What Is Spinal Cancer?
Spinal cord tumors, as a relatively common clinical disease, have been discovered for nearly 100 years. There are some cancer cells in the spinal cord. It is one of the most persistent cancers that threaten human life. In 1887, Gowers first diagnosed spinal tumors, and then succeeded in Horsley surgery. This is the first case of neurofibromatosis, a benign tumor of the spinal cord and spinal cord. After 20 years, Cushing first successfully removed a tumor in the spinal cordan ependymal tumor. Since then, Elsberg and Beer have successfully removed the spinal tumors in two phases. Since then, surgical treatment of spinal cord tumors has gradually spread widely. When spinal cancer patients first appear tumor cells, the human defense system mobilizes selenium to act on tumor cells. Mitochondria in tumor cells are one of the main parts of selenium. Growth and differentiation.
Spinal carcinoma
- Spinal cord tumors, as a relatively common clinical disease, have been discovered for nearly 100 years. There are some cancer cells in the spinal cord. It is one of the most persistent cancers that threaten human life. In 1887, Gowers first diagnosed spinal tumors, and then succeeded in Horsley surgery. This is the first case of neurofibromatosis, a benign tumor of the spinal cord and spinal cord. After 20 years, Cushing first successfully removed a tumor in the spinal cordan ependymal tumor. Since then, Elsberg and Beer have successfully removed the spinal tumors in two phases. Since then, surgical treatment of spinal cord tumors has gradually spread widely. When spinal cancer patients first appear tumor cells, the human defense system mobilizes selenium to act on tumor cells. Mitochondria in tumor cells are one of the main parts of selenium. Growth and differentiation.
Clinical symptoms of spinal cancer
- 1. Pain is often the first or most prominent symptom of spinal tumors. Forster and Baily reported 100 cases of spinal tumors, of which 55 were the first symptoms to appear. Austin reported pain as the main symptom in 64% of cases of intramedullary tumors. Spinal tumor pain is mainly caused by the involvement or involvement of the dorsal root nerve. It can also be compressed or stimulated by the anterolateral tract of the spine. However, tumors in the spinal cord are not completely the same, and the pain mechanism of such tumors is unclear. It is possible that the nerves of the spinal cord have been violated or compressed. In clinical experiments, spinal cord surgery performed under local anesthesia can cause pain when the dorsal root nerve is stimulated. It is also often caused by the stimulation of the spinal dorsal column, but rarely caused by the stimulation of the spinal cord thalamus. Sometimes stimulation of the anterior nerve can cause pain. Austin believes that reduced and suppressed nerve conduction and reduced output discharge are the mechanism of such postpartum pain.
- The nature of pain varies and can be expressed as persistent pain, intermittent pain, dull pain, sharp pain, etc., so it is difficult to say that there is tumor-specific pain.
- The location of the pain can provide the basis for tumor localization. Tumors in the neck of the spinal cord can cause pain in the pillow, neck, shoulders, and upper limbs. Tumors of the spinal cord and thoracic segment often cause intercostal neuralgia, and even cause bile colic and renal colic. Individual patients, before clarifying the nature of such pain, even laparotomy, tumors of the spinal and lumbar spine can cause cauda equina or sciatica. It is not uncommon to mistake lumbar disc herniation due to sciatica caused by spinal canal tumors. [1]
- 2. Sensory and dyskinesia About 1/3 of spinal cord tumor cases, the first symptom is sensory or dyskinesia, or both. According to statistics, 16.6% of cases first developed motor dysfunction, and 10.6% of cases first developed some type of sensory disorder. Paralysis may eventually occur as the disease progresses. Numbness can be felt in a certain area when there is a sensory disturbance, and some are subjective numbness, and objective examination is normal, but most of them have a change of sensation in a certain plane of the body, a certain limb or a certain area. Dyskinesias begin to show limb weakness, walking instability, awkward behavior, inability to move, limp, etc. The appearance and development of symptoms depend on the location of the spinal tumor and the type of tumor. In general, symptoms of spinal cord tumors last longer, and the average time from sensory or motor dysfunction to paralysis is about one year, and individual cases can reach 10 years. Symptoms develop from the distal end to the proximal end of the limb, which is called ascending paralysis. Symptoms of spinal cord tumors last for a short period of time. Since most of them are malignant tumors such as gliomas, the early appearance of paralysis is mostly within 3 months after the symptoms appear, and the short one is only 3 to 4 days. Symptoms develop from a segment of the body to the far end, which is called descending paralysis. This paralysis can be caused by the gradual compression of the tumor. It can also occur due to tumor bleeding, spinal cord edema, or concurrent arachnoiditis. [1]
- 3. Rectal and bladder sphincter dysfunction 2.6 to 3% of cases of spinal tumors, the initial symptoms are rectal and bladder sphincter dysfunction. Patients feel defecation, urination, or have a feeling of defecation or incomplete urination. There may be pseudo-urinary incontinence in female cases. Impotence can be reported in male cases. At this time, there are many sensory disturbances in the perineal area. The early appearance of the above symptoms indicates that the spinal tumor is near the spinal cone, and the rectal and bladder sphincter dysfunction occurs in the late stage, which has no significance in tumor localization. [1]
- 4. Spinal column tumor cases with spinal shape changes, sometimes with kyphosis and scoliosis, especially in the spinal canal and external dumbbell-shaped neurofibromas, the spinous spinous process can be biased to one side. When individual neurofibromas outside the spinal canal are large, soft tissue tumors can be palpated next to the spine. If the patient has obvious skin coffee cream spots, subcutaneous nodules of varying sizes or larger soft tissue tumors , The diagnosis of neurofibromatosis is no doubt. In such cases, we should think of the possibility of multiple neurofibromas in the spinal canal. Changes in the appearance of the spine, often with tenderness or throbbing of spinous processes at the tumor site. Spasm of sacroiliac muscles on both sides of the spine can occur due to pain. This is more pronounced in children. The spine shape can be caused by structural changes or functional reasons. When the pain is eliminated, the spine shape returns to normal. [1]
- 5. Other patients with partial intramedullary tumors may have decreased vision, the cause of which is papillary edema. This is more common in cervical intramedullary tumors, and can also be found in thoracolumbar and lumbar intramedullary tumors, such as astrocytoma and ependymal tumor. After surgical removal of the tumor, the papillary edema can be resolved and vision can be improved. The mechanism of optic nipple edema is unknown, but it is generally believed to be due to increased intracranial pressure. There are several reasons for the increase in intracranial pressure of spinal cord tumors: the cerebrospinal fluid circulation disorder, the imbalance between the production and absorption of cerebrospinal fluid; the increase in cerebrospinal fluid permeability and the increase of cerebrospinal fluid protein content; partial obstruction of the cerebrospinal fluid absorption area, causing increased cerebrospinal fluid volume and pressure . However, it is worth noting that most spinal cord tumors cause cerebrospinal fluid circulation obstruction and increased protein content in the cerebrospinal fluid, but ignore the symptoms of papillary edema and unclear vision. [1]
Spinal cancer treatment
- Activating Blood and Removing Blood Stasis, Detoxification, Tongluo
- Eucommia 18 Myrrh 10 Amaranth 15 Honeysuckle 20 Atractylodes 12 Frankincense 8 Stone Acacia 15 Ejiao 12
- Psoralen 15 Chuanxiong 10 Chinese bellflower 10 Codonopsis 18 Yunling 15 Tiankuizi 12 Luoshivine 12 Danpi 10 [1]