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目的探讨骶骨脊索瘤的外科治疗方法。Objective To discuss the surgical methods of sacral chordoma.

在这个区域，脊索瘤比软骨肉瘤更常见。Chordoma is a more common tumor in this location than chondrosarcoma.

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广泛性骶尾椎脊索瘤被认为是神经外科的挑战。An extensive sacrococcygeal chordoma is considered a challenge for neurosurgeons.

目的探讨巨型斜坡中线区脊索瘤的手术治疗方法。Objective To evaluate the effects of surgical treatment of giant clival chordoma.

结论骶骨脊索瘤的最佳治疗为广泛的手术切除。Conclusions Complete resection of tumor is the most effective way to manage sacrum chordoma.

结论软骨型脊索瘤比典型脊索瘤预后佳。Conclusion The prognosis of cartilaginous chordoma is better than that of classical chordoma.

目的探讨放疗在骶尾部脊索瘤临床治疗中的作用。Objective To discuss and explore the clinical effect of radiotherapy for chordoma in sacrum caudal region.

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其他少见的颅内肿物突入鼻腔如脊索瘤神经母细胞瘤脑垂体瘤等。Other rare intracranial neoplasm highlights the nasal such as chordoma neuroblastoma pituitary adenoma, etc.

目的探讨骶骨脊索瘤临床病理分型与预后的关系。Objective To explore the relation between clinical pathological typing and prognosis of sacrococcygeal chordoma.

方法对9例手术病理证实的颅底脊索瘤患者的低场MRI表现进行了回顾性分析。Methods The low field MRI of 9 cases with skull base chordoma confirmed by operations was analyzed retrospectively.

目的介绍原发性骶骨脊索瘤手术治疗的初步经验。Objective To assess the efficacy of tumor resection or curettage for sacral chordoma through the anterior-posterior combined approach.

方法采用前后路联合入路切除或刮除术治疗原发性骶骨脊索瘤8例，局部病灶清除减压治疗复发性骶骨脊索瘤1例。Methods A tumor resection or curettage was used for 8 cases of primary sacral chordoma through the anterior-posterior combined approach.

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仔细辨认这些钙化是非常重要的，以便于和其它病变相鉴别，入骨肉瘤、脊索瘤、软骨瘤、骨软骨瘤等。Careful evaluation of the calcifications is necessary to avoid confusion with other lesions such as osteosarcoma, chondroma, osteochondroma, or chordoma.

若病人在上颈椎呈现哑铃状肿块及患有长期症状时，脊索瘤应列入鑑别诊断中。Chordoma should be included in the differential diagnosis of a dumbbell-shaped mass involving upper cervical vertebrae in patients with long duration of symptoms.

脊索瘤基金会这样的患者团体是推动学者和制药公司开始共享数据的力量之一，希望这样做能加快医疗方面的创新。Patient groups like the Chordoma Foundation are one of the forces pushing academics and drug companies to start sharing more data in the hopes of speeding up medical innovation.

本病与发生于颅底的脊索瘤和软骨源性肿瘤不易鉴别，组化染色与电镜检查对鉴别诊断有帮助。Destruction of spheno-occipital bone can be found in roentgenogram. It is difficult to distinguish chondroid chord?oma from chordoma and chondrogenic tumors which occur in this region.

例3为脊索瘤，行后路颈枕融合，前路经口肿瘤切除，术后予放疗，26月后复发。Case 3 with chordoma suffered posterior occipito-cervical fusion first, then anterior tumor resection per-oropharynx, and radiotherapy after operation. But tumor had recurred after 26 months.

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结论。广泛或边缘性整块切除骶骨脊索瘤和软骨肉瘤在可接受德围手术期并发症发生率内极大的提高无病生存期。Conclusion. Wide or marginal en bloc excision of sacral chordoma and chondrosarcoma is associated with significant improvement in disease-free survival with acceptable perioperative morbidity rate.