Newsletter
Language
Language:
 
News
Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Current Incidence of Different Morphological Types of Malignant Metastases to the Spine Based on Magnetic Resonance Imaging
Grzegorz Guzik
Ortop Traumatol Rehabil 2017; 19(2):137-144
ICID: 1238001
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
 
Background. Malignant tumours particularly often metastasise to the spine, causing considerable pain and limiting the patient’s physical function. Standard therapy consists in surgical treatment with adjuvant radiotherapy. The qualification for surgery is a multifaceted process and detailed analysis of the morphology of the metastasis is a key factor. Numerous types of classification of metastatic lesions exist, among which the Tomita system, based on MRI findings, appears to be the most practical. The aim of this paper is to present the current incidence of different morphological types of metastases as classified by the Tomita system.
Materials and methods. This work was based on cases treated at the Department of Oncological Orthopaedics of the Specialist Hospital in Brzozów - Podkarpacie Oncological Centre from 2010-2015. A total of 854 patients with spinal metastases were hospitalised at the department. All patients underwent a CT and MRI of the spine and their metastatic lesions were classified as one of the 7 types described by Tomita. The incidence of different morphological types of metastases per type of the primary tumour was also determined.
Results. Most patients treated at the department had advanced disease as a result of diagnostic delays. Types T3-T7 were found in 91% of the patients and T7 in 44%. The highest incidence of advanced disease was seen among patients with breast cancer and myeloma. Higher pain severity and incidence of neurological complications were noted in patients with multisite lesions. Neurological deficits were diagnosed in 228 patients, of whom 68% were classified as Type T6 or T7. Most of the T6/T7 patients were unable to walk unassisted and required constant help from their family or medical staff.
Conclusions. 1. The Tomita system allows for simple assessment of the morphology of metastases located in the spine 2. The majority of the patients diagnosed have advanced multisite and infiltrating metastases classified as T6/T7 in the Tomita system (66%). 3. Pain severity, physical function limitation and the rate of neurological complications increase visibly in more advanced metastatic disease of the spine. 4. The highest number of advanced metastases was found in patients with metastatic breast cancer and multiple myeloma.

ICID 1238001

DOI 10.5604/15093492.1238001
 
FULL TEXT 480 KB


Related articles
  • in IndexCopernicus™
         leczenie operacyjne przerzutów [0 related records]
         skala Tomity [0 related records]
         guzy kręgosłupa [0 related records]
         surgical treatment [156 related records]
         Tomita score [0 related records]
         spinal tumours [2 related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.