Tumours originating from the spine bones are usually caused by tumours that develop in other organs that metastasize to the spine. Tumours originating from the direct spine bones are rare. It is more common in the back and waist bones.
Spinal cord tumours can also develop directly from the spinal cord itself or from metastasis of tumours in other organs. Tumours originating from the spinal cord itself may develop from the membrane surrounding the spinal cord, nerves exiting the spinal cord, or directly through the spinal cord.
SYMPTOMS IN SPINE TUMOURS?
The most common symptom is pain. Pain in the region where the bone is held by the tumour, for example in the lower back, in the lower back, and in the back, in the back. Pain usually occurs at rest. If the tumour reaches large dimensions and begins to pressure the spinal cord and the nerves coming out of the spinal cord, pain occurs in one or both legs, numbness or weakness, and if the neck bones, pain in the arms, numbness and weakness are seen.
SYMPTOMS IN SPINAL TUMOURS?
Signs and symptoms of spinal cord tumours vary according to tumour location and tumour size. Symptoms include numbness and numbness in the arms or legs, difficulty walking, loss of sensation of pain or heat, incontinence of urine or large ablutions, paralysis of the arms or legs.
DIAGNOSIS OF SPINE AND SPINAL TUMOURS?
First, a detailed physical examination is performed. Drug (contrast) magnetic resonance imaging (MRI) is the gold standard. In addition to MRI, computed tomography (CT), bone scintigraphy and PET-CT are also used.
TREATMENT OF SPINE AND SPINAL TUMOURS?
The treatment is usually surgical. Surgically removed tumour tissue is sent to pathology to determine whether it is benign or malignant. If benign tumours can be completely removed surgically, there is little chance of recurrence and no additional treatment such as chemotherapy or radiotherapy is necessary. If the tumour is malignant, additional treatment is usually required as there is a possibility of recurrence after surgery.
Tumours of the spinal cord can develop inside the parenchyma of the spinal cord by destroying the tissue directly or out of the medullary parenchyma by often compressing the marrow or the nerve roots. Symptoms may include back pain and progressive neurological deficit related to the medullary or radicular involvement. The diagnosis is based on MRI. Treatment may include corticosteroids, surgical excision and radiotherapy.
Surgical excision and radiotherapy
If patients with neurological deficits due to compression of the spinal cord, corticosteroids immediately to reduce spinal edema and preserve its function. Tumours compressing the spinal cord are treated as soon as possible because deficits can quickly become irreversible.
Some well-localized primary tumours of the spinal cord can often be removed surgically. Neurological symptoms are met by almost half of these patients. If the tumourscannot be operated on, radiotherapy is used, with or without surgical decompression. Extradural compressive metastatic tumours are usually excised surgically from the vertebral body and then treated by radiotherapy. Non-compressive metastatic extradural tumours may be treated with radiotherapy alone, but may require excision if radiotherapy is ineffective.