内容紹介
Summary
Advances in cancer treatment helped in increasing the life expectancy of patients with cancer. However, a concomitant increase in the number of patients with bone metastases can be expected. A new multidisciplinary treatment strategy for patients with metastatic spinal tumors was designed, and has been practiced from 2013 in our hospital. The benefits of liaison treatment for metastatic spinal tumors is useful for early detection and early treatment before the collapse of the stabilization mechanism and the appearance of neurological symptoms, and enables team medical care by various experts. This system is a useful treatment for metastatic spinal tumors, because it enables radiotherapy and/or surgery before the onset of skeletal related events(SRE)and will also help maintain the activities of daily living(ADL)and quality of life(QOL)for patients with metastatic spinal tumors.
要旨
がん患者の余命が延長されてきている一方で,骨転移を発症するがん患者の増大も予想される。当院では,2013年より当院にかかわるすべてのがん患者の脊椎転移を把握するための新たな治療形態(リエゾン治療)を実践している。骨関連事象(skeletal related events:SRE)発生前に脊椎外科医を含めたチームが治療介入することが重要であり,これによって転移性脊椎腫瘍患者のactivities of daily living(ADL)の維持とquality of life(QOL)の向上,そして健康寿命の延伸も期待できると考える。
目次
Advances in cancer treatment helped in increasing the life expectancy of patients with cancer. However, a concomitant increase in the number of patients with bone metastases can be expected. A new multidisciplinary treatment strategy for patients with metastatic spinal tumors was designed, and has been practiced from 2013 in our hospital. The benefits of liaison treatment for metastatic spinal tumors is useful for early detection and early treatment before the collapse of the stabilization mechanism and the appearance of neurological symptoms, and enables team medical care by various experts. This system is a useful treatment for metastatic spinal tumors, because it enables radiotherapy and/or surgery before the onset of skeletal related events(SRE)and will also help maintain the activities of daily living(ADL)and quality of life(QOL)for patients with metastatic spinal tumors.
要旨
がん患者の余命が延長されてきている一方で,骨転移を発症するがん患者の増大も予想される。当院では,2013年より当院にかかわるすべてのがん患者の脊椎転移を把握するための新たな治療形態(リエゾン治療)を実践している。骨関連事象(skeletal related events:SRE)発生前に脊椎外科医を含めたチームが治療介入することが重要であり,これによって転移性脊椎腫瘍患者のactivities of daily living(ADL)の維持とquality of life(QOL)の向上,そして健康寿命の延伸も期待できると考える。