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Have Frontal Infiltrating Lesion. Biopsy Showed Gliosis. Have Seizures And Breast Cancer. What To Do?

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Posted on Thu, 25 Jul 2013
Question: hi i HAVE A FRONTAL INFILTRATING LESION THOUGHT IT WAS A GLIOBALSTOMA BIOPSY SAYS IT IS A GLIOSIS i HAVE SEIZURES AND BREAST CANCER WHAT IS THE PROGNOSIS FOR THIS GLIOSIS
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Answered by Dr. Praveen K Nath (48 minutes later)
Hello,

I have read your medical history in detail.
A frontal intracranial lesion (infiltrating) with seizures in a case of stage 2 a breast cancer / kidney stones with growing frontal lesion (? gliosis).
I suggest you these:

1. Take a second opinion on biopsy slides, to reconfirm that there are no malignant cells as ruling out a GLIOBLASTOMA/ METASTATIC lesion is very important.

2. If no conclusion on biopsy is made, you may go for REPEAT high tesla MRI BRAIN with MR SPECTROSCOPY to confirm that it is gliosis & nothing else.

3 seizures can be controlled with anticonvulsant medication

4 keep a close watch on size of lesions with repeat MRI BRAIN, may be every three months, if it increases in size, may be another surgery/biopsy may be needed.

Thanks

dr XXXXXXX k XXXXXXX XXXXXXX consultant neurosurgeon
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Praveen K Nath

Neurologist, Surgical

Practicing since :1996

Answered : 147 Questions

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Have Frontal Infiltrating Lesion. Biopsy Showed Gliosis. Have Seizures And Breast Cancer. What To Do?

Hello,

I have read your medical history in detail.
A frontal intracranial lesion (infiltrating) with seizures in a case of stage 2 a breast cancer / kidney stones with growing frontal lesion (? gliosis).
I suggest you these:

1. Take a second opinion on biopsy slides, to reconfirm that there are no malignant cells as ruling out a GLIOBLASTOMA/ METASTATIC lesion is very important.

2. If no conclusion on biopsy is made, you may go for REPEAT high tesla MRI BRAIN with MR SPECTROSCOPY to confirm that it is gliosis & nothing else.

3 seizures can be controlled with anticonvulsant medication

4 keep a close watch on size of lesions with repeat MRI BRAIN, may be every three months, if it increases in size, may be another surgery/biopsy may be needed.

Thanks

dr XXXXXXX k XXXXXXX XXXXXXX consultant neurosurgeon