Spinal tumors can be benign or malignant.According to primary site of origin tumors are called PRIMARY if they are formed on the musculoskeletal system, if tumors are formed in other organs, but have spread to the spine they are called METASTATIC.
Multi-disciplinary (multiple-branch) approach is necessary for the follow-up and treatment of spinal tumors.
Metastatic spine tumors are malignant (cancer).Primary tumors may be benign or malignant. Spinal tumors can hold any part of the spine (neck, back, lower back, coccyx, pelvis).
HOW TO RECOGNIZE SPINAL TUMOR?
Spinal tumors should be suspected if there are;
pains at rest and at night, not responding to long-lasting medical treatment
pain associated with involuntary weight loss (eg 10 kg in the last 3 months)
fever, night sweats
visible or palpable mass in the area of pain
weak leg or arm muscles
inability to control bladder and bowels
having a cancer story before
What tests are performed to diagnosis a spine tumor?
Diagnosis begins with a detailed history and physical examination of the patient.
If the referenced spine surgery requires, the following examinations may be requested;
- MR: indicates in which levels of the spine and which plans the mass is located. It can also give information about the spread of the tissues and organs in the vicinity of the spine.
- Computed Tomography: may be needed for detailed examination of bone structures.
- PET / scintigraphy: provides information about whether there is spreading in other regions of the body
- Biopsy: is the most important diagnostic tool for the presence and type of tumor. Can be done with closed or open methods.The important point is, biopsy should be conducted by the specialist who can plan and perform the treatment.
What are the treatment options?
- In case of benign tumor it can be observed.
- In case of malignant tumors, chemotherapy (medicated treatment) and / or radiotherapy (irradiation) are applied according to the type and spread of the tumor. For details of this topic, it is recommended to consult the specialist physician and the spinal surgeon.
- Surgery is the recommended treatment option in malignant tumors. Surgical technique may vary depending on tumor spread, general condition of the patient, sensitivity of the tumor to chemotherapy or radiotherapy.
The aim of surgical treatment;
- Removal of tumor tissue
- Relieving important tissues pressed against the tumor
- Reduction of tumor mass in patients undergoing chemotherapy or radiotherapy
- Ensuring stability of the spine
- Reduction of the patient's pain