Back pain is a common early symptom of spinal tumors. Pain may also spread beyond your back to your hips, legs, feet or arms and may worsen over time — even with treatment. Spinal tumors progress at different rates depending on the type of tumor.
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).
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.
Spine X-rays provide detailed images of the bones of the spine, and can be taken separately for the three main parts of the spine. Conditions that may show up in spine x-rays include fractures, tumors and arthritis.
Cancer pain takes many forms. It can be dull, achy, sharp or burning. It can be constant, intermittent, mild, moderate or severe. How much pain you feel depends on a number of factors, including the type of cancer you have, how advanced it is, where it's situated and your pain tolerance.
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.
Spinal tumors can be located: Inside of your spinal cord (intramedullary). In the tissues (meninges) covering your spinal cord (intradural-extramedullary). Between the meninges and bones of your spine (extradural).
Can it be cured? Historically spinal metastases have been considered incurable. However, recent studies suggest that with aggressive therapy, including surgical resection and/or stereotactic radiosurgery, some patients with one (or only a few) spinal metastases may have a chance for cure.
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 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 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.
Astrocytomas and ependymomas are the two most common types. Astrocytomas are more common in the thoracic region followed by the cervical. Ependymomas are most common in the filum (bottom region of the spinal cord), followed by the cervical region.
A number of cancers can metastasize to the spine, including breast cancer, testicular cancer, colon cancer and lung cancer. In fact, approximately 25% of people with lung cancer report back pain as a symptom.
Multiple sclerosis (MS): plaques that may develop in progressive MS can sometimes cause the same symptoms as spinal tumors. Transverse myelitis: an inflammatory disease that causes lesions to form on the spinal cord that may mimic the symptoms and appearance of a spinal tumor.
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%.
Ependymoma. An ependymoma is the most common type of spinal cord tumor. It begins in the ependymal cells, which line the central canal of the spinal cord and help to direct the flow of fluid in the spinal canal.
Spinal cord tumours are rare. Around 3 in every 100 brain tumours (around 3%) start in the spinal cord. They are more common in adults than in children.
Aside from leukemia, most cancers cannot be detected in routine blood work, such as a CBC test. However, specific blood tests are designed to identify tumor markers, which are chemicals and proteins that may be found in the blood in higher quantities than normal when cancer is present.
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.
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)
“GLENDA” and “ENGLAND” were the acronyms initially used to recall the first letter of each of these painful skin tumors: eccrine spiradenoma, neurilemma, glomus tumor, leiomyoma, angiolipoma, neuroma, and dermatofibroma.
Bumps that are cancerous are typically large, hard, painless to the touch and appear spontaneously. The mass will grow in size steadily over the weeks and months. Cancerous lumps that can be felt from the outside of your body can appear in the breast, testicle, or neck, but also in the arms and legs.
Before diagnosis – cancer can cause pain before a diagnosis and the pain may come and go. In some cases, pain comes from the tumour itself, such as abdominal pain from the tumour pressing on bones, nerves or organs in the body.