spinal cord compression in malignancy
- related: Oncology
- tags: #literature #hemeonc
Causes
- mostly from cancer that can metastasize to bones
- multiple myeloma, lung, breast, prostate
- lymphoma (paraspinal mass extension)1
Symptoms and Diagnosis
- pain may precede neurologic symptoms for several weeks
- look for weakness
- bladder, bowel dysfunction (late findings)
- MRI with contrast is preferred
- CT myelography is alternative
Treatment
- steroids to mitigate vasogenic edema
- rad onc vs surgery
2
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