Author of

• 20192

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  P3.13 - Radiology/Staging/Screening (ID 729)

  • Event: WCLC 2017
  • Type: Poster Session with Presenters Present
  • Track: Radiology/Staging/Screening
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/18/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)

  • 24177

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    P3.13-025 - Spinal Cord and Cauda Equina Compression in Lung Cancer (ID 9946)

    09:30 - 09:30  |  Author(s): M.A. Haouari
    • Abstract

    Background:
    Spinal cord compression is one of the most disabling complications in lung cancer. It may be caused either by the tumor itself or by metastatic involvement of the spine and meninges. The goal of this work is to appreciate characteristic of spinal cord compression in lung cancer.
    
    Method:
    Retrospective review of the MRI data of patients with lung cancer presenting with neurological symptoms caused by medullary or cauda equine compression. Only patients with abnormal findings were retained. All exams were performed by a 1.5 T machine.
    
    Result:
    From January 2014 to December 2016, only 24 patients (23 males and 1 female) were referred to the imaging department of our institution for medullary compression exploration. Their average age was 57 years. Seventeen patients had adenocarcinoma. Three patients were classed stage IIIB and 18 were classed stage IV. Medullary compression was caused by direct compression (12 cases) of the tumor or by a spine metastases (12 cases). One spine region was involved in 18 patients with dorsal location in 13 patients. In three cases, the compression concerned the cauda equina. Myelopathy was noted in 15 of the 21 patients with spinal cord compression.
    
    Conclusion:
    Spinal compression is not frequent in lung cancer. It is mainly observed in advanced stages. It may occur by direct tumor invasion or by vertebral metastatic extension.