Neck Bone Tumors and Their Potential Symptoms - Orthopedics

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Occipital bone tumor and cervical spine issues?


I have a genetic predisposition to multiple osteomas, with various sizes of bone tumors throughout my body.
I previously had a large osteoma on my foot examined, but since it does not compress any nerves, the doctor advised against surgery as it would not cause any issues.
However, I discovered a larger osteoma on the left side of my neck, measuring about 1 to 2 centimeters long and 0.5 centimeters high.
I haven't felt any significant pressure or pain from it, so I didn't pay much attention to it.

During middle school, I experienced unexplained headaches, dizziness, and a sensation that my eyes were about to burst.
Although I was diagnosed with myopia, my eye health was reported as normal, and even after undergoing imaging tests with contrast, no specific cause for my headaches and dizziness was found.

Since the beginning of my junior year, I have occasionally experienced unexplained hiccups (not spasms, but regular hiccups).
Initially, I thought it might be due to the stress of preparing for exams, but even now, during the summer break of my senior year, it hasn't improved.
Preliminary gastrointestinal examinations have also come back normal.

Recently, I saw news reports suggesting that cervical osteophytes could lead to symptoms such as dizziness, headaches, and nausea, which made me wonder if my symptoms could be related to the osteoma in my neck compressing a nerve.

P.S.
I previously visited a neurologist, but the doctor seemed rather inattentive and did not examine the area of the osteoma, instead directly attributing my symptoms to tendonitis.
Thank you for your patience in reading this lengthy message! ^_^

Zheng Yujie, 10~19 year old female. Ask Date: 2019/07/12

Dr. Chen Yongxue reply Orthopedics


You have multiple osteomas, which are generally more common in the limbs.
If, as you mentioned, there are occurrences in the cervical spine, it would be advisable to conduct further imaging studies to determine if there is indeed any compression.
Otherwise, relying on subjective feelings is not reliable.
Thank you.

Reply Date: 2019/07/12

More Info


Understanding neck bone tumors, particularly in the context of your family history of multiple bone tumors, is crucial for managing your health effectively. Bone tumors can be benign (non-cancerous) or malignant (cancerous), and their symptoms can vary significantly based on their type, location, and whether they are exerting pressure on surrounding structures, such as nerves or blood vessels.

From your description, it seems you have a history of benign bone tumors, which is reassuring. The tumor you mentioned on the left side of your neck, measuring about 1 to 2 cm in length and 0.5 cm in height, may not currently be causing any noticeable symptoms, which is often the case with benign tumors. However, it’s essential to monitor any changes in size or symptoms, as even benign tumors can sometimes lead to complications if they grow or if their location changes.

Symptoms associated with neck bone tumors can include:
1. Pain: While you mentioned not experiencing pain, it’s worth noting that bone tumors can cause localized pain, especially if they irritate surrounding tissues or nerves.

2. Neurological Symptoms: If a tumor is pressing on a nerve, it can lead to symptoms such as numbness, tingling, weakness, or even headaches. Your previous experiences with headaches and dizziness could potentially be related, especially if there is any compression of the cervical spine or associated nerves.

3. Swelling or a Lump: The presence of a lump or swelling in the neck area is often the first noticeable symptom of a bone tumor.
4. Changes in Sensation: You mentioned experiencing dizziness and a sensation of pressure in your eyes. While these symptoms can be attributed to various causes, including stress or eye strain, they could also be related to cervical spine issues, particularly if there is any involvement of the vertebrae or surrounding structures.

5. Gastrointestinal Symptoms: The hiccups you mentioned could be a reflex response to irritation of the diaphragm or other related structures, which may not directly relate to the bone tumor but could indicate a broader issue with nerve function or irritation.

Given your family history and the presence of multiple bone tumors, it’s crucial to maintain regular follow-ups with your healthcare provider. Imaging studies, such as X-rays, MRIs, or CT scans, can help monitor the size and characteristics of the tumors over time. If there are any changes in symptoms or if new symptoms arise, further evaluation may be warranted.

In terms of treatment, benign bone tumors often do not require intervention unless they cause significant symptoms or complications. Surgical removal may be considered if there is a risk of nerve compression or if the tumor grows significantly. For malignant tumors, treatment options may include surgery, radiation therapy, or chemotherapy, depending on the specific type and stage of the cancer.

It’s also essential to address any other symptoms you’re experiencing, such as headaches and dizziness, with your healthcare provider. They may recommend further evaluation to rule out other potential causes, including cervical spine issues like degenerative disc disease or cervical spondylosis, which can also lead to similar symptoms.

In summary, while your current neck bone tumor appears to be benign and asymptomatic, ongoing monitoring and communication with your healthcare provider are vital. If you experience any new or worsening symptoms, don’t hesitate to seek medical advice. Your health and well-being should always be the priority, and being proactive about your symptoms is an essential part of managing your condition.

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