Evidence-based management of metastatic spinal cord compression (MSCC): expert recommendations for standardizing care in Spain

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Pérez-Lara A.
  • Ferrer-Abiach C.
  • Ceruelo-Abajo S.
  • Lorenzo Suberviola M.V.
  • Rodríguez-Alonso R.M.
  • Vázquez A.
  • Roldán H.
  • Cacicedo J.

Grupos

Abstract

Metastatic spinal cord compression (MSCC) is a severe oncological emergency that may cause irreversible neurological damage if not recognized and treated promptly. In patients with known or suspected malignancy, spinal pain, particularly if progressive, or new motor, sensory, or sphincter symptoms should raise immediate suspicion of MSCC. MRI should be performed within 24 h of clinical suspicion. In patients with neurological signs or symptoms, initial emergency management should include immediate corticosteroid administration, urgent multidisciplinary assessment, and rapid initiation of definitive treatment. Surgery, when indicated, should be performed as early as feasible (ideally within 8–24 h when indicated); when surgery is not planned or not indicated, radiotherapy should be started promptly. This multidisciplinary expert opinion document provides practical recommendations to support standardized urgent pathways and coordinated multidisciplinary management of MSCC. © The Author(s), under exclusive licence to Federación de Sociedades Españolas de Oncología (FESEO) 2026.

Datos de la publicación

ISSN/ISSNe:
1699-048X, 1699-3055

Clinical & Translational Oncology  SPRINGER INT PUBL AG

Tipo:
Article
Páginas:
-
PubMed:
42228280
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
0,764 SCImago ℠
Cuartil:
Q2 SCImago ℠

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Keywords

  • Magnetic resonance imaging; Metastatic spinal cord compression; Multidisciplinary management; Oncological emergency; Spinal metastases

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