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Metastatic Spinal Cord Compression (MSC) Clinical guidelines and pathway Version 2.1: August 2013 To be read in conjunction with NICE CG75 Developed by consensus by: Dr Peter Robson, Consultant Oncologist,
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01
Assess the patient's symptoms: The first step in filling out a metastatic spinal cord compression form is to thoroughly assess the patient's symptoms. Look for signs such as back pain, weakness or numbness in the legs, issues with coordination or balance, or changes in bowel or bladder function. Document these symptoms accurately and in detail.
02
Perform a physical examination: In addition to assessing symptoms, a physical examination is important in diagnosing metastatic spinal cord compression. Carefully evaluate the patient's motor strength, reflexes, sensation, and coordination. Document any abnormalities observed during the examination.
03
Order appropriate imaging and diagnostic tests: Imaging studies like X-rays, MRI, or CT scans are essential to confirm the presence and location of metastatic spinal cord compression. Depending on the specific case, additional tests such as blood work or a bone scan may also be required. Make sure to include the results of these tests in the form.
04
Consult with a specialist: Metastatic spinal cord compression is usually managed by a multi-disciplinary team comprising orthopedic surgeons, oncologists, radiation oncologists, and neurosurgeons. Ensure that you consult with the relevant specialists and include their recommendations or treatment plans in the form.
05
Determine the appropriate treatment: Treatment options for metastatic spinal cord compression may vary depending on factors such as the extent of compression, the underlying cancer, and the patient's overall health. Common treatment options include radiation therapy, chemotherapy, surgery, and supportive care. Clearly state the recommended treatment plan in the form.

Who needs metastatic spinal cord compression?

Metastatic spinal cord compression can occur in individuals with a history of cancer, particularly those with metastatic disease. It is more common in patients with cancers that frequently metastasize to the spine, such as breast, lung, prostate, and renal cell cancers. Additionally, individuals experiencing symptoms such as back pain or neurological deficits suggestive of spinal cord compression should be evaluated for this condition.
Overall, anyone at risk for metastatic spinal cord compression, including cancer patients or those with suspicious symptoms, should be promptly evaluated to ensure early diagnosis and appropriate treatment.
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Metastatic spinal cord compression is the compression of the spinal cord or nerve roots due to the spread of cancer from another part of the body.
Patients who have been diagnosed with metastatic spinal cord compression are required to file.
Metastatic spinal cord compression forms can be filled out by healthcare providers or patients, depending on the specific requirements of the reporting entity.
The purpose of reporting metastatic spinal cord compression is to ensure proper treatment and management of the condition.
Information such as the primary cancer diagnosis, symptoms of spinal cord compression, and treatment options must be reported.
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