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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Radiation Oncologist at SSM Cancer Center/St Louis CyberKnife
Thank you for this detailed response, Dr. @Stea. I...

Radiation Oncologist at University of Arizona
The PTV expansion is directly related to the type ...

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How do you manage intradural - extramedullary metastases of the spinal cord from non-CNS malignancies?

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