Preparation for spinal tumour

Preparation for spinal tumour
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Preparation for spinal tumour surgery...embolization, cell saver, monitoring, other teams Jolyn Khoo Where is it? Extradural Most common (60) Metastatic 97: breast, lung, prostate 15-20 each Primary lesions benign 80, malignant 20

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Preparation for spinal tumour surgery...embolization, cell saver, monitoring, other teams Jolyn Khoo<br>
02
Where is it? Extradural
Most common (60%)
Metastatic 97%: breast, lung, prostate ~ 15-20% each
Primary lesions benign 80%, malignant 20%

Intradural extramedullary
Meningiomas and nerve sheath tumour

Intradural intramedullary
Ependymomas (most common)
Astrocytoma

Spinal level (cervical, thoracic, lumbar, sacral)<br>
03
What is it? Benign vs malignant (primary or metastatic)
Most likely differentials based on location
Known cancers or syndromes (eg NF1 and 2)
Biopsy – risk of seeding rare
Risk of recurrence, blood loss, stability etc<br>