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How do you manage intradural - extramedullary metastases of the spinal cord from non-CNS malignancies?
Found small reports using SRS or fractionated SRS, but not feeling comfortable with this approach due to limited data. Would you consider surgery + conventional RT a better option? Or maybe surgery OR conventional RT?
Answer from: Radiation Oncologist at Academic Institution
The optimal approach to treatment of intradural-extramedullary (IDEM) metastases of the spinal cord from non-CNS malignancies usually requires a multidisciplinary approach and is also a function of several factors;
The histopathology of the disease (is the disease radiosensitive?)
The location o...
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