Overview of Molecular Prognostication for Common Solid Tumor Histologies - What the Surgeon Should Know
- C Rory Goodwin 1, Rafael De la Garza Ramos 2, Chetan Bettegowda 3, Ori Barzilai 4, Patel Shreyaskumar 5, Michael G Fehlings 6, Ilya Laufer 7, Arjun Sahgal 8, Laurence D Rhines 9, Jeremy J Reynolds 10, Aron Lazary 11, Alessandro Gasbarrini 12, Nicolas Dea 13, Jorrit-Jan Verlaan 14, Patricia Zadnik Sullivan 15, Ziya L Gokaslan 15, Charles G Fisher 13, Stefano Boriani 12, John H Shin 16, Francis J Hornicek 17, Michael H Weber 18, Matthew L Goodwin 19, Raphaële Charest-Morin 13,
- 1Department of Neurosurgery, Spine Division, Duke University, Durham, NC, USA.
- 2Department of Neurological Surgery, Montefiore Medical Center Albert Einstein College of Medicine, New York, NY, USA.
- 3Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
- 4Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
- 5Department of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, University of Texas, Houston, TX, USA.
- 6Department of Surgery, Division of Neurosurgery and Spine Program, University Health Network, University of Toronto, Toronto, ON, Canada.
- 7Department of Neurological Surgery, New York University Grossman School of Medicine, New York, NY, USA.
- 8Department of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
- 9Department of Neurosurgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, University of Texas, Houston, TX, USA.
- 10Oxford Spinal Surgery Unit, Oxford University Hospitals, Oxford, UK.
- 11National Center for Spinal Disorders, Budapest, Hungary.
- 12Spine Surgery, University of Bologna, Contract Professor of Orthopedics at PostGraduate School, Bologna, Italy.
- 13Combined Neurosurgical and Orthopedic Spine Program, Department of Orthopedics Surgery, University of British Columbia, Vancouver, BC, Canada.
- 14Department of Orthopaedic Surgery, University Medical Center Utrecht - Utrecht University, Utrecht, The Netherlands.
- 15Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
- 16Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
- 17Department of Orthopaedic Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
- 18Spine Surgery Program, Department of Surgery, Montreal General Hospital, McGill University Health Center, Montreal, QC, Canada.
- 19Department of Orthopaedic Surgery, Washington University in St Louis, St Louis, MO, USA.
- 0Department of Neurosurgery, Spine Division, Duke University, Durham, NC, USA.
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View abstract on PubMed
Summary
This summary is machine-generated.Molecular markers and targeted therapies significantly improve survival for common cancers metastasizing to the spine. Integrating these advancements into clinical decisions enhances patient outcomes for metastatic spine disease.
Area Of Science
- Oncology
- Molecular Biology
- Spine Surgery
Background
- Metastatic spine disease is a common complication of several major cancers.
- Molecular markers and targeted therapies have revolutionized cancer treatment and survival rates.
- Understanding these advancements is crucial for managing spinal metastases.
Purpose Of The Study
- To review key molecular markers and targeted therapies for lung, breast, prostate, and melanoma cancers that metastasize to the spine.
- To provide guidance on integrating these therapies into clinical practice for spinal metastases.
- To highlight the role of molecular prognostication in surgical decision-making.
Main Methods
- A narrative literature review was conducted using PubMed, Google Scholar, and Medline.
- National Comprehensive Cancer Network guidelines were also consulted.
- Articles were selected in English and reviewed for molecular targets, therapies, outcomes, and surgical risks.
Main Results
- Molecular markers and targeted therapies have substantially improved cancer patient survival.
- These advancements offer a strong rationale for their use in clinical decision-making for metastatic spine disease.
- The review discusses specific markers and therapies for common spinal metastases and offers a surgical decision-making framework.
Conclusions
- An integrated approach considering surgery, radiation, molecular markers, and targeted therapies is essential.
- This integrated understanding guides prognostication and treatment for better patient outcomes.
- Optimizing outcomes for metastatic spine disease requires a comprehensive treatment strategy.
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