Treatment of Spinal Cord Tumor
Surgery usually is recommended for noncancerous and cancerous primary spinal cord tumors, and usually is successful for tumors located outside the spinal cord. However, other tumors may be impossible to remove without significantly damaging the spinal cord. In those cases, radiation therapy may be used to slow the tumor's growth. Surgical removal of surrounding vertebrae can also help to relieve pain and other symptoms by reducing pressure on the spinal nerves. Chemotherapy may be recommended for certain types of tumors, usually after surgical treatment.
For secondary tumors, the treatment will depend upon the type of cancer that has spread to the spinal cord. However, radiation is regarded as a primary treatment for secondary cancer that is compressing the spinal cord. With radiation therapy, care must be taken to limit possible damage to surrounding normal spinal tissue, because such damage can continue to worsen and can be irreversible. The spinal cord is even more sensitive to the effects of radiation than brain tissue. In particular, the thoracic spinal cord segments in the area of the ribs - where about half of all spinal cord tumors occur - are the most sensitive to radiation's effects.
With all types of spinal cord tumors, corticosteroid drugs also may be prescribed to reduce spinal cord swelling. In addition, physical therapy may be needed to help a person regain muscle control and strength after radiation or surgery.