Spinal cord compression in breast cancer.

Abstract:

:Myelography was performed on 78 patients with breast cancer who had signs or symptoms compatible with spinal cord compression. Of 42 patients (54%) with extradural defects, 21 (50%) had a complete block. All patients with positive myelograms (M+) had a positive bone scan and 41 of 42 (97%) had positive skeletal x-rays. Except for paraplegia, paraparesis, or a sensory level abnormality, signs and symptoms were usually not precise enough to accurately predict patients with cord lesions; however, back pain, paresthesias, and bladder or bowel dysfunction were significantly more common in M+ patients. Cerebrospinal fluid (CSF) protein was elevated in almost all M+ patients but also in approximately half of the M- group. Cytology and glucose analysis of CSF were not of value in predicting cord involvement. Response to treatment was better for patients with fewer sites of metastatic disease and a shorter time from diagnosis to treatment. There was no notable difference in survival between M+ and M- patients. Myelography remains the most precise tool for diagnosing spinal cord lesions. Unfortunately, the prognosis of patients with metastatic breast cancer is poor regardless of whether spinal cord compression is present.

journal_name

Cancer

journal_title

Cancer

authors

Harrison KM,Muss HB,Ball MR,McWhorter M,Case D

doi

10.1002/1097-0142(19850615)55:12<2839::aid-cncr282

subject

Has Abstract

pub_date

1985-06-15 00:00:00

pages

2839-44

issue

12

eissn

0008-543X

issn

1097-0142

journal_volume

55

pub_type

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