Journal article
Spinal Metastases and the Evolving Role of Molecular Targeted Therapy, Chemotherapy, and Immunotherapy
Neurospine, v 19(4), pp 978-993
01 Dec 2022
PMID: 36597635
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Metastatic involvement of the spine is a common complication of systemic cancer progression. Surgery and external beam radiotherapy are palliative treatment modalities aiming to preserve neurological function, control pain and maintain functional status. More recently, with development of image guidance and stereotactic delivery of high doses of conformal radiation, local tumor control has improved; however recurrent or radiation refractory disease remains a significant clinical problem with limited treatment options. This manuscript represents a narrative overview of novel targeted molecular therapies, chemotherapies, and immunotherapy treatments for patients with breast, lung, melanoma, renal cell, prostate, and thyroid cancers, which resulted in improved responses compared to standard chemotherapy. We present clinical examples of excellent responses in spinal metastatic disease which have not been specifically documented in the literature, as most clinical trials evaluate treatment response based on visceral disease. This review is useful for the spine surgeons treating patients with metastatic disease as knowledge of these responses could help with timing and planning of surgical interventions, as well as promote multidisciplinary discussions, allowing development of an individualized treatment strategy to patients presenting with widespread multifocal progressive disease, where surgery could lead to suboptimal results.
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Details
- Title
- Spinal Metastases and the Evolving Role of Molecular Targeted Therapy, Chemotherapy, and Immunotherapy
- Creators
- Elena I. Fomchenko - The University of Texas MD Anderson Cancer CenterJames C. Bayley - Baylor College of MedicineChristopher Alvarez-Breckenridge - The University of Texas MD Anderson Cancer CenterLaurence D. Rhines - The University of Texas MD Anderson Cancer CenterClaudio E. Tatsui - The University of Texas MD Anderson Cancer Center
- Publication Details
- Neurospine, v 19(4), pp 978-993
- Publisher
- Korean Spinal Neurosurgery Society
- Number of pages
- 16
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000933934100017
- Scopus ID
- 2-s2.0-85145164801
- Other Identifier
- 991022004959704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Surgery