Spinal tumor

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Spinal Tumours
Classification and external resources
ICD-10 C72.0
ICD-9 192.2
DiseasesDB 31483
MedlinePlus 001403
eMedicine orthoped/49  med/2993, radio/169
MeSH C04.557.465.220

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Spinal tumor

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Overview

Spinal tumors are neoplasms located in the spinal cord. They are mostly metastases from primary cancers elsewhere (commonly breast, prostate and lung cancer). Primary tumors may be benign (e.g. hemangioma) or malignant in nature.

Depending on their location, the spinal cord tumors can be:

  • Extradural - outside the dura mater lining
  • Intradural - part of the dura
  • Intramedullary - inside the spinal cord

The symptoms seen are due to spinal nerve compression and weakening of the vertebral structure. Incontinence and decreased sensitivity in the saddle area (buttocks) are generally considered warning signs of spinal cord compression by the tumor. Back pain in a patient with known malignancy may prompt a bone scan to confirm or exclude spinal metastasis.

Diagnosis

MRI and bone scanning are used for diagnostic purposes. This assesses not only the location of the tumor(s) but also their relationship with the spinal cord and the risk of cord compression.

Treatment

  • Steroids may be administered if there is evidence of spinal cord compression. These do not affect the tumoral mass itself, but tend to reduce the inflammatory reaction around it, and thus decrease the overall volume of the mass impinging on the spinal cord.
  • Radiotherapy
  • Surgery is sometimes possible

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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