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- Talk
- 22/09/2022
- UK
MSCC: Assessment, Referral and Treatment and Primary Spinal Tumour
Description
In this comprehensive lecture, Simon Hughes, an experienced oncology surgeon, discusses the critical topic of metastatic spinal cord compression (MSCC), shedding light on its implications for surgical practice and patient care. He humorously acknowledges his disheveled appearance due to a recent challenging case, yet transitions smoothly into the importance of recognizing MSCC in clinical settings, especially during examinations. Hughes explains MSCC as cancer that spreads to the spine and compresses the neural elements, stressing that symptoms can sometimes be vague or non-specific, making it a diagnostic challenge. He emphasizes the significance of quickly identifying and managing patients with neurological deficits, outlining a structured approach involving history-taking, imaging, and interdisciplinary consultation.
He shares insights on how to differentiate between primary tumors and spinal metastases, using age and radiological features as guiding factors. The discussion touches on various types of tumors, their characteristics, and the importance of collaboration with radiologists to ensure accurate diagnoses and appropriate treatment plans. Hughes also cautions against premature surgical interventions without proper staging and multidisciplinary assessments, using anecdotes to illustrate possible pitfalls in clinical practice.
Hughes delves into surgical strategies for both benign and malignant spinal tumors, elaborating on en bloc resections, the challenges of ensuring good margins, and the necessity of careful prognostication and patient consent. His practical advice encapsulates the essence of a balanced approach to surgery, guided by the biology of the tumor and the overall health of the patient. Throughout the session, his candid demeanor and deep understanding of spinal oncology shine through, providing valuable insights and ensuring the audience grasps the gravity of MSCC management.