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pubmed-article:18359050pubmed:abstractTextClival chordomas are rare skull-base tumors with local malignant behavior. Their control and removal remain difficult because of their anatomical location and because of their extensions. The goal of the treatment is complete surgical removal in a single stage if possible, with minimal deficits, followed by proton therapy. If the tumor remains extradural for a while, it finally progresses through the dura backwards to reach and displace the brain stem and upper cervical cord. Its anterior extension in the retropharyngeal space offers a logical opportunity and many advantages to use an anterior approach.lld:pubmed
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pubmed-article:18359050pubmed:articleTitle[Extensive lower clivus chordomas. Removal using the unilateral transmandibular approach].lld:pubmed
pubmed-article:18359050pubmed:affiliationDépartement de neurochirurgie et service d'ORL et chirurgie cervicofaciale, centre hospitalier universitaire, 4, rue Larrey, 49933 Angers cedex 9, France. HDFournier@chu-angers.frlld:pubmed
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