Paraspinale Tumore: Epidemiologie, Diagnostik und Therapie

Zusammenfassung

Paraspinale Tumore breiten sich entlang der Wirbelsäule in den umgebenden Geweben wie Knochen, Muskulatur, Bindegewebe und Bandscheiben aus. Sie betreffen dadurch mitunter die Halsweichteile, den intrathorakalen sowie retroperitonealen Raum. Eine Unterscheidung erfolgt anatomisch, nach Ursprung oder nach Dignität. Grundlage der Diagnostik stellt die Schnittbildgebung in Form von MRT und CT dar. Bei der Planung des operativen Vorgehens muss insbesondere das Vorliegen einer Instabilität oder die Kompression neuraler Strukturen berücksichtigt werden. Therapeutische Optionen werden interdisziplinär erörtert. Ergänzend zur Operation stellen die Radio- und Chemotherapie alternative oder zusätzliche Therapieoptionen dar.

Abstract

Paraspinal tumors spread along the vertebral column in surrounding tissues, i. e. bones, muscles, soft tissue, or intervertebral discs. Thereby they invade the cervical, thoracic or retroperitoneal spaces. Various classifications consider anatomy, tissue origin, or dignity of the lesion. The diagnosis is based on MRI and CT scans. According to possible instability or compression of neural structures, decompression and stabilizating procedures are recommended. Therapeutical options are discussed by interdisciplinary tumorboards. Radiatiotherapy and chemotherapy are used as complemetary or alternative treatment options.

Schlüsselwörter

paraspinale Tumore - Klassifikation - Tumorboard

Keywords

paraspinal tumors - classification - tumorboard

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