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Excellent outcomes after radiotherapy alone for malignant spinal cord compression from myeloma Cover

Excellent outcomes after radiotherapy alone for malignant spinal cord compression from myeloma

Free to read
|Jul 2016

Figures & Tables

Figure 1

Kaplan-Meier curves of patients who were ambulatory prior to RT and of those patients who were not ambulatory.
Kaplan-Meier curves of patients who were ambulatory prior to RT and of those patients who were not ambulatory.

Figure 2

Kaplan-Meier curves of patients with an ECOG performance score of 1–2 and those patients with an ECOG performance score of 3–4.
Kaplan-Meier curves of patients with an ECOG performance score of 1–2 and those patients with an ECOG performance score of 3–4.

Impact of the eleven factors on local control of SCC (univariate analysis)

  At 1 year(%)At 2 years(%)At 3 years(%)p-value
Age
≤ 64 years (n = 125)948686
≥ 65 years (n = 113)9275750.81
Gender
Female (n = 88)907878
Male (n = 150)9485850.47
Myeloma subtype
IgG subtype (n = 153)968484
Other subtypes (n = 85)8878780.14
Time from myeloma diagnosis to SCC
≤ 15 months (n = 128)958181
> 15 months (n = 110)9185850.83
Extra-osseous lesions
No (n = 218)948282
Yes (n = 20)67n.a.n.a.0.19
Further osseous lesions
No (n = 91)938686
Yes (n = 147)9376760.73
Time developing motor deficits
Faster (≤ 14 days) (n = 112)938181
Slower (> 14 days = (n = 126)9383830.79
Gait function before the start of RT
Ambulatory (n = 169)958585
Not ambulatory (n = 69)8557570.08
Number of vertebrae involved by SCC
1-2 (n = 112)958787
≤ 3 (n = 126)9277770.17
ECOG performance score
1-2 (n = 150)968686
3-4 (n = 88)8362620.07
Radiotherapy regimen
Short-course RT (n = 84)946969
Longer-course RT (n = 154)9390900.29
Entire cohort (n = 238)938282
DOI: https://doi.org/10.1515/raon-2016-0029 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 337 - 340
Submitted on: Dec 13, 2015
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Accepted on: Jan 25, 2016
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Published on: Jul 19, 2016
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2016 Dirk Rades, Antonio J. Conde-Moreno, Jon Cacicedo, Barbara Segedin, Volker Rudat, Steven E. Schild, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons License.