BASIC INFORMATION
DESCRIPTION
An abnormal growth that compresses the spinal cord or
its nerve roots. The growth may be benign or malignant,
but a non-malignant tumor may be as disabling as
a malignant tumor unless treated appropriately.
FREQUENT SIGNS AND SYMPTOMS
Progressive weakness, numbness and wasting of muscles
whose nerve supply comes from the affected area
of the spinal cord.
Difficult urination or bowel movements; incontinence.
Chronic back pain.
CAUSES
Tumors originating in the spinal cord (primary
tumors) are rare, especially in childhood or old age, and
their cause is unknown.
A spinal-cord tumor usually results from cancer that
has spread from another part of the body, such as the
lung, breast, intestinal tract, prostate, kidney, thyroid,
or lymphatic system.
RISK INCREASES WITH
Cancer in any of the body parts listed above.
PREVENTIVE MEASURES
Because spinal-cord tumors frequently result from the
spread of cancer, be alert to early symptoms of cancer
in other organs.
Don't smoke.
Eat a high-fiber diet to reduce the likelihood of intestinal
cancer.
Be alert to enlargement of the thyroid gland.
For men over 45, request a prostate exam with your
annual physical.
For women, practice breast self-exam.
EXPECTED OUTCOMES
The success of treatment depends on the type, size,
and location of the growth.
Surgery to remove bone surrounding the cord can
relieve pressure on spinal nerves and nerve pathways.
This operation generally relieves pain and other symptoms
immediately, but may impair motor functions.
Physical therapy and rehabilitation may restore lost
function.
If the tumor originated on the exterior of the spinal
cord and has not spread, surgery restores a normal life
expectancy.
POSSIBLE COMPLICATIONS
Total paralysis caused by a blockage of blood vessels
that nourish spinal cord cells.
TREATMENT
GENERAL MEASURES
Diagnostic tests may include laboratory studies of
blood and spinal fluid, x-rays of the spine, biopsy
(removal of a small amount of tissue or fluid for laboratory
examination that aids in diagnosis), MRI or CT
scan, radionuclide bone scan, and myelogram (special
x-ray of the spinal canal and spinal cord, requiring a
spinal tap and injection of dye that is visible on x-ray
film).
Treatment will depend on the results of all the diagnostic
studies and may include surgery to remove
tumors and surrounding bone that compress the spinal
cord, radiation therapy and chemotherapy.
Additional information available from the American
Cancer Society, local branch listed in the telephone
directory, or call (800) ACS-2345. Another source is the
Cancer Information Clearinghouse at (800) 4-CANCER.
MEDICATIONS
Pain relievers.
Cortisone drugs to decrease swelling around the
tumor and reduce pressure on the spinal cord.
Anticancer drugs, if the tumor is malignant.
ACTIVITY
Activity levels will depend on your physical status. Be as
active as your energy and mobility permit.
DIET
Eat a normal, well-balanced diet. Vitamin and mineral
supplements should not be necessary unless you show
evidence of deficiency or cannot eat normally.
NOTIFY YOUR PHYSICIAN IF
- You or a family member has any symptoms of a spinal
cord tumor.
Prescription drug - find information about the medications you are taking.