Oncological emergencies (except neutropenic sepsis!) Spinal cord compression


Surgery for cord compression Improvements in pain in 75-100%



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Surgery for cord compression

  • Improvements in pain in 75-100%.

  • Improvements in neurology in 50-75%.after surgery.



Chemotherapy

  • In theory can be used for the very sensitive tumours:

    • Lymphoma.
    • Teratoma.
    • SCLC (maybe).
  • However, in view of devastating effects of neurological deterioration practice is often to treat small RT field (reduce bone marrow suppression) then move to chemotherapy.



Conclusions

  • Common, often unrecognised with serious impact on patients’ quality of dying.

  • RADICULAR PAIN =

  • CORD COMPRESSION!

  • Needs steroids and URGENT MRI!



Superior vena cava obstruction



Superior Vena Cava Obstruction



Superior Vena Cava Obstruction

  • CAUSES:

  • Lung Cancer* 80%

  • Lymphoma 10%

  • Other Malignancy 5%

  • Benign causes 5%

  • Occurs in 10% SCLC cases and 1.7% of NSCLC cases




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