
Suggest Treatment For Brain Tumor Grade 4

My Aunt is diagnosed with Brain Tumor grade 4. we had no idea suddenly a recent MRI report disclosed this bad news.
I am attaching report for your kind suggestion. please let me know what is your feeling on this.
Thanks,
XXXX
Surgery followed by radiation and chemotherapy
Detailed Answer:
Hi
I have gone through the MRI brain report.
Your aunt is suffering from stage 4 brain glioma.
I would advise her to immediately go for surgery under a neurosurgeon.
A biopsy taken during surgery provides tissue samples to the pathologist, who will then be able to make an accurate diagnosis of the tumor's composition, which is critical to getting the best treatment.
Surgery can also allow for the removal of tumor tissue to relieve pressure in the brain caused by the tumor. This often needs to be done on an urgent basis.
Radiation therapy and chemotherapy should be given following surgery once the diagnosis or name of the tumor is determined. These treatments are called adjuvant treatments.
Regards
DR DE


Could you also please advise on the
1. chances of her getting alright after surgery.
2. what are the risks associated with the surgery (during surgery/post surgery)
3. if she doesnt get ready for surgery. just to get a rough idea. how much time does she has ?
4. Any precautions to be taken starting now till we go for surgery.
Thanks,
XXXX
80% chance of getting alright after surgery
Detailed Answer:
Hi
She has 80% chance of getting alright after surgery.
Risks associated during brain surgery are blood clots, bleeding abnd blood pressure instability.
Risks post brain surgery are brain swelling, infection, memory or cognitive problems and coordination difficulties.
If she does not go for surgery then average survival time is around 6 months.
She needs to take antiepileptic medications with doctors advise which will help reduce the risk of seizures till she goes for surgery.
Corticosteroid medications may be recommended to reduce the swelling around a brain tumour.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE


As we have been told this surgery will be very painful for the patient. Could you please share what is good for the patient.
We are confused since we have been told that there are good chances of going to coma or being paralyzed during surgery and post surgery. Also it is told that even post surgery the life will be close to 6-8 months only.
Kindly advise,
Thanks
XXXX
craniotomy surgery recommended
Detailed Answer:
Hi
I would still recommend craniotomy surgery for your aunt.
In this procedure the surgical removal of part of the bone from the skull is done to expose the brain. Specialized tools are used to remove the section of bone called the bone flap. The bone flap is temporarily removed, then replaced after the brain surgery has been performed.
If the tumour can be removed 92% to 98% one can prolong patient survival.
Chances of coma and paralysis is about 20 %.
After surgery she may be able to live for about 1 year without recurrence.
Regards
DR DE

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