Spinal Tumor
Transcript of Spinal Tumor
![Page 1: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/1.jpg)
SPINAL TUMOURS
![Page 2: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/2.jpg)
Classification:
• Extra dural.• Intra dural extra medullary.• Intra dural intra medullary.
![Page 3: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/3.jpg)
Extradural:1- Metastasis.
2- Bone tumours:
Benign: Osteoma
Malignant: Sarcoma
3- Cartilage: Chondroma, Chondrosarcoma
4- Blood tumours:
Myeloma, Lymphoma, Histocytosis.
5- Chordoma.
6- Vascular: Hemangioma, Hemangiolipoma.
![Page 4: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/4.jpg)
Intradural extramedullary:1- Meningioma.
2- Schwanoma.
3- Peripheral nerve tumours.
4- Epidermoid and dermoid.
5- Lipoma.
6- Metastasis: C.S.F, Blood born
![Page 5: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/5.jpg)
Intradural intramedullary:1- Astrocytoma.
2- Ependymoma.
3- Lipoma.
4- Dermoid, epidermoid.
5- Teratoma.
6- Metastasis.
7- Chloroma (leukemia).
8- Haemangioblastoma.
9- Haemangioma.
![Page 6: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/6.jpg)
Clinical Presentation
A- Extradural lesions:
1- Pain: bone acke, root pain.
2- Motor weakness.
3- Sensory loss.
4- Sphineteric affection.
5- Deformity.
![Page 7: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/7.jpg)
B- Intradural extramedullary:
1- Motor weakness.
2- Sensory loss.
3- Pain (root pain).
4- Sphinecteric affection.
Brown-squared syndrome.
5- Skin manifestations.
![Page 8: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/8.jpg)
C- Intradural intramedullary:
1- Motor weakness.
2- Sensory loss.
3- Sphincteric affection.
4- Deformity.
![Page 9: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/9.jpg)
Tumour of meninges:
• Tumours of meningeothelial cells:
1-meningioma(25-45%) -meningeothelial -transitional -fibrous -angiomatous -secretory -psammomatous -lymphoblastic -clear cell
![Page 10: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/10.jpg)
• 2-Atypical meningioma
• 3-Anaplatic meningioma
![Page 11: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/11.jpg)
![Page 12: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/12.jpg)
![Page 13: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/13.jpg)
• Mesenchymal, non meningothelial tumour:
*Benign: Lipoma….. *Malignat: Rhabdomyosarcoma
![Page 14: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/14.jpg)
• Tumour of uncertain origin:
Capillary hemangioblastoma
![Page 15: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/15.jpg)
Shwannoma
• 30% of spinal tumor• From sensory devision of spinal
nerve• At lumobsacral region• Associated with NF2
![Page 16: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/16.jpg)
Neurofibroma
• Adult
• Two types: Intraneural, diffuse
• NF1
![Page 17: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/17.jpg)
![Page 18: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/18.jpg)
Malignant peripheral nerve sheath tumor(MPNST)
• Rare
• De novo or after neurofibroma
• Pathological picture
![Page 19: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/19.jpg)
![Page 20: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/20.jpg)
TUMOUR OF RELEATED STRUCTURE
• Ependymoma(30-60%): *cellular *papillary *clear cell ependymoma *Tanacytic Anaplastic ependymoma(rare)
![Page 21: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/21.jpg)
• Myxopapillary epenymoma: -most frequent in cauda equina
Subependymoma(cranial)
![Page 22: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/22.jpg)
Chordoma
• Destructive tumor.• Remnant of primitive notochord.• More in male.• In sacrococcygeal 50%.
![Page 23: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/23.jpg)
Spinal PNET
Metastasis
![Page 24: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/24.jpg)
![Page 25: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/25.jpg)
![Page 26: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/26.jpg)
![Page 27: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/27.jpg)
Investigation
• LAB:• Radiological: Plain X ray. CT. MRI.
![Page 28: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/28.jpg)
Treatment
• Surgical:• Chemotherapy• Radiotherapy• Other: Fixation
![Page 29: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/29.jpg)
![Page 30: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/30.jpg)
![Page 31: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/31.jpg)
![Page 32: Spinal Tumor](https://reader035.fdocuments.in/reader035/viewer/2022081801/553d35cd4a795907298b4589/html5/thumbnails/32.jpg)