脊柱转移性肿瘤的诊断与治疗

脊柱是骨转移瘤最常发生的部位.脊柱转移瘤的治疗是一个颇具挑战性的难题.对治疗方法的选择需要多学科共同参与.不论采取何种治疗方法,在患者出现明显的神经和功能障碍之前做出诊断和治疗可以提高治疗效果.医师对脊柱转移瘤的了解和恰当地运用影像学检查有助于早期发现肿瘤.放疗仍是脊柱转移瘤最主要的治疗手段.放疗、化疗和手术的发展正在逐渐改变着各自在治疗脊柱转移瘤中的地位,并使治疗效果不断提高.随着治疗手段的增多,多学科综合治疗的重要性更加明显.

The diagnosis and treatment of the spine metastases

The spinal column is the most frequent site of bone metastasis in the body metastases to the spine represent a challenging problem in an oncology practice.Treatment decisions require multidisciplinary review.Diagnosis and treatment before the development of significant neurologic and functional deficits improve outcomes.Physician awareness and appropriate imaging greatly assist in the early detection of tumor.Radiation therapy remains the primary treatment for metastatic spinal tumor,but advances in radiation therapy,chemotherapy,and surgery have changed the roles of each and lead to improved patient outcomes.As the number of treatment options for metastatic spinal disease grows,it has become clear that effective implementation of treatment can only be achieved by a multidisciplinary approach.This will provide the surest means of maximizing the quality of the remainder of the patient's life.