Brain Tumors/gbm ?

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mri report
mri report  
QUESTION: sir
my sister is 44 years ,and she had and episode of seizure 2 days back,neurologist advised an mri scan of brain and it reads in image i am attaching .please suggest future course of action

ANSWER: Yes unfortunately this may well be a GBM. However to be SURE a biopsy is needed. Normal treatment for this - if possible - is surgery in combination with radiation therapy and chemotherapy. Though prognosis remains bad even with treatment. I'm sorry I have nothing better to tell you!



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---------- FOLLOW-UP ----------

QUESTION: sir
should we go for surgery or not ?
is it possible to do near total resection of this tumor ?
what post operative morbidity can we expect after surgery?
thanks

ANSWER: It is never possible to guarantee that all of the tumor is removed. That is why also radiation therapy & chemotherapy are given. But even then no guarantees can be given. Even with all these treatments the prognosis remains bad. What the treatment CAN do howevere is to extend survival time. Not by mucu (to up to a year or somewhat more) but that is better than nothing. Without that treatment survival time is even shorter and can be measured in months. I'm sorry I have nothing better to tell you!


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---------- FOLLOW-UP ----------

QUESTION: SIR WHAT IS THE POST OPERATIVE MORBIDITY

Answer
Different in different places. I do not know what it is where you are. But if a neurosurgeon in good standing accepts a patient for surgery the risk of bad results is small but never 0.



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Brain Tumors

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Claes-Gustaf Nordquist, M.D.

Expertise

I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.

Experience

I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy, educated and trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 . I have no restrictions on the number of questions there. I also answer questions about Oncology (General Cancer), General History, Military History, Breast Cancer, Colon Cancer.

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Doctor of medicine, specialist in medical oncology & radiation therapy.

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