Radaelli
  • F. Ricchini
  • P. Rutkowski
  • S. Scheipl
  • C. Sen
  • E. Tamborini
  • K. A. Thornton
  • B. Timmermann
  • V. Torri
  • P. U. Tunn
  • M. Uhl
  • Y. Yamada
  • D. C. Weber
  • D. Vanel
  • P. P. Varga
  • C. L. A. Vleggeert-Lankamp
  • P. G. Casali
  • J. Sommer
چکیده

Chordomas are rare, malignant bone tumors of the skull-base and axial skeleton. Until recently, there was no consensus among experts regarding appropriate clinical management of chordoma, resulting in inconsistent care and suboptimal outcomes for many patients. To address this shortcoming, the European Society of Medical Oncology (ESMO) and the Chordoma Foundation, the global chordoma patient advocacy group, convened a multi-disciplinary group of chordoma specialists to define by consensus evidence-based best practices for the optimal approach to chordoma. In January 2015, the first recommendations of this group were published, covering the management of primary and metastatic chordomas. Additional evidence and further discussion were needed to develop recommendations about the management of local-regional failures. Thus, ESMO and CF convened a second consensus group meeting in November 2015 to address the treatment of locally relapsed chordoma. This meeting involved over 60 specialists from Europe, the United States and Japan with expertise in treatment of patients with chordoma. The consensus achieved during that meeting is the subject of the present publication and complements the recommendations of the first position paper.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cutaneous Metastasis from Sacral Chordoma: A Case Report

Chordoma is a malignant, slow growing and locally aggressive tumor. It arises from remnants of the notochord and accounts for 1–4% of all primary bone tumors. They usually arise from anywhere along the spine, from base of the skull to the sacrococcygeal area and usually do not metastasize. Chordomas are slow-growing tumors which are not responsive to conventional chemotherapy or radiation. They...

متن کامل

Detection of chordoma recurrence by F-18 FDG-PET/CT

Background: Despite the relative success of surgical resection followed by proton, proton/photon, or conventional radiotherapy in terms of recurrence-free survival, chordomas are still associated with a high rate of recurrence. To our knowledge there are only very few reported cases of this rare tumor detected by F-18 FDG-PET. Materials and Methods: In this case we show the significanc...

متن کامل

Metastatic Chordoma: Report of the Two Cases and Review of the Literature.

Chordomas are rare malignant bone tumours with a predilection for the axial skeleton, especially the sacrum and skull base. Median survival in patients with metastatic disease is usually dismal. Treatment is challenging due to the propensity for local recurrence, metastatic disease as well as lack of clear consensus regarding the optimal management. Our case report highlights two cases of sacra...

متن کامل

Dedifferentiated chordoma: a case report.

Dedifferentiated chordoma, i.e. chordoma with a sarcomatous component, is a rare bone tumor. This case report is of a dedifferentiated chordoma in the sacrococcygeal region in a 50-year-old male. The patient was initially diagnosed as having a leiomyosarcoma at the first medical consultation, but after the tumor recurred it was proven to be a dedifferentiated chordoma. The primary tumor, which ...

متن کامل

Giant Chordoma of the Thoracolumbar Spine

Chordomas are rare tumors from primitive notochord. They are usually located at sacrococcygeal region when it affects the spine. We present a case of giant chordoma in the thoracolumbar spine in Peru. A 43-year-old woman came to the hospital in Huanuco due to back pain and sensorymotor alterations in the lower limbs. Imaging confirmed an unresectable tumor involving the spine. Two years later, ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 28  شماره 

صفحات  -

تاریخ انتشار 2017