Spinal cord and spinal column tumors: principles and practice
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This text covers the state-of-the-art techniques for diagnosing and managing tumors of the spine and spinal cord.
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From the fundamentals of spinal cord anatomy and the pathology of spinal tumors, to the evaluation, diagnosis, and treatment techniques for specific spinal tumors, this is the only comprehensive text devoted to managing tumors both surgically and non-surgically. You'll find the latest information on surgical approaches for resection, reconstruction, decompression, and internal stabilization for tumors of the spine, spinal cord, and peripheral nerves. The book also covers such treatments as systemic and intrathecal chemotherapy, embolization techniques, external beam radiation therapy, brachytherapy, and stereotactic radiosurgery.
This book will benefit established neurosurgeons, orthopedic surgeons, and residents requiring a complete text on current techniques in managing tumors of the spine and spinal column. Curtis A.
Dickman , Michael Fehlings , Ziya L. Special features: More than high quality illustrations, including in brilliant four color, illuminate concepts in pathology and surgical technique Full review of the basic science of tumors of the spinal cord and nerves aids the comprehension of pathology and indications for treatment Step-by-step instruction guides the clinician through operative approaches, including decompression of tumors, en bloc resection of primary spinal tumors, reconstruction of the spine, spinal fixation and more Discussion of the current algorithm techniques to manage metastatic spinal disease This book will benefit established neurosurgeons, orthopedic surgeons, and residents requiring a complete text on current techniques in managing tumors of the spine and spinal column.
If only part of the tumor is removed with surgery or if it is an anaplastic ependymoma , radiation therapy is given after surgery. If surgery cannot be done, radiation therapy is the main treatment. Sometimes the tumor cells can spread into the cerebrospinal fluid CSF. Patients typically get an MRI of the brain and spinal cord and possibly a lumbar puncture a few weeks after surgery if it is done. If either of these tests shows that the cancer has spread through the CSF, radiation therapy is given to the entire brain and spinal cord.
Chemotherapy is usually not helpful for these tumors, so it is usually not given unless the tumor can no longer be treated with surgery or radiation. If treatment is needed, these tumors can usually be cured if they can be removed completely with surgery. For meningiomas that are atypical or invasive grade II or anaplastic grade III , which tend to come back after treatment, radiation therapy is typically given after surgery even if all of the visible tumor has been removed.
For meningiomas that recur after initial treatment, further surgery if possible or radiation therapy may be used. These slow-growing tumors are usually benign and are cured by surgery. In some centers, small acoustic neuromas are treated by stereotactic radiosurgery see Radiation Therapy for Adult Brain and Spinal Cord Tumors. For large schwannomas where complete removal is likely to cause problems, tumors may be operated on first to remove as much as is safe, and then the remainder is treated with radiosurgery. If a spinal cord tumor is small and not causing symptoms, it might not need to be treated right away.
Other spinal cord tumors are treated like those in the brain. Astrocytomas of the spinal cord usually cannot be removed completely. They may be treated with surgery to obtain a diagnosis and remove as much tumor as possible, and then by radiation therapy , or with radiation therapy alone.
Meningiomas of the spinal canal are often cured by surgery, as are some ependymomas. Treatment is discussed in more detail in Non-Hodgkin Lymphoma. Some types of brain tumors occur more often in children but do occur occasionally in adults. These include brain stem gliomas, germ cell tumors, craniopharyngiomas, choroid plexus tumors, medulloblastomas, primitive neuroectodermal tumors PNETs , and some others. Robert G. Gastrointestinal and Liver Pathology E-Book.
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