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Metastatic spinal cord compression — SCE Respiratory MCQ

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ModerateLung CancerMetastatic spinal cord compressionSCE Respiratory

A 65-year-old man with known lung adenocarcinoma presents with new back pain, bilateral leg weakness and urinary retention. MRI confirms thoracic spinal cord compression from vertebral metastasis. What is the most appropriate management?

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Correct answer: E — Urgent dexamethasone and same-day oncology or spinal surgical assessment

Metastatic spinal cord compression is an oncological emergency requiring immediate corticosteroids and urgent specialist assessment for radiotherapy or surgery. Waiting for routine staging risks irreversible neurological deficit. Bronchoscopy is irrelevant to acute cord compression management.

Reference: NICE NG234 Metastatic Spinal Cord Compression; NICE NG122