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Neoplasic Epidural Spinal Cord Compression

  • Andrea Morais Borges
  • Adrialdo José Santos
  • Hakaru Tadokoro
  • Ramon Andrade De MelloEmail author
Chapter

Abstract

Spinal metastasis is the most common type of neoplasia, where in autopsy investigations it has been shown that up to 70% of cancer patients present it (Klimo P Jr, Schmidt MH: Oncologist 9(2):188–196, 2004; Chamberlain MC: Hematol Oncol Clin North Am 26(4):917–931, 2012). Compression of the spinal cord, an extremely devastating scenario, and mainly caused by spinal metastases with extension to the epidural space, directly affects the quality of life of cancer patients, reaching 5–10% of patients with metastatic cancer (Helweg-Larsen S, Sorensen PS, Kreiner S: Int J Radiat Oncol Biol Phys 46:1163–1169, 2000). The thoracic and lumbar spine are the most commonly affected (Klimo P Jr, Schmidt MH: Oncologist 9(2):188–196, 2004).

Keywords

Spinal cord compression Oncologic emergency Pain control 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Andrea Morais Borges
    • 1
  • Adrialdo José Santos
    • 2
  • Hakaru Tadokoro
    • 3
  • Ramon Andrade De Mello
    • 4
    • 5
    Email author
  1. 1.Department of Medical Oncology, Hospital São PauloUniversidade Federal de São PauloSão PauloBrazil
  2. 2.Neuro-Oncology, Hospital São PauloUniversidade Federal de São PauloSão PauloBrazil
  3. 3.Division of Medical Oncology, Escola Paulista de MedicinaFederal University of São PauloSão PauloBrazil
  4. 4.Division of Medical OncologyFederal University of São Paulo (UNIFESP) & Hospital Israelita Albert EinsteinSão PauloBrazil
  5. 5.Department of Biomedical Sciences and MedicineUniversity of AlgarveFaroPortugal

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