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Epidural spinal cord compression from metastatic tumor: Results with a new treatment protocol

Eighty‐three patients with epidural spinal cord compression from metastatic cancer were treated with high‐dose adrenocorticosteroids and a new radiation fractionation protocol. Only those patients were included who had complete or almost complete block on myelography and who had not received prior radiation therapy to the area of compression. Patients were given 100 mg of dexamethasone intravenously at the time of diagnosis and 500 rads of radiation on each of the first three days. After a four‐day rest, radiation therapy was continued at 300 rads to a total dose of 3,000 rads.