- Intraspinal tumor
- Spinal cord neoplasm
- Spinal cord space-occupying lesion
- 237.5 Neoplasm of uncertain behavior of brain and spinal
- 238.0 Neoplasm of uncertain behavior of bone
and articular cartilage
- C72.0 Malignant neoplasm of spinal cord
- D33.4 for benign neoplasm of spinal cord
- D43.4 Neoplasm of uncertain behavior of spinal cord
- D48.0 Neoplasm of uncertain behavior of bone and articular
- Cell growth in or around the spinal cord
- Spinal tumors account for approximately 15% of primary
- Primary spinal tumors are ones that start in spinal tissue.
- Secondary spinal tumors are spread from other sites (metastasis).
- Spinal tumors are divided into 2 groups.
- Intramedullary (those that arise within the
spinal cord tissue)
- Extramedullary (those that arise within the spinal column
but outside of the spinal cord, in the meninges)
- Most common primary extramedullary tumors are neurofibromas
- Physical presentation is the result of the location and extent
of the tumor (see paraplegia and tetra/quadriplegia).
- Onset of signs/symptoms is gradual.
- Clinical correlation
- Equal male and female incidence; can impact any age
- Back pain: usually worse with lying down or made worse
by an extended time in a recumbent position
- Stiffness of the back muscles
- Vascular changes: cold sensation upper or lower extremity
- Loss or alteration of sensation
- Loss or alteration of motor function
- Loss or alteration of bowel and bladder function
- Urinary frequency
- Urinary urgency
- Sphincter disturbances
- Syringomyelia-like symptoms
- Brown-Séquard syndrome- like symptoms
- Increased intracranial pressure
- Gait disturbances
- Sexual dysfunction
- Pain to palpation over the involved spinal segment in 50% of
- Radicular pain
- Tumors can affect
- Spinal cord cells
- Nerve root compression
- Circulatory system
- Bone strength
- Loss of independence with ADLs and self-care
- Loss of independence with locomotion in home and community
- Altered sensation predisposing patient to injury
- Loss (or altered) ability to work and participate in leisure
- Unknown cause for primary spinal tumors
- Spine and spinal cord are common metastatic sites for other
forms of cancer including breast, bone, lung, lymphoma.
- Muscle strain
- Degenerative or protruding disc
- Disease of the gall bladder
- Disease of the kidney
- Disease of the stomach or intestine
- Disease of the pleura
- Blood clot of the retroperitoneal space
- Complete blood count (CBC)
- Erythrocyte sedimentation rate (ESR)
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