Treatment:

The goal of treatment is to reduce or prevent nerve damage from compression of the spinal cord. The most important aspect of treatment is that it be given quickly, so any new or unexplained back pain in a patient with cancer should be taken seriously.

Corticosteroids, such as dexamethasone, reduce inflammation and swelling and may temporarily reduce symptoms.

Surgery may be needed to relieve compression on the spinal cord. Some tumors can be completely removed. In other cases, a portion of the tumor may be removed to relieve the pressure on the spinal cord.

Radiation therapy may be used in addition to -- or in some cases, instead of -- surgery.

Chemotherapy has not been developed that has proven effective against most spinal tumors, but it may be recommended in some cases.

Physical therapy and other interventions may be needed to improve muscle strength and to improve the ability to function independently when permanent neurologic losses occur.

Support Groups:

The stress of illness may be eased by joining a support group whose members share common experiences and problems.

Expectations (prognosis):

The outcome varies. Early diagnosis and treatment usually leads to a better outcome. Nerve damage may persist even after surgery. Although permanent disability is likely, treatment may delay the development of major disability and may delay death.

Complications:

• Permanent damage to nerves, disability from nerve damage
• Life-threatening spinal cord compression

Calling your health care provider:

Call your health care provider if you have a history of cancer and suddenly develop severe back pain.

Go to the emergency room or call the local emergency number (such as 911) if new symptoms develop or symptoms worsen during treatment of spinal tumor.