TY - JOUR AU - Yamamoto, Norio AU - Tsuchiya, Hiroyuki PY - 2019 TI - Treatment of chordoma—where is it going? JF - Journal of Spine Surgery; Vol 5, No 3 (September 29, 2019): Journal of Spine Surgery Y2 - 2019 KW - N2 - Chordomas are rare, slow-growing primary malignant tumors of the bone in which the cell of origin is derived from primitive notochordal tissues. The incidence of chordomas is estimated to be approximately 1 per 1,000,000 people (1), and they predominantly occur at the ends of the vertebral column, with approximately half of the cases occurring in the sacral region and 10% presenting in vertebral bodies. Sacral chordomas are often diagnosed late because they present with neither any significant early symptoms nor external findings. Therefore, at initial presentation, they are often detected to be quite large and at an advanced stage. In addition, chordomas are prone to recurrence and are associated with a poor prognosis. UR - https://jss.amegroups.org/article/view/4684