Do spinal hemangiomas keep growing?

Answered by James Kissner

Spinal hemangiomas, specifically the aggressive variant, can indeed continue to grow. Unlike the more common benign hemangiomas, aggressive hemangiomas have the potential to increase in size and extend beyond the bone into the surrounding soft tissue. This can result in various symptoms and complications, depending on the location and size of the tumor.

When a spinal hemangioma is classified as aggressive, it means that it exhibits more aggressive behavior compared to the typical benign variant. While benign hemangiomas often remain stable in size and do not cause significant symptoms, aggressive hemangiomas have the potential to grow and cause complications.

The growth of aggressive spinal hemangiomas can lead to several issues. As the tumor expands, it can compress nearby nerves, leading to pain, numbness, or weakness in the affected area. In some cases, the tumor may also invade adjacent structures, such as the spinal cord or blood vessels. This can result in more severe symptoms and potentially life-threatening complications.

It is important to note that not all spinal hemangiomas will grow aggressively. Many benign hemangiomas remain stable over time and do not require treatment. However, when an aggressive hemangioma is diagnosed, healthcare professionals closely monitor its growth and assess the need for intervention.

Treatment for aggressive spinal hemangiomas may be necessary in certain instances. The specific approach depends on various factors, including the size and location of the tumor, as well as the presence of symptoms. Non-surgical options, such as radiation therapy or embolization, may be considered to slow down the growth or reduce the vascularity of the tumor. Surgery may also be recommended to remove the tumor and alleviate compression on surrounding structures.

Personal experiences with spinal hemangiomas can vary greatly, as each case is unique. Some individuals may have asymptomatic hemangiomas that do not require intervention, while others may experience significant pain or neurological symptoms. It is important for individuals with spinal hemangiomas to work closely with their healthcare providers to determine the appropriate management plan based on their specific situation.

While most spinal hemangiomas are benign and do not grow aggressively, there is a variant known as aggressive hemangiomas that can increase in size and extend outside the bone into the soft tissue. These tumors may cause symptoms and complications, potentially requiring treatment. It is crucial for individuals with spinal hemangiomas to receive appropriate medical evaluation and management to ensure the best possible outcomes.