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Adrenal Mass in Cancer — SCE Medical Oncology MCQ

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HardLung CancerAdrenal Mass in CancerSCE Medical Oncology

A patient has radiological MSCC but complete paraplegia has been unchanged for 18 days, pain is controlled, surgery is unsuitable and prognosis is very poor. Which statement best reflects NICE NG234?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Omit urgent radiotherapy when prolonged complete paraplegia has controlled pain and prognosis is poor

Urgent radiotherapy is standard for non-surgical MSCC, but NG234 identifies situations in which benefit is unlikely to outweigh harm: complete paraplegia or tetraplegia for two weeks or longer with controlled pain, or a poor overall prognosis. This question deliberately meets those exception criteria.

Reference: NICE NG234: spinal metastases and metastatic spinal cord compression. https://www.nice.org.uk/guidance/ng234/chapter/recommendations