Converging Paths to Progress for Skull Base Chordoma: Review of Current Therapy and Future Molecular Targets
Overview
Affiliations
Background: Chordomas of the skull base are rare locally aggressive neoplasms with a predilection for encapsulating critical neurovascular structures, bony destruction and irregular growth patterns, and from which patients succumb to recurrence and treatment failures.
Methods: A review of the medical literature is performed, using standard search engines and identifying articles related to skull base chordomas, surgery, radiation therapy, chemotherapy, molecular genetics, and prospective trials.
Results: A synthesis of the literature is presented, including sections on pathology, treatment, molecular genetics, challenges, and future directions.
Conclusion: Beyond an understanding of the current treatment paradigms for skull base chordomas, the reader gains insight into the collaborative approach applied to orphan diseases, of which chordomas is a prime exemplar.
Gupta K, Balai E, Darr A, Jolly K Indian J Otolaryngol Head Neck Surg. 2023; 74(Suppl 3):4807-4815.
PMID: 36742692 PMC: 9895481. DOI: 10.1007/s12070-022-03114-0.
Craniovertebral junction chordomas: Case series and strategies to overcome the surgical challenge.
Baldassarre B, Di Perna G, Portonero I, Penner F, Cofano F, De Marco R J Craniovertebr Junction Spine. 2022; 12(4):420-431.
PMID: 35068826 PMC: 8740819. DOI: 10.4103/jcvjs.jcvjs_87_21.
Napieralska A, Blamek S Rep Pract Oncol Radiother. 2021; 26(5):764-772.
PMID: 34760311 PMC: 8575353. DOI: 10.5603/RPOR.a2021.0097.
La Corte E, Broggi M, Raggi A, Schiavolin S, Acerbi F, Danesi G Acta Neurochir (Wien). 2020; 163(3):689-697.
PMID: 31950268 DOI: 10.1007/s00701-020-04219-7.
Novel targeted therapies in chordoma: an update.
Di Maio S, Yip S, Al Zhrani G, Alotaibi F, Al Turki A, Kong E Ther Clin Risk Manag. 2015; 11:873-83.
PMID: 26097380 PMC: 4451853. DOI: 10.2147/TCRM.S50526.