Doctor insights on:
Neurosurgeon: Most neurosurgeons can do this surgery. Depending on the size of the pineal tumor, you may want to call around to different universities or large medical centers and ask if there is a neurosurgeon who does endoscopic surgery and may do your tumor. But any neurosurgeon can give you the proper consultation. ...Read more
Anaplastic medullo: Medulloblastoma is the most common malignant brain tumor (or cancer) in children. Anaplastic medulloblastoma is a particular subtype of this disease. While almost all cases of medulloblastoma occur in children, this disease can also rarely occur in adults. ...Read moreSee 1 more doctor answer
Yes: Yes, people can survive with the diagnosis of neuro astrocytoma. It is a hard job to be the patient. It is important to consider the treatment options, their effectiveness and side effects, their costs, and the range of prognosis observed for this diagnosis. ...Read moreSee 1 more doctor answer
Get best care: The optimal care for a high grade glioma will often be found at a major academic medical center. Treatment is first surgery, to remove the maximum amount of tumor possible, followed by radiation and chemotherapy, often together. All of this also requires good neuroradiology, good neuropathology, good nursing care and supportive care of all types. Don't be shy about asking for second opinions. ...Read more
Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?
Depends: There are many lesions that appear on imaging as non-specific and can be seen in many lesions. There are exact criteria that are present which makes MRI useful in the diagnosis, discussing with another specialist might discern or eliminate this diagnosis. The finding on MRI is more consistent with migraine. ...Read moreSee 2 more doctor answers
They can: The diagnostic yield of increased with use of IV contrast material as some tumors disrupt the so called blood brain barrier affording the contrast the ability to infiltrate from the blood stream into the tumor. Small tumors that have not disrupted the integrity of blood vessels may escape detection on CT especially if the have the same radiographic tissue density as their surrounding tissue. ...Read more
Recently seen by hemotologist Oncologist routinely he says MS. Neurologists stumped. All tests show MS findings,MRIs show deyemilenting disease, MS?
It is most likely if: If you have neurological symptoms like patches of numbness, spotty weakness of muscles or vision impairment, then the MRI findings do support the diagnosis of MS. You should have your neurologist guide you further. You will need regular follow up and likely require medical treatment for MS. ...Read more
In theory anywhere: In theory, it could happen anywhere in the brain, but most juvenile pilocytic astrocytomas are in the supratentorial brain (outside of the posterior fossa). Posterior fossa tumors are typically ependymoma, medulloblastoma in kids. Jpa's don't happen in adults (adults get lgg's, or who ii low grade gliomas..Just almost never who i tumors). Most stem lesions are not jpa's, but they happen too. ...Read moreSee 1 more doctor answer
How many years does a doctor follow up after removal of a non cancerous meningiona brain tumor? I'm 64 . Thanks! meningioma brain tumor
Depending on grade: It depends on the pathology report and how well the tumor came out. If yours was who grade 1 (very benign) and the surgeon removed all with attached brain membrane, follow up scan up to a few years will be plenty. Please discuss with your surgeon and follow his instruction. ...Read more
Dad,Oscar,was told stage 4 lung cancer 2.5 wks ago. 1/3 sz brain tumor removed. 3 brain lesions. In bones&pos liver. Would u cyperknife brain tomorrow?
It depends: If you are 76, your Dad must be late 80s or early 90s. At such an advanced age it may not be worth being so aggressive with terminal cancer that at such advanced stage means he has only few weeks to few months left. However, if his desire is to be aggressive, Cyberknife is an effective an low risk procedure and I would recommend it highly. Otherwise, hospice care is very appropriate. ...Read more
Was a healthy 39 year old brain tumor patient who had a grade 3 astrocytoma brain tumor removed with 7 hours of brain surgery?
Question is vague: It seems that you are asking if it is possible for a 39 yo to have a grade iii astrocytoma and undergo 7 hours of brain surgery. This is not an unusual scenario. Often times these tumors are infiltrative and take a lot of time to dissect and remove.The prognosis is dependent on molecular markers, response to chemo and radiation. Work closely with your neurosurgeon, oncologist, radiation oncologist. ...Read more
Merely technical: Looking directly at base of brain and pituitary requires slightly different cuts and angles, as the focus is directed to a small area of brain, but the software and pictures are handled in a similar fashion. In ms, we tend to use specialized approaches, such as flair or double inversion recovery to see the white matter spots better. Not needed for pituitary views, usually. ...Read more
32 yo, breast cancer stage 1b, double mastectomy, micrometastasis in one lymph node. TCH treatment, followed by radiation. Prognosis thoughts????
Prognosis is good!: I would need more information to be definitive but with a small primary tumor (stage 1) and only micrometastasis in one node, your prognosis should be relatively good. Since you received TCH, it is obvious that you had her2 positive breast cancer so your prognosis is less favorable than had her2 not been positive. However, 5 year survival in excess of 85% is shown in recent studies with TCH. ...Read more
Good news!!!: This uncommon tumor was discovered in 1982 and is much less aggressive than most brain tumors. Get two neuropathologists' opinions if you can. A pathologist can spot microscopic features and may do a proliferation index to estimate your changes, but most of these do not recur after excision. Talk with your surgeon, and good luck. ...Read more
Occasionally: Secondary cancer. Wilms tumor survivors have a small risk of developing another type of cancer within 15 years after wilms tumor was first diagnosed. The most important risk factors are whether treatment included radiation therapy and doxorubicin. Wilms tumor in children can also spread or metastasis thru the bloodstream to the brain, lungs or lymph nodes occasionally in children. ...Read moreSee 1 more doctor answer