Neurológia pre prax 4/2009

Treatment for spinal and spinal cord tumours

Primary spinal and spinal cord tumours are uncommon malignancies. Based on their relation to the spinal cord and dura mater, spinal and spinal cord tumours are classified into intradural and extradural, with the former being further divided into intramedullary and extramedullary. The oncological staging according to Enneking is based on clinical manifestations, radiological features, and histopathological findings. The Weinstein-Boriani-Biagini (WBB) surgical classification takes into account the anatomical extent and localization of pathological lesions. The primary treatment modality is surgical extirpation. Adjuvant radiation and chemotherapy is indicated in specific cases. The treatment modalities for metastatic tumours include: radiation therapy, chemotherapy, hormonal therapy, or surgical extirpation where indicated.

Keywords: spinal and spinal cord tumours, imaging techniques, surgical extirpation, radiation therapy, chemotherapy, hormonal therapy, prognostic factors.