CA Breast with Spinal Cord Compression

Metastatic spinal cord compression (MSCC) is one of the most dreaded yet rare complications of carcinoma. The National Institute for Health and Care Excellence (NICE) guideline for management of MSCC has aimed to streamline patient management pathways in terms of diagnosis, treatment and outcomes. Enhanced patients’ pathways with ease of access, rapid assessment and prompt treatment are necessary to provide better outcomes. Despite these clear protocols, a large number of patients still present late with gross motor impairment and over 20% without previous diagnosis of cancer. Enhanced awareness is required for patients and primary caregivers to optimise outcomes. After the MRI confirms the diagnosis, the treatment should be started promptly with the aim to relieve pain, recover neurological function and prevent further cord damage. The three main modality of treatment include corticosteroids, surgery and radiation therapy. The National Institute for Health and Care Excellence provided guidelines on the management of spinal cord compression in 2008. Rehabilitation and supportive care play an important role to promote independence and improve the quality of life.