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Back to CIM Cases
OncologyOncology/Spine

Spinal Metastasis

Oncology
Intermediate
6 min
High Yield
spinal metastasismetastatic spine diseaseTokuhashi scoreTomita scoreSINS scorepathological fracturecord compressionvertebroplastyposterior decompressionseparation surgeryunknown primary
6:00
Start the timer to simulate exam conditions

CIM Case: Spinal Metastasis

Clinical Scenario

Patient: 78-year-old female Presentation: 15-year history of chronic mechanical back pain, 3-month history of new-onset right thigh pain radiating to knee, associated with new-onset difficulty walking and progressive weakness, unintentional 8kg weight loss Relevant history: No known prior malignancy, 30-pack-year smoking history (ceased 10 years ago), no previous spinal surgery Examination findings:

  • Thin, cachectic appearance
  • Point tenderness L2-L3 region
  • Decreased ROM lumbar spine due to pain
  • Right hip flexion and knee extension weakness (4/5)
  • Left lower limb normal power
  • Absent right knee jerk, left normal
  • Sensation intact bilateral
  • No bladder or bowel dysfunction
  • Rectal examination: normal tone

Investigations Provided

Laboratory Results

TestResultNormal RangeInterpretation
Haemoglobin98 g/L120-160Anaemia of chronic disease
WCC8.2 × 10⁹/L4-11Normal
Platelets345 × 10⁹/L150-400Normal
ESR78 mm/hr0-20Elevated - malignancy/inflammation
CRP45 mg/L<5Elevated
Sodium141 mmol/L135-145Normal
Potassium4.2 mmol/L3.5-5.0Normal
Creatinine95 μmol/L60-110Normal
Calcium (corrected)2.85 mmol/L2.15-2.55Hypercalcaemia
Albumin28 g/L35-50Low (malnutrition/chronic disease)
ALP245 U/L30-120Elevated - bone/liver
LDH380 U/L120-250Elevated
PSAN/A-Not applicable (female)
CA 15-3145 U/mL<30Elevated (breast marker)
CEA8.5 ng/mL<5Mildly elevated
Protein electrophoresisNo paraprotein-Myeloma excluded

Imaging

Image 1: Plain Radiograph Lumbar Spine - AP and Lateral

Radiological features:

  • Collapse of L2 vertebral body (50% height loss)
  • Loss of left pedicle "winking owl" sign
  • Soft tissue mass extending into left paraspinal region
  • Osteopaenic appearance generally

Image 2: MRI Whole Spine with Gadolinium

MRI findings:

  • L2 pathological fracture with complete replacement of marrow signal (T1 low, T2 heterogeneous, enhances with Gd)
  • Epidural soft tissue extension causing moderate thecal sac compression
  • Cord terminates at L1 - no cord signal change
  • Additional lesions at T8, T11 (marrow replacement, no collapse)
  • No leptomeningeal disease

Image 3: CT Chest/Abdomen/Pelvis

CT staging findings:

  • 2.5cm spiculated left upper lobe mass
  • Mediastinal lymphadenopathy
  • Multiple hepatic lesions (metastases)
  • Lytic lesions bilateral iliac bones
  • No pelvic visceral lesion

Questions & Model Answers

Q1

What is your differential diagnosis and what investigations would you order to identify the primary tumour?

Q2

How do you assess prognosis in metastatic spinal disease? What scoring systems are used?

Q3

What is the role of biopsy? How would you obtain tissue for diagnosis?

Q4

What are the treatment options for this patient? Discuss the role of surgery, radiotherapy, and systemic therapy.

Q5

The patient develops acute worsening of leg weakness (now 2/5 bilaterally). What is your management?

Q6

What factors predict neurological recovery after surgery for MSCC? How would you counsel this patient's family?


Key Teaching Points

Pattern Recognition

This pattern suggests Metastatic Spinal Disease:

  • Older patient with constitutional symptoms (weight loss)
  • New or changed back pain pattern
  • Radicular symptoms (L3 distribution = thigh pain)
  • Risk factors (smoking for lung, female for breast)
  • Laboratory abnormalities (hypercalcaemia, elevated ALP, anaemia)

Comparison - Primary vs Metastatic Spinal Tumour:

FeaturePrimary TumourMetastatic
AgeOften youngerUsually >50
History of cancerNoOften yes
Number of lesionsUsually singleOften multiple
Systemic symptomsLess commonCommon
Visceral diseaseNoOften present
Treatment intentOften curativeUsually palliative

Critical Management Points

  1. Identify the primary - CT CAP, tumour markers, protein electrophoresis
  2. Assess prognosis - Tokuhashi, Tomita scores guide treatment intensity
  3. Assess stability - SINS score determines need for stabilisation
  4. Biopsy before treatment - unless known primary with classic pattern
  5. MDT essential - spine surgeon, radiation oncology, medical oncology
  6. MSCC is emergency - dexamethasone, urgent MRI, consider surgery

Common Examiner Follow-ups

Q: "What is the difference between Tokuhashi and Tomita scores?"

AspectTokuhashiTomita
FocusSurvival predictionTreatment strategy
Factors6 parameters3 parameters
PrimarySpecific types listedGrouped by growth rate
OutputPredicted survivalTreatment recommendation
UseDeciding treatment intensitySurgical planning

Q: "What is 'separation surgery'?"

ConceptDescription
GoalCreate 2-3mm gap between tumour and spinal cord
TechniquePosterior decompression, epidural tumour removal
PurposeAllow high-dose SBRT without cord injury
IndicationRadioresistant tumours (RCC, melanoma, lung)
OutcomeBetter local control than RT alone

Q: "When would you consider en bloc resection for spinal metastasis?"

CriterionRequirement
Solitary metastasisOnly spinal lesion
No visceral diseaseOr completely resected
Good prognosisTokuhashi ≥9, life expectancy >12 months
Radioresistant primaryRCC, thyroid, where RT less effective
Technically feasibleContained lesion, experienced team

En bloc is rarely performed - most patients have disseminated disease.


Related Topics

  • Pathological Fractures
  • Bone Metastases
  • Myeloma and Spine
  • Primary Spinal Tumours
  • Spinal Cord Compression
  • Tokuhashi and Tomita Scoring
Quick Stats
Category
Oncology
DifficultyIntermediate
Time Allowed6 min
Reading Time50 min
Investigation Types
bloodsimaginghistology
Exam Tips

Read the clinical scenario carefully

Structure your answers systematically

Consider differential diagnoses

Justify your investigation choices

Think about management priorities