Treatment of Chordoma
When chordomas metastasize (spread) to other parts of the body, or if they grow large and begin to press on critical parts of the brain, they can become life threatening. Even when chordomas have not spread, they can grow very large and damage nerves in the spine and brain, causing disability that may be permanent. It is essential to have chordomas treated promptly while they are still manageable.

Treatment involves preoperative planning, surgery (the procedure is called an en bloc resection, meaning a complete removal of the entire tumor, including any surrounding tissue where cancerous cells may have invaded) and postoperative therapy.

Because of the risk of chordomas spreading, a successful first surgery is very important. Operative intervention provides the best chance for cure and control of the tumor.

Depending on the location, size and appearance of your chordoma, your surgery team might involve multiple surgeons. Chordoma surgery can include a collaboration between specialists in neurosurgery, surgical oncology, orthopaedic oncology, urology, vascular surgery, plastic surgery and anesthesiology. To ensure the best outcome, surgery may also include preoperative planning with medical specialists.

Postoperative care is imperative for the success of your surgery, so after the procedure you will be moved to the neurosurgical intensive care unit (NCCU). In the NCCU, you will be monitored closely to make sure you are recovering well from your procedure. As soon as you are ready, your team will create a plan for physical therapy, occupational therapy, and physical medicine and rehabilitation. After you are discharged from the hospital, you may require a stay in a dedicated inpatient rehabilitation center, where therapists and rehabilitation doctors can continue therapy to maximize your functional recovery.

Your doctor may decide that radiation therapy is necessary to further reduce the tumor’s size or limit its chance of spreading. Radiation treatment involves a collaboration with providers in multiple disciplines, including a radiation oncologist who can help evaluate your case and determine a treatment plan.