Lecture spine metastatic_prostate 2014 june
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This document summarizes a spine conference that discussed metastatic disease to the spine. It covered statistics on prostate cancer risk and mortality. It then presented a case study of an 80-year old man who was diagnosed with prostate cancer after undergoing spinal procedures for a fracture. The conference also discussed diagnostic studies for identifying unknown primary cancers, noting that CT scans often identify the origin in 75% of cases. Common primary cancers that metastasize to bone were listed as breast, prostate, lung, renal and hematopoietic tumors.
Lecture spine metastatic_prostate 2014 june
- 1. UCMC Spine Conference Metastatic Disease to the Spine June 6th, 2014
- 2. (from Greek προστάτης, prostates, literally "one who stands before", "protector", "guardian"
- 4. One in seven lifetime risk USA
- 5. 1 out of 35 men die from prostate cancer
- 10. PSA
- 12. 11/21/12 80 year old man with fall and LBP R sciatica
- 14. 11/22/12
- 15. 11/23/12
- 18. Video
- 19. 11/29/12 L4 kyphoplasty for fracture with R L2L5 decompression
- 22. 12/28/12
- 23. 12/28/12
- 24. 12/28/12
- 28. 3/5/14 Dx prostate cancer
- 29. 3/6/14
- 31. Readmitted through the ER 2 months later on 5/10/14 due to inability to ambulate from intractable LBP Not able to care for himself at home.
- 32. Bone scan 5/13/14 stage 4 prostate ca; frontal skull, ribs L1, R6,R7, Prox R femur, L iliac, L1?
- 34. Skeletal met of unknown origin • 40 patients prospective • CT chest/abd/pelvis 75% • H&P: 8% • CXR: 43% • CT chest 15% • Ct Abd 13% • f/u CT 5% • Tissue: 8% • 85% chance of finding Dx preop with studies • LABS: SPEP • Avoid primary sarcoma, better biopsy area, renal cell
- 37. Spine Conference 6/6/14 Pathology A. E. Seiguer, M.D.
- 38. W.H. S14-3034, 5/22/14 L1 fracture biopsy
- 45. PSA
- 46. PSA
- 50. Most Common Mets to Bone • Breast • Prostate • Lung • Renal • Hematopoietic tumors • Thyroid
- 54. HETEROGENEOUS
- 56. THANKS!!