Treatment of Chordoma by Transsphenoidal Approach: 2 Cases

ABSTRACT

Chordomas are benign tumors that are thought to originate from remnants of notochord. They develop in the sacrococcygeal region but rarely form in the sellar region. Clival chordomas are benign tumors but because of their critical location, local invasion, recurrence, and occasional metastatic spread and their prognosis is similar to that of malignant tumors. The conventional transcranial approach is a treatment with high surgical morbidity. But transsphenoidal approach is a less invasive method with reduced surgical morbidity and complications. We report two cases of chordoma arising from the clivus treated by a transsphenoidal approach.