MSCC Referral Pathway

Metastatic Spinal Cord Compression

The South West London Metastatic Spinal Cord Compression (MSCC) Service is based at St George’s Hospital and provides a 24 hour advisory service and surgical management for the patients with MSCC. The service serves south west London  and is part of the South West London and St Luke’s Cancer Alliance (SLCA).

MSCC is defined as spinal cord or cauda equina compression by direct pressure and/or induction of vertebral collapse or instability by metastatic spread or direct extension of malignancy that threatens or causes neurological disability.

The majority of MSCC cases occur in patients with a pre-existing cancer diagnosis, however in around 20% of patients it is their first cancer presentation.

Contact details

The Lead MSCC Coordinator at St George’s Hospital is on
020 8672 1255 and Bleep 6027

There is 24 hour access to this service:

0830-1630 Monday-Thursday and Friday 0800-1600 via Bleep 6027 via SGH switchboard

And

At all other times www.referapatient.org or Bleep 7242 for urgent clinical advice only

Please see guidelines.