Expert: Claes-Gustaf Nordquist, M.D. - 7/10/2008

Question
dear sir my cousin has a brain tumor on the left side of brian. Acc to doctors "it is large lobulate mass, arising in the floor of the trigone causing significant mass effect in edema which is irregular and appears to be highly malignant tumour" MRI reports says that it is GBM tumor
symptoms they found are 1)difficulty in speaking and loss of memory and severe headaches". And patient requires surgical decompression but it will be higher risk surgery as it is on left side. my question is should we go for surgery as it contains higher risk may be he lost his speech or any kind of paralytic attack occurs including risk to life also or leave him as such on the steroids (but again acc to doctors he will survive for 10-15 days) and if surgery goes well again he will be having life of not more than 5-6 months. moreover patient is also not ready to go for surgery. pl advice that should we go for surgery. thanks knsingh india  

Answer
Well, it must be the decision of the patient if he wants to accept surgery or not. No one else can do that in this situation. If he does not want it then that should be respected And indeed he would not gain much from it.

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