• Spine Tumor Symptoms: An Informative Guide
Authored by Dr Krishna Kumar G

Spine Tumor Symptoms: An Informative Guide

Do you know the symptoms of a spine tumor? If not, this post will provide you with some information.


Spine Tumor Symptoms: Things You Should Know

The spinal column is a complex structure that plays a vital role in our body’s movement, sensation, and overall function. It comprises vertebrae (bones), intervertebral discs, the spinal cord, spinal nerves, and meninges (protective membranes). While the spinal column is designed to protect the delicate spinal cord, abnormal growths called spinal tumors can sometimes develop in or around the spinal cord or vertebrae.

Spinal tumors are relatively rare compared to other central nervous system tumors, but they can cause serious complications if left untreated. The good news is that with advances in diagnostic imaging, surgical techniques, and precision radiation therapy, spinal tumors are highly treatable, often with excellent outcomes.


Spine Tumor

The spinal column extends from the base of the skull to the tailbone (sacrum and coccyx) in the pelvis. It consists of a series of bones called vertebrae, which are separated by intervertebral discs and connected by ligaments and muscles. Running through the center of the spinal column is the spinal cord, a critical part of the central nervous system.


The spinal cord is a cylindrical bundle of nerve fibers that transmits messages between the brain and the rest of the body. It is protected by the bony vertebrae and covered by three layers of protective membranes called meninges (dura mater, arachnoid mater, and pia mater).


A spinal tumor is an abnormal growth of cells that develops within or surrounding the spinal cord, nerve roots, meninges, or vertebrae. These tumors can be benign (non-cancerous) or malignant (cancerous), and they can arise from the spinal tissue itself (primary tumors) or spread from cancer in another part of the body (metastatic or secondary tumors).

Spinal tumors are classified based on their location in relation to the spinal cord and meninges:

– **Intramedullary tumors** grow within the spinal cord itself.

– **Intradural-extramedullary tumors** develop in the meninges surrounding the spinal cord.

– **Extradural (vertebral) tumors** form outside the meninges, usually in the vertebrae or other structures of the spinal column.


Although spinal tumors are relatively rare compared to brain tumors and other cancers, they can cause significant neurological problems and disability if not diagnosed and treated promptly. Understanding the anatomy of the spine and the different types of spinal tumors is essential for recognizing symptoms, seeking appropriate medical care, and making informed treatment decisions.


Symptoms of Spine Tumor

The symptoms of spine tumors vary depending on the tumor’s location, size, and type. There may be no noticeable symptoms in the early stages when the tumor is small. As the tumor grows and compresses the spinal cord, nerve roots, or surrounding structures, various signs and symptoms can develop.


Common symptoms of spinal tumors include:


Pain

This is often the first symptom, especially with extradural tumors. The pain may be localized to the tumor site or radiate to the hips, legs, feet, or arms. It worsens progressively, becomes constant, and intensifies while lying down or at night. The pain may not respond to conservative measures like rest, physical therapy, or pain medications.


Neurological symptoms

As the tumor compresses the spinal cord or nerve roots, it can cause:

– Numbness, tingling, burning, or loss of sensation in the legs, arms, or chest

– Muscle weakness, spasms, or cramps in the legs, arms, or chest

– Difficulty walking, loss of balance or coordination, which may lead to falls

– Loss of bowel or bladder control (incontinence)


Spinal deformities:

Large tumors can sometimes cause visible changes in the spine’s alignment, such as scoliosis (abnormal curvature) or kyphosis (excessive forward rounding).


Paralysis

In advanced cases, spinal tumors can cause partial or complete paralysis below the level of the cancer by compressing the spinal cord.

It’s important to note that these symptoms can also be caused by other conditions affecting the spine, such as herniated discs, spinal stenosis, or infections. Therefore, a thorough medical evaluation is necessary to determine the underlying cause.

If you experience persistent or worsening pain, especially if accompanied by neurological symptoms, or if you have a history of cancer, it’s essential to consult your doctor promptly. Early diagnosis and treatment can prevent serious complications and improve outcomes.

Remember, while spinal tumors can cause concerning symptoms, they are highly treatable with advanced surgical, radiation, and medical therapies. Don’t hesitate to seek medical attention and collaborate with your healthcare team to develop an effective treatment plan.


Primary vs. Metastatic Spinal Tumors

Spinal tumors can arise from the spinal tissue itself (primary tumors) or spread from cancer in another part of the body (metastatic or secondary tumors).

Primary spinal tumors originate within the spinal cord, meninges, nerve roots, or vertebrae.

They are relatively rare, accounting for only a small percentage of all primary central nervous system tumors. Examples of primary spinal tumors include:


Intramedullary tumors:

– Astrocytomas

– Ependymomas

– Hemangioblastomas


Intradural-extramedullary tumors

-Meningiomas

– Nerve sheath tumors (schwannomas, neurofibromas)


Extradural tumors

– Osteosarcomas

– Chondrosarcomas

– Chordomas

– Breast cancer

– Prostate cancer

– Lung cancer

– Kidney cancer

– Thyroid cancer

– Lymphoma

– Multiple myeloma


Metastatic spinal tumors are often found in the vertebrae, as the bones are a common site for cancer cells to settle and grow. These tumors can cause pain, fractures, and compression of the spinal cord or nerve roots.

Distinguishing between primary and metastatic spinal tumors is crucial for determining the appropriate treatment approach.


Treat the Symptoms of Spine Tumor with Proton Therapy

Primary tumors are typically treated with surgery and/or radiation therapy. In contrast, metastatic tumors may require a combination of surgery, radiation, chemotherapy, and targeted therapies based on the underlying primary cancer.

Proton therapy has become a prominent option for treating cancers in India. It is an advanced form of radiation therapy that is increasingly being used to treat spinal tumors. Unlike conventional radiation therapy, which uses X-rays to destroy cancer cells, proton therapy uses a beam of protons (positively charged particles) to deliver radiation directly to the tumor site.


Conclusion

A multidisciplinary care team of neurosurgeons, radiation oncologists, medical oncologists, physiotherapists, and other specialists creates an individualized treatment plan for each patient. Leading cancer centers like the APCC are at the forefront of spinal tumor care, offering the latest diagnostic technologies, the most advanced treatments, and access to clinical trials of promising new therapies.

With timely diagnosis and expert treatment, many patients with spinal tumors successfully manage their condition and maintain their quality of life. Don’t hesitate to see your doctor if you have any concerning symptoms. Be assured that there are many treatment options and reasons to be hopeful.


Frequently Asked Questions (FAQs)


What is a spinal tumor?

A spinal tumor is a tumor that develops on the spine. This tumor develops inside the spinal cord, in the tissues that cover the spinal cord, between the bones and meninges of the spine, and in the bony vertebrae of the spine.


What are some of the signs/symptoms of a spinal tumor?

The most common symptom of this type of tumor is pain, which you will feel during the early stages, especially when the tumor is small. But when it starts to grow, you will experience symptoms like a stiff neck or back, muscle weakness, difficulty walking, etc.


What are the different regions of the spine?

The spine has four different sections: the neck area (cervical), upper-to-mid back (thoracic), lower back (lumbar), and bottom of the spine (sacrum).


When should I visit the doctor?

When you experience severe pain that has become much worse than before, you must contact your physician or doctor without delay. This is especially true for individuals with a history of cancer. Otherwise, you can visit the nearest healthcare facility to receive immediate treatment.