2024年5月3日 · The epidural spinal cord compression (ESCC) scale, sometimes known eponymously as the Bilsky scale, is used to assess the degree to which vertebral body metastasis compromises the spinal canal and whether cord compression is present. It may serve as a guide as to when intervention (radiotherapy or surgery) is helpful.

脊柱肿瘤wbb分期、手术7分类、6点escc分级 脊柱肿瘤的WBB分期 1) 在脊椎横断面上依顺时针方向呈幅射状分为12个区，其中4-9区为前部结构，1-3区和10-12区为后部结构;

Determination of the degree of spinal cord compression is facilitated by the epidural spinal cord compression (ESCC) score. ESCC score ranges from 0-3. Patients with low grade ESCC scores (0 and 1) have bone only disease or mild epidural …

Using this classification, high-grade epidural disease (ESCC grade 2 or 3) is optimally managed with surgical decompression prior to SBRT to improve rates of local control while minimizing ...

2023年9月6日 · This guideline covers recognition, referral, investigation and management of spinal metastases and metastatic spinal cord compression (MSCC). It is also relevant for direct malignant infiltration of the spine and associated cord compression. It aims to improve early diagnosis and treatment to prevent neurological injury and improve prognosis

2015年8月1日 · High-grade ESCC was defined as deformation of the spinal cord with partial (ESCC Grade 2) or complete (ESCC Grade 3) obliteration of the CSF space. Surgery was justified for neurologic preservation in radiotherapy-resistant tumors with high-grade ESCC.

Patients with impending MSCC need prompt and effective management for symptom control and to prevent progression to MSCC and the onset of any neurological deterioration. Treatment should be

2024年8月24日 · 转移性脊髓压迫症（mscc）是一种癌症扩散到脊柱并压迫脊髓的严重并发症，持续压迫可导致脊髓功能发生可怕的不可逆丧失。mscc为肿瘤科急症，然而不幸的是，很多患者就诊骨科时已发生数天的完全性瘫痪。 脊柱转移瘤和mscc患者该如何进行最规范的诊疗呢？

On clinical suspicion of MSCC or once a diagnosis has been established, all patients should be started on steroids; give dexamethasone in 16 milligrams (mg) daily.2 Systemic anti-cancer treatment may be more appropriate than radiotherapy for some malignancies, such as lymphomas, plasma-cell tumours, germ cell tumours or untreated small

2005年1月1日 · Epidural spinal-cord compression (ESSC) can be defined as the compressive indentation, displacement, or encasement of the thecal sac that surrounds the spinal cord or cauda equina by spinal epidural metastases (SEM) or by locally advanced cancer.