Spinal Metasis - The First Sign of Malignancy

The correct answer to this question is three bone maro biopse. In patients with multiple spinal metaises on their initial presentation and a high index of suspicion for a primary source, an elevated p s a pointing to prostate cancer can be ordered together. The most common cancers that metaicize to bones are thyroid, lung, breast, kidney and prostate. Patients in categories two and three require further evaluation prior to reatment.