Combined therapy for metastatic extradural tumors of the spine.

Abstract:

:The effectiveness of combined modality therapy was studied in 29 patients with metastatic extradural spinal tumor who had had a previous diagnosis of malignancy. Dexamethasone was begun upon suspicion of the diagnosis in a dose of 40 mg daily. Following emergency myelography, in all patients without rapid progression, dexamethasone in combination with radiotherapy and chemotherapy, when appropriate, was instituted. If deterioration occurred, decompressive laminectomy was performed. Five ambulatory patients had neurological function preserved and the condition of seven nonambulatory patients was improved to ambulation at discharge with a combination of dexamethasone, radiation therapy, and chemotherapy. These were patients with prostatic carcinoma, Hodgkin's disease, or breast carcinoma. In five patients who failed medical therapy decompressive laminectomy was successful. In patients with metastatic bronchogenic carcinoma, nonsurgical therapy failed and all underwent surgical decompression with a favorable outcome in only two of 10 patients.

journal_name

Cancer

journal_title

Cancer

authors

Marshall LF,Langfitt TW

doi

10.1002/1097-0142(197711)40:5<2067::aid-cncr282040

subject

Has Abstract

pub_date

1977-11-01 00:00:00

pages

2067-70

issue

5

eissn

0008-543X

issn

1097-0142

journal_volume

40

pub_type

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