Doctor insights on:
Stage 4 Spinal Tumor Prognosis
My sister was diagnosed with stage 4 spinal tumor and bone cancer how long do the usually live after diagnosed?
Sister: We cannot discuss her problem unless she signs on herself. Sorry. ...Read more
"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more
Difficult to answer,: Because it depends on the type of tumor, along with the size/location of the tumor or cyst. ...Read more
Paralysis, etc.: This depends on where the tumor is and how complex it is. Some, like ependymomas are benign, but can be in the center of the spinal cord, making removal all but impossible. If the tumor is wrapped around the spinal cord, removal might be possible, but the cord can be damaged, and complications like paralysis can occur. If a nerve is compressed, pain can occur, or numbness. ...Read more
Less likely: With the limited information you have given of chronic pain getting more severe over the past two years and nothing else going on in terms of movement or sensory issues I would say the likelihood of a spinal tumor is very very low. It certainly would be beneficial to be seen by a doctor and have at least x-ray studies done to try and figure out the problem. ...Read more
It depends: Sometimes the tumors are so subtle that you cannot be certain. Many of the time the tumors will light up with contrast in which case you can be much more certain that it is tumor. But sometimes it is simply hard to tell and only biopsy will tell you if you have tumor which should be done only as a last resort because biopsying the spinal cord is fraught with danger. ...Read more
Multiple options: Depending on size, location, pathology, and symptoms, a variety of options are available - surgery, radiation, chemotherapy, observation or combination. Proton beam therapy is a newer form of radiation treatment utilizing more precise proton energy rays that try to avoid or minimize collateral damage to vital parts like the spinal cord or the normal brain tissue. ...Read more
Depends: Tumor in the bone can present with just pain. However if it causes compression of the spinal cord or nerves it can present with paralysis, weakness, altered sensation, bowel/bladder incontinence etc. So basically depends on location along spinal column and whether or not it causes nerve or cord compression. ...Read more
Depends on SC tumor.: This depends on the type of cns/spinal cord tumor you/someone might have. Astrocytomas get surgery, radiation, and chemotherapy while oligodendrogliomas do well with surgery and chemotherapy. Ependymomas, germinomas, and meningiomas can do very well with surgery alone. Tumors metastatic to the spinal cord must be detected early or can have grave consequences from compression of the cord. ...Read more
See your primary doc: It would be difficult to verify a " spinal tumor", purely on symptoms. If you have neurological symptoms of loss of strength or sensation, it is important that you urgently see an md for further evaluation. Imaging including MRI may be required. If there is suspicion of a mass, biopsy may be required. Primary spinal tumors are rare. If there is a tumor, the origin of the tumor would be questioned. ...Read more
Yes, quite uncommon: But, what prompts your concerns? A variety of tumors may present over the thoracic vertebrae, some causing nocturnal pain responsive to aspirin, others compressing the spinal cord, resulting in urinary incontinence, leg weakness and numbness. Since often insidious, and slowly progressive, if there is high suspicion, would urge MRI study to pin down. ...Read more
Rare as Martian....: ....Hen's Teeth! Spinal cord tumor comprise 0.05% of all primary tumors diagnosed and a good portion of those are benign. Malignant ones are more scattered than that. ...Read more
Is an exray of the spine and a spinal tap ok for testing for a spinal tumor? Had both tests and results were normal
No tumor: The best test to look for a spinal tumor is an MRI (usually with contrast). A spinal tap can look for cancer cells in the fluid, but only if that specific test is ordered. An xray really only looks at the bones, not the spine. If there was a bony abnormality, an xray would show it. If your doc ordered a spinal tap, he was probably looking for something like inflammation, not tumor. Good luck! ...Read more
Usually: Sometimes a spinal cord tumor, especially with extrinsic compression, can result in false localizing clinical signs, which could result in imaging at wrong level, but if precise, the MRI will show lesion. However, you say that you have B-12 issues, and this can cause spinal cord problems in posterior columns, which are also seen on MRI. Do you feel Concierge visit might help? ...Read more
1st, you see a doc: He or she will take a good medical history, do a good physical exam, and determine if you need labs or a scan. You can't tell otherwise and please don't try to self diagnose. ...Read more
I have a low back disc herniation from 4 yrs ago, pain has come back. Physiatrist " disc flare up". Possibility this is a spinal tumor?
What does a SMALL spinal Tumor look like on an MRI scan? Can you tell it's a Tumor from looking at scan? Thanks
Can MRI scan tell the difference from a Spinal Tumor to something else? Can they tell from MRI report if something is a Tumor? Worried, thanks
Is there anything I can take besides methadone for chronic pain? I have been on it for yrs status post spinal tumor removal. I get so hot from it.
Had cervical CT in sept. All notmsl rxcept " shows some prevertabrel swelling " and patient motion. Scared. Spinal tumor?
Soft findings: But why did you have the scan? Bone issues. Pain?, swallowing problem? Reading findings is like looking at one piece of a jigsaw puzzle, you need the whole picture and even then you may not know where the piece fits/. ...Read more
After laminectomy for removal of spinal tumor at L3-4, will the spine still have the same strength for weight bearing and exercise as before surgery?
It will take some ti: Laminectomy does weaken the spine for some time. You will have to let the area heal over a period of 3-4 weeks. Then gradually increase your activity to strengthen your back muscles. Walking is a good way to begin this process. A Physical therapist can better guide you in muscle strengthening exercises for your back. Over a period of 6 to 12 months you will regain most of your strength. But go slo ...Read more
I have 1cm intra/extra spinal tumor at L4 with 3 nerves that appear to be in tumor. If removed, do most patients have chronic pain after surgery?
Varies: The outcome of resection of a tumor from your spinal column can vary significantly based upon multiple factors. Certainly one of the possible poor outcomes would be to have pain unrelieved or even worsened after surgery. I would discuss the likelihood of this happening directly with your surgeon. ...Read more
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