How do you manage a spinal intramedullary metastasis following resection?
Do you simply treat the pre-op region 1 vertebral body above and below 30 Gy in 10 fractions like an osseous metastasis?
Answer from: Radiation Oncologist at Academic Institution
Complete surgical removal (gross total resection) of an intramedullary metastasis may not be possible without damaging normal spinal cord tissue, especially for more infiltrative tumors. Postoperative radiation therapy is therefore used to treat any residual tumor cells that were left behind to pres...