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Chordoma dedifferentiation after proton beam therapy: a case report and review of the literature

Overview of attention for article published in Journal of Medical Case Reports, October 2016
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Title
Chordoma dedifferentiation after proton beam therapy: a case report and review of the literature
Published in
Journal of Medical Case Reports, October 2016
DOI 10.1186/s13256-016-1076-3
Pubmed ID
Authors

Joseph Frankl, Cassi Grotepas, Baldassare Stea, G. Michael Lemole, Alexander Chiu, Rihan Khan

Abstract

Chordoma is a rare invasive bone tumor that may occur anywhere along the neuraxis. A total of three primary histological varieties have been identified: conventional, chondroid, and dedifferentiated. We report a case of an 8-year-old white girl who presented with conventional chordoma, was treated with surgical resection and mixed proton and photon beam therapy, and had a recurrence in the resection cavity 2.5 years later with dedifferentiated morphology. The recurrent tumor did not express brachyury, a recently identified protein specific to tissue of notochordal origin. The short time period between radiation therapy and dedifferentiation, low dose of photons, and rarity of dedifferentiated skull base chordomas in pediatric patients should alert clinicians to the possibility of chordoma dedifferentiation after proton beam therapy.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 38 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 6 16%
Researcher 5 13%
Student > Bachelor 4 11%
Student > Master 4 11%
Student > Postgraduate 3 8%
Other 5 13%
Unknown 11 29%
Readers by discipline Count As %
Medicine and Dentistry 19 50%
Neuroscience 3 8%
Biochemistry, Genetics and Molecular Biology 2 5%
Agricultural and Biological Sciences 2 5%
Unknown 12 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 October 2016.
All research outputs
#18,475,157
of 22,893,031 outputs
Outputs from Journal of Medical Case Reports
#2,267
of 3,932 outputs
Outputs of similar age
#242,031
of 319,855 outputs
Outputs of similar age from Journal of Medical Case Reports
#46
of 89 outputs
Altmetric has tracked 22,893,031 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,932 research outputs from this source. They receive a mean Attention Score of 3.9. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 319,855 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.