Metastatic spinal cord compression as an oncology emergency getting our act together

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Metastatic spinal cord compression as an oncology emergency: getting our act together.

BACKGROUND Metastatic spinal cord compression is a dreaded complication of cancer affecting 5-10% of patients requiring urgent treatment. A clinical practice improvement project was carried out to review and fine tune the clinical pathway for the acute management of patients with metastatic spinal cord compression. OBJECTIVE To improve the quality of care for metastatic spinal cord compressio...

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Oncology emergency modules: spinal cord compression.

SCC occurs as a result of a malignant neoplasm compressing the spinal cord. Malignant tumors may be classified as primary (i.e., arising from the tissue of the spinal cord or spinal canal) or secondary (i.e., arising as metastatic solid tumors) (Schafer, 1997). SCC most commonly is caused by metastatic tumors. Progression of symptoms is more rapid with metastatic tumors when compared to primary...

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Metastatic Spinal Cord Compression

According to recent Canadian statistics, an estimated 186,400 new cases of cancer and 75,700 deaths from cancer are expected in Canada in 20121. In general, between 40% and 70% of patients with advanced solid tumours such as those of breast, prostate, and lung will develop bone metastases2. The spine is the most common site for bone metastasis, affecting up to 30% of cancer patients3. Overall, ...

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Metastatic spinal cord compression as the first sign of malignancy

Background and purpose - Metastatic spinal cord compression (MSCC) as the initial manifestation of malignancy (IMM) limits the time for diagnostic workup; most often, treatment is required before the final primary tumor diagnosis. We evaluated neurological outcome, complications, survival, and the manner of diagnosing the primary tumor in patients who were operated for MSCC as the IMM. Patients...

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Metastatic spinal cord compression: diagnosis and management.

Between five and 10 in every 200 patients with terminal cancer will have metastatic spinal cord compression (MSCC) within their last two years of life. It is an oncological emergency. 2 MSCC is caused by compression of the dural sac and its contents (spinal cord or cauda equina) by an extradural or intradural mass, and it leads to irreversible neurological damage such as paraplegia or tetrapleg...

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ژورنال

عنوان ژورنال: International Journal for Quality in Health Care

سال: 2007

ISSN: 1353-4505,1464-3677

DOI: 10.1093/intqhc/mzm043