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ATOS Orthopedic Clinic Braunfels

10/10 from3 Votes

The ATOS Orthopedic Clinic Braunfels offers high-quality orthopedic care. The clinic is staffed with a highly qualified medical and nursing team. In the process of treatment, doctors of the clinic apply the latest technologies ensuring a seamless, speedy recovery.

Diagnostics of chordoma of the sacrum
2396
Surgical resection of chordoma of the sacrum
18712
location_onCountry: Germany
location_searchingCity: Braunfels

University Hospital Saarland

9.8/10 from28 Votes

The University Hospital Saarland is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of the Saarland University.

Diagnostics of chordoma of the sacrum
2332
Surgical resection of chordoma of the sacrum
17611
location_onCountry: Germany
location_searchingCity: Homburg

Charite University Hospital Berlin

9/10 from95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Diagnostics of chordoma of the sacrum
3922
Diagnostics of chordoma of the skull base
2607
Surgical resection of chordoma of the sacrum
29800
location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Diagnostics of chordoma of the sacrum
2672
Diagnostics of chordoma of the skull base
2052
Surgical resection of chordoma of the sacrum
21773
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificate

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Diagnostics of chordoma of the sacrum
2705
Diagnostics of chordoma of the skull base
2180
Surgical resection of chordoma of the sacrum
21828
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificatecertificatecertificate

University Hospital Frankfurt am Main

10/10 from97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Diagnostics of chordoma of the sacrum
2411
Diagnostics of chordoma of the skull base
1642
Surgical resection of chordoma of the sacrum
18973
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Sana Hospital Duisburg

9.8/10 from5 Votes

The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region.

Diagnostics of chordoma of the sacrum
2457
Diagnostics of chordoma of the skull base
2005
Surgical resection of chordoma of the sacrum
18620
location_onCountry: Germany
location_searchingCity: Duisburg
certificatecertificate

University Hospital Oldenburg

10/10 from33 Votes

The University Hospital Oldenburg is the Teaching Hospital of the University of Oldenburg. It offers a wide range of medical services that meet the highest medical standards. The hospital has 832 beds.

Diagnostics of chordoma of the sacrum
2259
Surgical resection of chordoma of the sacrum
16490
location_onCountry: Germany
location_searchingCity: Oldenburg

Academic Hospital DRK Berlin Westend

10/10 from36 Votes

The Hospital DRK Berlin Westend is a recognized academic hospital at the University Hospital Charité in Berlin. The hospital has more than 130 beds, 15 departments and 12 specialized centers, which represent all areas of modern medicine, including surgery, orthopedics (endoprosthetics), cardiology, etc.

Diagnostics of chordoma of the sacrum
2500
Surgical resection of chordoma of the sacrum
18778
location_onCountry: Germany
location_searchingCity: Berlin

Hannover Medical School

9.8/10 from43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Diagnostics of chordoma of the sacrum
2478
Diagnostics of chordoma of the skull base
1632
Surgical resection of chordoma of the sacrum
18561
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Hospital St. Elisabeth Grevenbroich

10/10 from23 Votes

The Hospital St. Elisabeth Grevenbroich offers a wide range of medical services. Special focuses include gastroenterology, oncology, general, abdominal and vascular surgery.

Diagnostics of chordoma of the sacrum
2385
Surgical resection of chordoma of the sacrum
18617
location_onCountry: Germany
location_searchingCity: Grevenbroich
certificate

HELIOS Clinic Krefeld

9.7/10 from38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnostics of chordoma of the sacrum
2364
Diagnostics of chordoma of the skull base
1648
Surgical resection of chordoma of the sacrum
17820
location_onCountry: Germany
location_searchingCity: Krefeld

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Diagnostics of chordoma of the sacrum
2376
Surgical resection of chordoma of the sacrum
18939
location_onCountry: Germany
location_searchingCity: Hamburg

Hospital Waldbrol Oberberg

9.7/10 from23 Votes

The Waldbröl District Hospital has the state-of-the-art medical equipment and is the certified Cancer Center. The key goal of the Hospital is to provide patients with a competent individual medical care and nursing.

Diagnostics of chordoma of the sacrum
2317
Surgical resection of chordoma of the sacrum
16684
location_onCountry: Germany
location_searchingCity: Waldbrоl

St. Vincentius Clinic Karlsruhe

9.8/10 from23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Diagnostics of chordoma of the sacrum
2321
Surgical resection of chordoma of the sacrum
16675
location_onCountry: Germany
location_searchingCity: Karlsruhe

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from42 Votes

With 900 beds and approximately 2,050 employees in two branches, the Alfried Krupp Hospital is one of the larger hospital institutions in Essen.

Diagnostics of chordoma of the sacrum
2572
Diagnostics of chordoma of the skull base
2012
Surgical resection of chordoma of the sacrum
18609
location_onCountry: Germany
location_searchingCity: Essen
certificate

About the disease

Chordoma is a cancer of the skull bones and also spine. It is considered rare. It is the type of sarcoma. Sarcoma is a malignant cancer of bones and also soft tissues. According to Chordoma Foundation, this type of cancer accounts for 3% of all bone cancers. It also accounts for 20% of tumors that start in the spine. Overall, chordomas tend to develop slowly. A lot of time may pass before the person is diagnosed with this type of cancer. Chordoma can also be causing symptoms which may be present for years, but a person still will not know that he/she has chordoma until they undergo the full check-up.

According to Chordoma Foundation, this tumor can be difficult to treat as well, as it affects such important structures of the brain as brainstem and spinal cord. Different arteries and nerves may be affected as well, depending on the exact location where chordoma originated. The risk of recurrence after chordoma was treated is also high and there is also the risk that chordoma will metastasize further.

Despite this poor prognosis, chordoma is really extremely rare. It affects 1 person out of 1 million annually. Also, this condition is more common in the elderly over the age of 55-60. It is more common among the male population.

Chordomas usually develop either in some part of the spine or in the skull base. The most common site of chordoma of the spine is the sacrum, which is the bottom of  the spine. In chordomas of the skull base tumor develops mostly in the center of the head.

The exact cause of chordoma is not known. Some researchers think that genetic predisposition plays the role. Genetic mutation can also be the cause. Nonetheless, in general, chordoma is considered to appear randomly.

Symptoms

If chordoma develops in the skull base, the symptoms may be as follows:

  • Headache
  • Pain in the neck
  • Problems with vision
  • Problems with facial movements and also different cerebral functions in case chordoma is very big and affected the brain, which happens very rarely

If chordoma develops in the spine, the symptoms may be as follows:

  • Pain in the spine
  • Numbness
  • Tingling
  • Weakness in the extremities
  • A lump in the spine in some rare cases when chordoma is very big

Diagnosis

  • During a general examination, the doctor will ask about the symptoms listed above. The doctor will also check the spine for any strange lumps.
  • Imaging tests, such as MRI and CT scan, are the best in determining the exact location of the tumor and also its size. Patients are usually advised to check all spine and the skull and also other organs to determine if the tumor had not spread.
  • Biopsy is used in some cases when the type of tumor is still unclear and where it is possible to obtain the sample of the tissue, so that it is later examined in the laboratory under the microscope.

Treatment

  • Surgical resection is necessary for all cases of chordoma. Depending on the location of chordoma, the surgeons will resect the tumor without affecting the arteries and the nerves.
  • Radiation therapy is recommended if tumor had not been resected completely. Then the remaining part of the tumor needs to be radiated to prevent recurrence of the tumor and ensure the recovery of the patient.



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