Spine Tumors
A 65-year-old man with known prostate cancer presents with progressive thoracic back pain worse at night and new lower limb weakness (4/5) over 2 weeks. MRI shows a T8 vertebral body lesion with epidural extension and cord compression. He has no other visceral metastases. His ECOG performance status is 2. Regarding metastatic spine tumors:
Mark each as TRUE or FALSE
The spine is the most common site of skeletal metastases; the most common primary tumors are breast,...
The Tokuhashi scoring system predicts survival to guide treatment; it includes six parameters: gener...
Metastases most commonly affect the posterior elements; the lumbar spine is the most common location...
The SINS (Spinal Instability Neoplastic Score) assesses mechanical instability based on: location, p...
Treatment includes steroids for cord compression (dexamethasone 10mg load then 4mg q6h), radiotherap...
Answer the questions to see explanations
Click T (True) or F (False) for each option