Our Summary

This research paper discusses a very rare case of a person having two different types of tumors (neurofibroma and meningioma) in their spine at the same level, without having a certain genetic disorder known as neurofibromatosis. Usually, tumors in the spine are quite common, but having two different types at the same level is extremely rare - only nine such cases have been reported so far.

In this particular case, the patient had a single dumbbell-shaped tumor, which turned out to be two different types of tumors mixed together. The doctors used magnetic resonance imaging (MRI) to identify the tumor, but during the operation, they found that it was actually composed of two different types of tumors. After removing the tumor, the patient’s results were mostly positive.

The researchers don’t know exactly why this type of tumor forms, but one possibility is that a single ‘parent’ cell may have grown into two different types of cells. They recommend that doctors should take samples from multiple parts of the tumor during surgery, especially since MRI scans might not always accurately identify the presence of two different tumor types.

FAQs

  1. How common is it for a person to have two different types of tumors in their spine at the same level?
  2. What techniques were used by the doctors to identify and remove the tumor in this rare case?
  3. Why is it recommended that doctors should take samples from multiple parts of the tumor during surgery?

Doctor’s Tip

A helpful tip a doctor might give to a patient undergoing tumor resection is to ensure they have a thorough discussion with their healthcare team about the specifics of their tumor, including any potential risks and complications associated with the surgery. It is also important to follow all post-operative care instructions provided by their medical team to ensure a smooth recovery process. Additionally, regular follow-up appointments and imaging scans may be necessary to monitor for any potential recurrence of the tumor.

Suitable For

Patients who are typically recommended tumor resection are those who have been diagnosed with a tumor that is causing symptoms such as pain, neurological deficits, or other complications. In cases where the tumor is suspected to be cancerous, surgery may be recommended to remove the tumor and prevent it from spreading to other parts of the body. Additionally, patients with tumors that are causing compression of nearby structures, such as nerves or blood vessels, may also be candidates for tumor resection to relieve pressure and improve overall function.

In the case of multiple tumors at the same level, like the one discussed in the research paper, surgery may be recommended if the tumors are causing symptoms or if there is a concern for the tumors to grow and cause further complications. In cases where the tumors are benign, like neurofibroma and meningioma, surgery may still be recommended to prevent potential growth and compression of surrounding tissues.

Overall, the decision to recommend tumor resection will depend on the specific characteristics of the tumor, the patient’s overall health and medical history, and the potential risks and benefits of surgery. It is important for patients to discuss their options with their healthcare provider to determine the best course of treatment for their individual case.

Timeline

Before tumor resection:

  1. Patient may experience symptoms such as back pain, weakness, numbness, or tingling in the affected area.
  2. Patient undergoes diagnostic tests such as MRI, CT scan, or biopsy to identify the tumor and its type.
  3. Treatment options are discussed with the patient, including the risks and benefits of surgery.
  4. Pre-operative preparations are made, including blood tests, imaging scans, and consultations with anesthesiologists and other specialists.

After tumor resection:

  1. Patient undergoes surgery to remove the tumor, which may involve a neurosurgeon or orthopedic surgeon depending on the location and type of tumor.
  2. Recovery period in the hospital, which may involve pain management, physical therapy, and monitoring for any complications.
  3. Follow-up appointments with the surgeon to monitor healing and discuss any further treatment or rehabilitation needs.
  4. Long-term follow-up to monitor for any recurrence of the tumor or development of new symptoms.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tumor resection include:

  1. What type of tumor do I have and how rare is it to have two different types of tumors at the same level?
  2. How will you determine the best approach for removing the tumor, especially if it is composed of two different types?
  3. What are the risks and potential complications associated with the tumor resection surgery?
  4. What is the expected recovery time and post-operative care plan?
  5. Are there any alternative treatment options or additional tests that should be considered?
  6. Will I need further monitoring or follow-up appointments after the surgery?
  7. How likely is it that the tumors will reoccur in the future?
  8. Are there any specific lifestyle changes or precautions I should take after the surgery to prevent future tumors?
  9. Will I need any additional treatments, such as radiation therapy or chemotherapy, after the surgery?
  10. Are there any support groups or resources available for individuals with rare or complex tumors like mine?

Reference

Authors: Zhan Z, Yan X, Nie W, Ding Y, Xu W, Huang H. Journal: World Neurosurg. 2019 Oct;130:1-6. doi: 10.1016/j.wneu.2019.06.142. Epub 2019 Jun 27. PMID: 31254713