How would you approach treatment of an unresectable paraspinal chondrosarcoma causing cord compression?  

For unresectable chondrosarcoma, RT is usually recommended. If conventional fractionated regimens (1.8-2 Gy per fraction) are used, RT of over 70 Gy will be needed to control the disease (per NCCN). In recent years, a limited number of published studies evaluated SBRT (5 fractions) for chondrosarcom...

The first step in the treatment of an unresectable paraspinal chondrosarcoma is to relieve the cord compression by surgery. The next step is to stabilize the spine.  It would be worthwhile to get an opinion regarding additional surgery from a center that specializes in surgery involving disorde...