Multidisciplinary management of metastatic spine disease: initial symptom-directed management
Autor: | Isabelle M. Germano, Amish H. Doshi, Jeremy Steinberger, Frank J. Yuk, Sheryl Green |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
education.field_of_study Percutaneous business.industry medicine.medical_treatment Population Medicine (miscellaneous) Cancer Disease medicine.disease Radiosurgery Nonsurgical treatment Initial Symptom-Directed Management 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach 030220 oncology & carcinogenesis medicine business Intensive care medicine education Stereotactic body radiotherapy 030217 neurology & neurosurgery |
Zdroj: | Neurooncol Pract |
ISSN: | 2054-2585 2054-2577 |
DOI: | 10.1093/nop/npaa048 |
Popis: | In the past 2 decades, a deeper understanding of the cancer molecular signature has resulted in longer longevity of cancer patients, hence a greater population, who potentially can develop metastatic disease. Spine metastases (SM) occur in up to 70% of cancer patients. Familiarizing ourselves with the key aspects of initial symptom-directed management is important to provide SM patients with the best patient-specific options. We will review key components of initial symptoms assessment such as pain, neurological symptoms, and spine stability. Radiographic evaluation of SM and its role in management will be reviewed. Nonsurgical treatment options are also presented and discussed, including percutaneous procedures, radiation, radiosurgery, and spine stereotactic body radiotherapy. The efforts of a multidisciplinary team will continue to ensure the best patient care as the landscape of cancer is constantly changing. |
Databáze: | OpenAIRE |
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