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Second Occurrence of Spinal Epidural Metastases
Neurol 41:744-746, Kaminski,H.J.,et al, 1991
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Article Abstract
We reviewed records of 79 men with spinal epidural metastases diagnosed from July 1984 to July 1989,imaged by myelography or MRI,and treated with radiation therapy.Thirteen men(16%)had second epidural metastases.The mean time between lesions that developed within two vertebral bodies of a prior lesion was 2.8 months,compared with 15.2 months for lesions that were three or more vertebral bodies from a prior lesion.Some secondary spinal metastases occurring soon after the initial metastasis may represent regrowth of tumor at the border of the radiation port;suggesting that larger radiation ports be constructed for patients with lengthy expected survival times.
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