Back
Pain
- Tumors
Tumors
of the spine and spinal cord are relatively uncommon. The most common
initial symptom that patients with a spinal tumor have is pain. Because
back pain is very common, it is also not a specific symptom of any one
disease or medical condition. Spinal cord tumors can be either primary
(originating in the spinal cord) or secondary (metastases of cancer
that originated elsewhere in the body). Therefore, the challenge is
to determine how to evaluate back pain with the goal of specifically
excluding a tumor as the cause of the pain. Luckily, most back pain
is not due to a tumor. However, if a cancer were discovered after a
long period of "conservative" management of back pain, most patients
would feel that their problem should have been investigated more thoroughly
in the beginning.
Doctors use the term "benign" to indicate that a particular tumor is
unlikely to spread to others parts of the body. Benign tumors can still
be a significant problem however, depending upon their location, size,
adjacent structures, blood supply, and other factors. Fortunately, most
benign tumors can be treated successfully.
Doctors use the term "malignant" to indicate that a particular tumor
or a cancer often spreads to other parts of the body, and can be difficult
to cure or treat. This is very different from "benign" cancers, which
are much less likely to spread, are easier to treat and control.