Brain tumor natural history: Difference between revisions
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* [[Brain herniation]] (often fatal) | * [[Brain herniation]] (often fatal) | ||
** Uncal herniation | ** Uncal herniation | ||
* Loss of ability to interact or function | * Loss of ability to interact or function | ||
* Permanent, worsening, and severe loss of brain function | * Permanent, worsening, and severe loss of brain function |
Revision as of 16:04, 20 March 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Brain tumor Microchapters |
Overview
Survival rates in primary brain tumors depend on the type of tumor, age, functional status of the patient, the extent of surgical tumor removal, to mention just a few factors[1].
Patients with benign gliomas may survive for many years[2][3] while survival in most cases of glioblastoma multiforme is limited to a few months after diagnosis.
Natural History
Complications
- Brain herniation (often fatal)
- Uncal herniation
- Loss of ability to interact or function
- Permanent, worsening, and severe loss of brain function
- Return of tumor growth
- Side effects of medications, including chemotherapy
- Side effects of radiation treatments
Prognosis
The main treatment option for single metastatic tumors is surgical removal, followed by radiotherapy and/or chemotherapy. Multiple metastatic tumors are generally treated with radiotherapy and chemotherapy. Stereotactic radiosurgery, such as Gamma Knife radiosurgery, remains a viable option. However, the prognosis in such cases is determined by the primary tumor, and it is generally poor.
References
- ↑ Nicolato A, Gerosa MA, Fina P, Iuzzolino P, Giorgiutti F, Bricolo A. Prognostic factors in low-grade supratentorial astrocytomas: a uni-multivariate statistical analysis in 76 surgically treated adult patients. Surg Neurol 1995;44:208-21; discussion 221-3. PMID 8545771.
- ↑ Janny P, Cure H, Mohr M, Heldt N, Kwiatkowski F, Lemaire JJ, Plagne R, Rozan R. Low grade supratentorial astrocytomas. Management and prognostic factors. Cancer 1994;73:1937-45. PMID 8137221.
- ↑ Piepmeier J, Christopher S, Spencer D, Byrne T, Kim J, Knisel JP, Lacy J, Tsukerman L, Makuch R. Variations in the natural history and survival of patients with supratentorial low-grade astrocytomas. Neurosurgery 1996;38:872-8; discussion 878-9. PMID 8727811.