Oncology Central

Is there any role for stereotactic body radiotherapy in the management of metastatic epidural spinal cord compression?

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The standard treatment of metastatic epidural spinal cord compression (MESCC) in a symptomatic patient with good performance status, histology that is not exquisitely radiosensitive (lymphoma, small cell, myeloma and germinoma), and a single level of compression, is surgical decompression followed by external beam radiotherapy (EBRT).

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