Our Summary

This research paper is about a study conducted on patients who underwent surgery for spinal cord epidermoid cysts, a type of noncancerous growth. The study looked at 20 patients who had these cysts, selected from a larger group of patients treated by the lead researcher between 2002 and 2017.

The results of the study showed that surgical treatment for spinal cord epidermoid cysts is highly effective and carries a low risk. The study suggests that ‘preventive’ surgery should be considered even for cases where the patient doesn’t have any symptoms, as the disease can lead to serious complications.

The primary goal of the surgery is to completely remove the cyst without damaging any function of the spinal cord. If the cyst is not completely removed, there is a high chance that it could grow back.

The study recommends that patients should have a thorough follow-up with an annual MRI scan for at least the first six years after surgery to monitor any potential recurrence of the cyst.

FAQs

  1. What is the main goal of the surgery for spinal cord epidermoid cysts?
  2. Why does the study recommend ‘preventive’ surgery for spinal cord epidermoid cysts even when the patient does not show any symptoms?
  3. What is the recommended follow-up care for patients who undergo surgery for spinal cord epidermoid cysts?

Doctor’s Tip

Additionally, the doctor may advise the patient to maintain a healthy lifestyle, including regular exercise and a balanced diet, to support overall recovery and reduce the risk of complications. They may also recommend physical therapy to help improve mobility and strength after surgery. It is important for the patient to follow all post-operative instructions provided by their healthcare team and attend all follow-up appointments to ensure a successful recovery.

Suitable For

Patients who are typically recommended tumor resection include those with:

  1. Symptomatic tumors: Patients who are experiencing symptoms such as pain, weakness, numbness, or loss of function due to the tumor are often recommended for surgery to remove the tumor and alleviate their symptoms.

  2. Tumors that are growing or causing compression: Tumors that are growing in size or causing compression on nearby structures such as nerves, blood vessels, or organs may require surgical resection to prevent further complications.

  3. Tumors that are cancerous or potentially cancerous: Patients with cancerous tumors or tumors that have the potential to become cancerous are often recommended for surgical removal to prevent the spread of cancer to other parts of the body.

  4. Tumors that are causing significant pain or discomfort: Patients who are experiencing significant pain or discomfort due to the tumor may benefit from surgical resection to improve their quality of life.

  5. Tumors that are inaccessible by other treatment modalities: In some cases, tumors may be located in a difficult-to-reach location or may not respond to other treatment modalities such as chemotherapy or radiation therapy, making surgical resection the best option for treatment.

Timeline

Timeline before tumor resection:

  1. Patient may experience symptoms such as back pain, weakness, numbness, or difficulty walking.
  2. Patient undergoes diagnostic tests such as MRI or CT scan to confirm the presence of a tumor.
  3. Patient consults with a neurosurgeon to discuss treatment options and risks.
  4. Surgery is scheduled and pre-operative preparations are made, including blood tests and imaging studies.
  5. Patient undergoes tumor resection surgery.

Timeline after tumor resection:

  1. Patient is monitored closely in the immediate post-operative period for any complications.
  2. Patient may experience pain and discomfort in the days following surgery.
  3. Patient begins physical therapy and rehabilitation to regain strength and function.
  4. Patient may need to take pain medication and follow-up with their healthcare provider regularly.
  5. Patient undergoes follow-up imaging studies, such as MRI scans, to monitor for any signs of tumor recurrence.
  6. Patient gradually resumes normal activities and lifestyle, with continued monitoring for any long-term effects of the surgery.

What to Ask Your Doctor

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

  1. What are the risks and benefits of undergoing tumor resection surgery for my specific case?
  2. How experienced are you and your team in performing tumor resection surgeries?
  3. What is the success rate of tumor resection surgery for my type of tumor?
  4. What is the expected recovery time and rehabilitation process after tumor resection surgery?
  5. What are the potential complications or side effects of tumor resection surgery?
  6. Will I need any additional treatments or therapies after tumor resection surgery?
  7. How often will I need follow-up appointments and monitoring after tumor resection surgery?
  8. Are there any lifestyle changes or precautions I should take after tumor resection surgery?
  9. What are the chances of the tumor recurring after surgery, and how will it be monitored?
  10. Are there any alternative treatment options to consider besides tumor resection surgery?

Reference

Authors: Kushel’ YV, Tekoev AR, Chel’diev BZ. Journal: Zh Vopr Neirokhir Im N N Burdenko. 2018;82(2):39-47. doi: 10.17116/oftalma201882239-47. PMID: 29795085