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An integrated multidisciplinary algorithm for the management of spinal metastases: an International Spine Oncology Consortium report.
Spratt, Daniel E; Beeler, Whitney H; de Moraes, Fabio Y; Rhines, Laurence D; Gemmete, Joseph J; Chaudhary, Neeraj; Shultz, David B; Smith, Sean R; Berlin, Alejandro; Dahele, Max; Slotman, Ben J; Younge, Kelly C; Bilsky, Mark; Park, Paul; Szerlip, Nicholas J.
Afiliação
  • Spratt DE; Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA. Electronic address: sprattda@med.umich.edu.
  • Beeler WH; Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
  • de Moraes FY; Department of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada; Department of Radiation Oncology, Hospital Sirio-Libanes, São Paulo, Brazil.
  • Rhines LD; Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  • Gemmete JJ; Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
  • Chaudhary N; Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
  • Shultz DB; Department of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
  • Smith SR; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
  • Berlin A; Department of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
  • Dahele M; Department of Radiation Oncology, VU University Medical Center, Amsterdam, Netherlands.
  • Slotman BJ; Department of Radiation Oncology, VU University Medical Center, Amsterdam, Netherlands.
  • Younge KC; Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
  • Bilsky M; Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Park P; Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
  • Szerlip NJ; Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Lancet Oncol ; 18(12): e720-e730, 2017 12.
Article em En | MEDLINE | ID: mdl-29208438
ABSTRACT
Spinal metastases are becoming increasingly common because patients with metastatic disease are living longer. The close proximity of the spinal cord to the vertebral column limits many conventional therapeutic options that can otherwise be used to treat cancer. In response to this problem, an innovative multidisciplinary approach has been developed for the management of spinal metastases, leveraging the capabilities of image-guided stereotactic radiosurgery, separation surgery, vertebroplasty, and minimally invasive local ablative approaches. In this Review, we discuss the variables that should be considered during the management of these patients and review the role of each discipline and their respective management options to provide optimal care. This work is synthesised into a practical algorithm to aid clinicians in the management of patients with spinal metastasis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Compressão da Medula Espinal / Neoplasias da Coluna Vertebral / Radiocirurgia / Radioterapia Conformacional Tipo de estudo: Prognostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Compressão da Medula Espinal / Neoplasias da Coluna Vertebral / Radiocirurgia / Radioterapia Conformacional Tipo de estudo: Prognostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2017 Tipo de documento: Article