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Brain tumours may be cancerous (malignant )or non cancerous (benign). Almost 1 million cases occur in a year in India. Exact Cause is
usually not known. Brain tumour can arise primarily in brain called Primary brain tumour and secondarily can arise from other part of
the body and spread to brain called secondaries or metastatic brain tumours.
1. Benign – slow growing, not cancerous and won’t spread to surrounding structures
2. Malignant – fast growing, cancerous and spread to surrounding structures. May reoccur after the treatment.
Most common brain tumours – Meningiomas, Gliomas, Pituitary adenomas, Acoustic schwannomas.
2. Gliomas – Arise from brain and spinal cord.- astrocytomas, glioblastomas, ependymomas, oligoastrocytomas,and oligodendrogliomas.
3. Pituitary adenomas
4. Acoustic schwannomas
5. Craniophyryngiomas-non cancerous
6. Medulloblastomas- common in children and behind brain and spreads in cerebrospinal spinal fluid.
7. PNET – Primitive neuroectodemal tumour, starts in embryonic cells of brain. These can occur anywhere in brain.
Grade 1
Grade 2
Grade 3
Grade 4
Lower the grade is least malignant(usually no contrast enhancement), grade 4 is highly malignant(contrast enhances).
II) Secondaries(metastatic) –
Secondary (metastatic) brain tumours are tumours that result from cancer that starts elsewhere in your body and then spreads
(metastasizes) to brain. Secondary brain tumours most often occur in people who have a history of cancer. But in rare cases, a
metastatic brain tumour may be the first sign of cancer that began elsewhere in your body.
In adults, secondary brain tumours are far more common than are primary brain tumuors.
Any cancer can spread to the brain, but common types include:
Breast cancer
Colon cancer
Kidney cancer
Lung cancer
Melanoma
Prostate
Thyroid
Gynecological tumours
Neurofibromatosis
Ionising radiation
All headaches are not due to brain tumours, all tumours may not produce headaches.
Extreem nausea
Seizures
Survival
Median survival
2. Glioblastoma – 1 year
Treatment –
1. Surgery – Surgery is the usual first treatment for most brain tumours. Neuroradio-imaging, earlier diagnosis, systematic planning,
preoperative, anaesthetic management, Neuro microscopes and surgical micro instruments, it is possible to remove significant
For most benign tumours, treatment is often successful and a full recovery is possible, although there’s sometimes a small chance the
2. The advent of PET CT, IGRT(image guided radiation therapy) and Gamma knife surgery(stereotactic radio surgery) is revolutionizing
the treatment of various problems in the brain, including benign brain tumours in eloquent locations, like the motor cortex, basal
3. Radio surgery
4. Gamma knife
5. Chemotherapy
2. Neuronavigation(minimally invasive)
7. Sterotaxy
Rehabilitation –
Physiotherapy
Speech therapy
Occupation therapy
February 24,
Category: Brain By neuroadmin 2018 0 Comments
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