spine surgery options for progression at previously radiated met/vertebra?

Portal Forums Cancer Treatments / Symptom Management General Treatments / Symptom Mgmt. spine surgery options for progression at previously radiated met/vertebra?

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October 22, 2017 at 9:07 am  #1293375    


Hi — does anyone here have any info/experience with surgical options for treating/removing a spine met/progression? I have progression from a previously radiated vertebra and am told re-radiating won’t hold. I have an appt with a neurosurgeon at Yale’s Spine Center on 10/26 but am on edge not knowing what to expect or if this is treatable (safely/effectively). I have been on Tagrisso for 4 months after Tarceva and feel good other than chronic back pain (I also had radiation and a kyphoplasty to another vertebra which is still painful). NSCLC stage IV…May 2016.
Thank you!

October 22, 2017 at 3:19 pm  #1293377    
JimC Forum Moderator
JimC Forum Moderator

Hi schmeggs,

As you know from your previous khyphoplasty, there are situations in which surgery can be performed to alleviate the pain from metastases to the spine. Dr. West discusses the subject in this post. Of course, every situation is different, so the feasibility of surgery for your previously radiated spine metastasis is a question for your neurosurgeon.

I hope that you have a productive consultation which leads to an intervention which will lessen (or better yet, eliminate!) your pain.

Forum moderator

Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

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