Which Specialist to See for a Growing Tumor on the Spine? - Oncology

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Which specialty should I see?


I have a tumor on the upper right side of my spine.
A few years ago, it was small and painless, but at the end of October this year, it suddenly started to grow larger and has become increasingly painful.
The pain is sharp, and I feel it even without touching it.
Which department should I see for this issue? Also, how can I alleviate the pain? It seems to be getting larger, and although it is not on the surface, it feels like an egg when I touch it.
Thank you!

Xiao Fang, 30~39 year old female. Ask Date: 2010/11/08

Dr. Chen Junyi reply Oncology


You can go to the neurosurgery department.

Reply Date: 2010/11/08

More Info


If you have a growing tumor on your spine, it is crucial to seek medical attention promptly. Given the symptoms you described—pain that worsens with touch and a noticeable increase in size—it is advisable to consult a specialist in spinal disorders. The most appropriate specialist for your situation would be a neurosurgeon or an orthopedic spine surgeon. These professionals are trained to diagnose and treat conditions related to the spine, including tumors.

When you visit the specialist, they will likely conduct a thorough examination, which may include imaging studies such as an MRI or CT scan to assess the tumor's characteristics, its location, and its relationship to surrounding structures. This information is vital for determining the best course of action, whether it be monitoring the tumor, performing a biopsy, or considering surgical intervention.

In terms of managing your pain, there are several strategies you can consider while awaiting your appointment:
1. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, it's essential to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

2. Heat Therapy: Applying a warm compress or heating pad to the affected area may help relax the muscles and reduce pain. Be cautious not to apply heat for too long to avoid burns.

3. Cold Therapy: Conversely, using ice packs can help reduce inflammation and numb the area, providing temporary relief from pain. Apply ice for 15-20 minutes at a time, ensuring you have a cloth barrier to protect your skin.

4. Physical Therapy: Once you have seen a specialist, they may recommend physical therapy to strengthen the muscles around your spine, improve flexibility, and alleviate pain. A physical therapist can provide tailored exercises and techniques to help manage your symptoms.

5. Posture and Ergonomics: Pay attention to your posture, especially if you spend long hours sitting or standing. Ergonomic adjustments to your workspace or daily activities can help reduce strain on your back.

6. Mind-Body Techniques: Practices such as mindfulness, meditation, or gentle yoga can help manage pain and improve your overall well-being. These techniques can be beneficial in reducing stress and enhancing your pain tolerance.

It's important to remember that while these strategies may provide temporary relief, they do not replace the need for a thorough evaluation by a specialist. Given the potential seriousness of a growing tumor, timely medical intervention is crucial.
In summary, you should schedule an appointment with a neurosurgeon or orthopedic spine surgeon to evaluate the tumor on your spine. In the meantime, consider using pain relief medications, heat or cold therapy, and maintaining good posture to help manage your discomfort. Always prioritize professional medical advice for any concerning symptoms, especially when it comes to growths or changes in your body.

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