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Metastasis to Spine - What You should Know!

Spinal Metastasis Overview:

A spinal metastases is a vague term which can refer to the metastatic diseases to any of the following: Metastasis to Spine - What You should Know!

Nearly 90% of all the spinal neoplasms (cord + vertebral) are considered as a metastatic in origin. Spinal metastasis is common in cancer patients. Following the lung and liver, spine is the third most common site for cancer cells to metastasis. Nearly 5 to 30 percent patients with systemic cancer will have spinal metastasis. This condition is more common in men than in women and adults in the age range of 40-65 years are more vulnerable to it. As per some studies, it is estimated that over 30-70% of patients with a primary tumor have the spinal metastatic disease at autopsy.

In this article, we’ll discuss about metastatic spine tumors, symptoms, diagnosis and treatments.

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Types of Spinal Cord Injuries

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Metastatic Spine Tumors:

Metastasis to Spine - What You should Know!A spine tumor is an abnormal growth of tissue found in or around the spinal column or cord. A spinal tumor is classified as follows:


The tumors can grow within the spinal cord, in the vertebrae structures, within the dura (a protective covering around the spinal cord). However, the spinal cord tumors and within the dura i.e. the intradural tumors are rare.

Diagnosis and Treatment of Metastatic Spinal Tumor:

Diagnosis:

A variety of tests, including blood test, physical exam and imaging can help to diagnose a metastatic spinal tumor. A physical exam will include a review of physical and neurological symptoms of the patient and a detailed patient history.

Metastasis to Spine - What You should Know!Metastatic tumor imaging: Several imaging modalities are used to evaluate the patients with spinal tumors to determine its location and size. X-ray, Computed Tomography (CT scans) and Magnetic Resonance Imaging (MRI scans) are used to diagnose this condition.

Metastatic spinal tumor biopsy: A biopsy involves extracting a tissue sample from the tumor so that it is examined by a pathologist. In most cases, percutaneous needle biopsy is used to determine which treatment is suitable for the patient.

Treatment of Metastatic Spinal Tumor:

There are several considerations that must be examined to determine the best treatment for metastatic spinal tumor. The treatment plans for metastatic spinal tumor mainly focus on preserving and improving the quality life of a patient.

The goals of treatment for the metastatic spinal tumors are:

Symptoms and Treatment of Metastatic Spinal Tumor:

Symptoms:

The most common symptoms of metastatic spinal tumor are back pain that gets worse at night or upon waking. Neurological symptoms like tingling or numbness in the legs or arms, weakness that occurs several weeks or months following the onset of back pain. Patients may experience a single symptom of combination of many symptoms. Some people with this condition do not have any symptoms at all. The metastatic spinal tumor pain tends to be severe. The types of pain caused by the spinal tumor include pain that shoots down the arm or leg and aching pain in the bones.

Next most common symptom of the metastatic spinal tumors is the neurological dysfunction, which includes numbness or weakness, tingling and impaired muscle control in the arms or legs.

Metastatic spinal tumor surgery:

The metastatic spinal tumor removal surgery is indicated for the patients who may benefit from the tumor removal. The surgical procedure will either lessen the severe symptoms related to the spinal tumor or will benefit from removing the cancer. There are two types of surgical procedures for treating the metastatic spinal tumors:

Earlier diagnosis and treatment of spinal tumor symptoms will give you better results. Treatments of this condition include a multidisciplinary team consisting of surgeons, medical oncologists, radiation oncologists, physiatrists, diagnostic and interventional radiologists. The medical team at Spine and Neuro Hospital India work closely with the patient and manage individual cases to cosordinate better treatment options.

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