BRAIN TUMORS CAN BE MAINTAINED INTO THREE GROUPS.
1- BENEFICIAL BRAIN TUMORS
2- MASTER BRAIN TUMORS
3- METASTATIC BRAIN TUMORS
MASTER BRAIN TUMORS (970800706) ) FEATURE: THESE TUMORS DEVELOP SLOWLY. THEY DO NOT INVESTIGATE SURROUNDING TISSUES AND DO NOT JUMP TO DISTINCT ORGANS.
TREATMENT: THE TREATMENT IS SURGERY. BUT THE PATIENT’S GENERAL STATUS AND AGE IS IMPORTANT WHEN PLANNING SURGERY. FOR EXAMPLE, AN ACCIDENTALLY DETECTED MENINGIOM CAN BE FOUND IN AN ELDERLY PATIENT. IF IT TENDENS TO GROWTH AND THE PATIENT CREATES NEUROLOGICAL SYMPTOMS, IT IS OPERATED.
MASTER BRAIN TUMORS
FEATURE: THESE TUMORS TENDEN TO GROW FAST. THEY CAN INSPIRE NEIGHBORING TISSUES. RARELY, THEY CAN JUMP TO DISTANCE TISSUES. THESE TUMORS CAN BE SEPARATED INTO 4 GROUPS IN ACCORDANCE WITH THEIR GENERAL FEATURES.
GRADE I: THIS GROUP OF TUMORS IS CLOSE TO CONNECTED TUMORS IN BEHAVIOR CHARACTERISTICS. IF THEY ARE TOTALLY REMOVED SURGICAL, ADDITIONAL TREATMENTS, SUCH AS RADIOTHERAPY AND CHEMOTHERAPY, WILL NOT BE REQUIRED. EVEN IF THERE IS NO RECURRENCE, IT CAN BE SEEN IN A VERY LONG TIME.
GRADE II: EVEN FULLY REMOVED AS A BEHAVIOR FEATURE, THE CHANCE OF RETURN IS HIGHER THAN GRADE I. BUT THE RECURRENCE ARISES AFTER A LONG TIME. THE TREATMENT PLANNING IN THIS TYPE OF TUMORS IS DISCUSSION. THERE IS A GROUP APPLYING AFTER SURGERY RADIOTHERAPY. MY PREFERENCE AND RECOMMENDATION IS NOT TO APPLY RADIOTHERAPY IF THE TUMOR CAN BE REMOVED TOTALLY. THERE ARE TWO REASONS. THE FIRST IS TO KEEP RADIOTHERAPY AS AN ADDITIONAL WEAPON IF RECURRENT. THE SECOND REASON IS THAT RADIOTHERAPY APPLICATION CAN CAUSE RECURRENCE BY RISING THE TUMOR GRADE. THEREFORE, IF THE TUMOR IS COMPLETELY REMOVED, FOLLOW-UP WITH PERIODIC EXAMINATIONS IS THE MOST APPROPRIATE METHOD.
THERE ARE BOTH PATHOLOGICAL AND RADIOLOGICAL SPECIAL METHODS FOR DETERMINING THAT THE TUMOR IS FULLY REMOVED. IT IS ABSOLUTELY NECESSARY TO APPLY THEM
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GRADE III: THE CHANCE OF RECURRENCE IS HIGHER THAN THE OTHER 2 GROUPS. TREATMENT: FULLY REMOVED BY SURGERY, RADIOTHERAPY AND CHEMOTHERAPY.
GRADE IV: AGAINST THE MOST COMMON AND MOST MAJOR BRAIN TUMOR TYPE. THE TREATMENT IS THE SAME WITH GRADE III. BUT THE OPPORTUNITY TO REPEAT IN A VERY SHORT TIME IS VERY HIGH.
METASTATIC BRAIN TUMORS
FEATURE: THEY ARE TUMORS CAUSED FROM OTHER ORGANS OF THE BODY AND JUMP TO THE BRAIN. TUMOR SIZE, ORGAN CAUSED, TYPE OF TUMOR AND THE PATIENT’S GENERAL STATUS ARE IMPORTANT IN TREATMENT PLANNING. FOR EXAMPLE, A SINGLE METASTATIC TUMOR LARGER THAN 3 CM SHOULD BE SURGERYLY REMOVED. BUT OTHER METHODS ARE RECOMMENDED IF MANY METASTATIC TUMORS ARE AVAILABLE.
THE BASIC PRINCIPLE OF BRAIN SURGERY SHOULD BE TO PREVENT THE PATIENT FROM LOSS OF LIVES OR FUNCTIONS DUE TO METASTATIC TUMOR.
