امرأة عمرها ٥٨ سنة عندها سرطان ثدي منتشر للعظام، تشتكي ألم ظهر يزيد منذ أسبوع، والآن ضعف في الساقين وصعوبة في التبول. ما الإجراء؟

A 58-year-old with breast cancer metastatic to bone has worsening back pain for a week and now leg weakness and difficulty passing urine. What is done?

1. Analgesia and review in a month
2. Reassure her it is muscular pain
3. Urgent check for cord compression
4. Back physiotherapy from tomorrow

Answer: C) Urgent check for cord compression. New back pain with leg weakness and bladder disturbance in metastatic cancer indicates spinal cord compression, an emergency needing urgent MRI, steroids and radiotherapy or surgery.