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The Oncologist, Vol. 4, No. 6, 459-469, December 1999
© 1999 AlphaMed Press

The Diagnosis and Treatment of Metastatic Spinal Tumor

Mark H. Bilskya, Eric Lisb, Jeffrey Raizerc, Henry Leed, Patrick Bolanda

a Surgery Department, b Neuroradiology Department, c Neurology Department, d Radiation Oncology Department, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

Correspondence: Correspondence: Mark H. Bilsky, M.D., Division of Neurosurgery, Box 71, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. Telephone: 212-639-8526; Fax 212-717-3231; e-mail: Bilskym{at}mskcc.org

Metastases to the spine represent a challenging problem in an oncology practice. Treatment decisions require multidisciplinary review. Radiation therapy remains the primary treatment for metastatic spinal tumor, but advances in radiation therapy, chemotherapy, and surgery have changed the roles of each and lead to improved patient outcomes. Regardless of the treatment, diagnosis and treatment before the development of significant neurologic and functional deficits improve outcomes. Physician awareness and appropriate imaging greatly assist in the early detection of tumor.

Key Words. Spine metastases • Radiation therapy • Magnetic resonance imaging • Chemotherapy • Laminectomy • Posterolateral • Transcavitary • Transpedicular




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