Primary (non-metastatic) spinal tumors may be removed through complete en bloc resection for a possible cure. In patients with metastatic tumors, treatment is primarily palliative, with the goal of restoring or preserving neurological function, stabilizing the spine and alleviating pain.
Some people live active and fulfilling lives with spinal tumors that don't grow or cause symptoms. In some cases, people with metastatic spinal tumors need to continue treatments, including chemotherapy or radiation, to keep the cancer from spreading to other parts of the body.
Spinal tumors or growths of any kind can lead to pain, neurological problems and sometimes paralysis. A spinal tumor can be life-threatening and cause permanent disability. Treatment for a spinal tumor may include surgery, radiation therapy, chemotherapy or other medications.
Most symptomatic spinal cord tumors require surgical removal which can typically be performed with small incisions on the back or neck and little bony disruption. Depending on the type of tumor, further treatment may be indicated, including radiation or chemotherapy.
MRI is very good at zeroing in on some kinds of cancers. By looking at your body with MRI, doctors may be able to see if a tumor is benign or cancerous. According to the World Health Organization, survival rates for many types of cancer are significantly higher with early detection.
More than 90 out of 100 people (more than 90%) with ependymoma that start in the spine survive for 5 years or more. These statistics for adults with ependymoma are for relative survival. Relative survival takes into account that some people die of causes other than cancer.
Primary spinal tumors are rare but are more likely to occur in adults between the ages of 65 and 74 and in children between the ages of 10 and 16.
MRI Scan. An MRI scan is the most reliable method of diagnosing spinal cord tumors, although additional tests are needed to confirm the type of tumor.
The most common of these types of tumors develop in the spinal cord's arachnoid membrane (meningiomas), in the nerve roots that extend out from the spinal cord (schwannomas and neurofibromas), or at the spinal cord base (filum terminale ependymomas).
Brain and Spinal Cancer Prognosis and Survival Rates
According to the American Society of Clinical Oncology, the average five-year survival rate for patients with a malignant brain or spinal tumor is 36%. The 10-year survival rate is about 31%.
Primary tumors often progress slowly over weeks to years. Tumors in the spinal cord usually cause symptoms, sometimes over large portions of the body. Tumors outside the spinal cord may grow for a long time before causing nerve damage.
The cause of primary spinal tumors is unknown. Some primary spinal tumors occur with certain inherited gene mutations. Spinal tumors can be located: Inside the spinal cord (intramedullary)
Signs of a spinal tumor
Back pain that often radiates to other areas and worsens at night. Pain at the tumor site. Radiating numbness, tingling, or weakness. Less sensitivity to heat, cold, and pain.
The majority of primary spinal column tumors are benign, with malignant tumors comprising only 20%. Overall, spine metastases are the most common malignant spine tumor, and these usually arise from primaries such as lung, breast, and prostate cancers.
The most noticeable sign of spinal cancer is pain. Pain may come from the tumor's presence in the spinal column, pushing on sensitive nerve endings or causing spinal instability. When the spine is not lined up properly, other physically notable symptoms may result (e.g., changes in posture, Kyphosis or hunchback).
If a suspicious area is seen on an imaging study, a biopsy may be performed. This involves harvesting a small amount of tissue from the tumor or lesion. This tissue is then sent to a pathologist who will examine it and perform tests to determine whether the cellular structure is that of a benign or malignant tumor.
Nonsurgical treatment options include observation, chemotherapy and radiation therapy. Tumors that are asymptomatic or mildly symptomatic and do not appear to be changing or progressing may be observed and monitored with regular MRIs. Some tumors respond well to chemotherapy and others to radiation therapy.
Aching Pain in the Bones
Tumor growth can result in a number of biological responses, such as local inflammation or stretching of the anatomical structures around the vertebrae. These biological sources of pain are often described as a deep ache that tends to be worse at night, even to the point of disrupting sleep.
There are several types of masses that can be found in the spine: Some are malignant tumors (spinal cancer), which means they can spread to other areas of the body. Some are benign tumors, which means they are not aggressive and don't spread, but it doesn't mean they are harmless.
Spinal tumor pain typically does not diminish with rest or activity avoidance, and it may intensify at night, causing disturbed sleep.
Spinal cancer is graded in the following ways: Grade 1 spinal cancer: The tumor grows slowly and rarely spreads into nearby tissues. It may be possible to completely remove the tumor with surgery. Grade 2 spinal cancer: The tumor grows slowly but may spread into nearby tissue or recur.
Causes of Benign Tumors
Environmental toxins, such as exposure to radiation. Genetics. Diet. Stress.
You may be able to see a growth. Certain things about the image might even suggest that it's likely to be cancerous. But there are many benign (noncancerous) tumors that look very much like cancerous growths. That's why, if your doctor suspects cancer from imaging, they will almost always follow up with a biopsy.
An infection or abscess is perhaps the most common cause behind a mass that is mistaken for a tumor. In addition, cysts may arise from inflamed joints or tendons as a result of injury or degeneration. Inflammatory conditions, such as rheumatoid arthritis, can also result in soft tissue masses.