Metastatic spinal cord compression as the first sign of malignancy: Outcome after surgery in 69 patients

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: onr:"swepub:oai:DiVA.org:umu-137890" > Metastatic spinal c...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Wänman, JohanUmeå universitet,Ortopedi (author)

Metastatic spinal cord compression as the first sign of malignancy : Outcome after surgery in 69 patients

Article/chapterEnglish2017

Publisher, publication year, extent ...

2017-05-11
Taylor & Francis,2017
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:umu-137890
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-137890URI
https://doi.org/10.1080/17453674.2017.1319179DOI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background and purpose - Metastatic spinal cord compression (MSCC) as the initial manifestation of malignancy (IMM) limits the time for diagnostic workup; most often, treatment is required before the final primary tumor diagnosis. We evaluated neurological outcome, complications, survival, and the manner of diagnosing the primary tumor in patients who were operated for MSCC as the IMM.Patients and methods - Records of 69 consecutive patients (51 men) who underwent surgery for MSCC as the IMM were reviewed. The patients had no history of cancer when they presented with pain (n = 2) and/or neurological symptoms (n = 67).Results - The primary tumor was identified in 59 patients. In 10 patients, no specific diagnosis could be established, and they were therefore defined as having cancer of unknown primary tumor (CUP). At the end of the study, 16 patients were still alive (median follow-up 2.5 years). The overall survival time was 20 months. Patients with CUP had the shortest survival (3.5 months) whereas patients with prostate cancer (6 years) and myeloma (5 years) had the longest survival. 20 of the 39 patients who were non-ambulatory preoperatively regained walking ability, and 29 of the 30 ambulatory patients preoperatively retained their walking ability 1 month postoperatively. 15 of the 69 patients suffered from a total of 20 complications within 1 month postoperatively.Interpretation - Postoperative survival with MSCC as the IMM depends on the type of primary tumor. Surgery in these patients maintains and improves ambulatory function.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Grabowski, PawelUmeå universitet,Ortopedi(Swepub:umu)palgri99 (author)
Nyström, HelenaUmeå universitet,Geriatrik(Swepub:umu)hegu0003 (author)
Gustafsson, PatrikUmeå universitet,Ortopedi(Swepub:umu)pakgon02 (author)
Bergh, AndersUmeå universitet,Patologi(Swepub:umu)anbe0010 (author)
Widmark, AndersUmeå universitet,Onkologi(Swepub:umu)anwi0004 (author)
Crnalic, SeadUmeå universitet,Ortopedi(Swepub:umu)secr0001 (author)
Umeå universitetOrtopedi (creator_code:org_t)

Related titles

In:Acta Orthopaedica: Taylor & Francis88:4, s. 457-4621745-36741745-3682

Internet link

Find in a library

Acta Orthopaedica (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Wänman, Johan; Grabowski, Pawel; Nyström, Helena; Gustafsson, Patr ...; Bergh, Anders; Widmark, Anders; show more...; Crnalic, Sead; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

Articles in the publication: Acta Orthopaedic ...

By the university: Umeå University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se