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Suggest Treatment For Mass Infiltrating The Corpus Callosum
Question: I need to know what to do with this information. Does it require surgery? or what can be used to decompress the brain?
Here is the information stated below
There is a 5.3 x 5.0 x 4.5 cm spherical mass (space occupying lesion) in the right half of the brain. It is showing characteristics of central dead tissue surrounded by peripheral areas of tissue showing active blood flow. It is causing increase in pressure inside the head and this is seen as the left brain being compressed by the spherical mass accompanied with swelling (oedema) of surrounding brain. A midline shift of 0.4 mm is the upper limit of normal and in this scan we find the brain is shifted 1.29 cm off the midline to the left side, and is critical for the patient.
It is also mentioned that the mass is infiltrating into the corpus callosum, as area integrating the right and left part of brain and very important for normal brain function.
With this information, the first possibility is a high grade malignancy of brain (GBM) and this is a very aggressive cancerous tumor.
The other possibilities mentioned are an infection abscess or a white blood cell related cancer involving the brain (Primary CNS lymphoma).
In the given circumstances, the patient needs emergency care and decompression of the increased brain pressure to save his life. The findings also have to be analysed in context to the symptoms of the patient course of illness. If it is indeed a cancer then the treatment is difficult
Here is the information stated below
There is a 5.3 x 5.0 x 4.5 cm spherical mass (space occupying lesion) in the right half of the brain. It is showing characteristics of central dead tissue surrounded by peripheral areas of tissue showing active blood flow. It is causing increase in pressure inside the head and this is seen as the left brain being compressed by the spherical mass accompanied with swelling (oedema) of surrounding brain. A midline shift of 0.4 mm is the upper limit of normal and in this scan we find the brain is shifted 1.29 cm off the midline to the left side, and is critical for the patient.
It is also mentioned that the mass is infiltrating into the corpus callosum, as area integrating the right and left part of brain and very important for normal brain function.
With this information, the first possibility is a high grade malignancy of brain (GBM) and this is a very aggressive cancerous tumor.
The other possibilities mentioned are an infection abscess or a white blood cell related cancer involving the brain (Primary CNS lymphoma).
In the given circumstances, the patient needs emergency care and decompression of the increased brain pressure to save his life. The findings also have to be analysed in context to the symptoms of the patient course of illness. If it is indeed a cancer then the treatment is difficult
Brief Answer:
Yes, it requires surgery
Detailed Answer:
the first line of treatment in cancer is to take out as much of it as possible with surgery. in this case with glioblastoma multiforme it is not possible as the cancer spreads everywhere so chemotherapy and radiation is required. the part in the report where it says "the lateral ventricle is compressed" means that there is obstruction of the spinal fluid drainage system which will eventually cause increased pressure and death. this is why the report says this patient needs emergent treatment
Yes, it requires surgery
Detailed Answer:
the first line of treatment in cancer is to take out as much of it as possible with surgery. in this case with glioblastoma multiforme it is not possible as the cancer spreads everywhere so chemotherapy and radiation is required. the part in the report where it says "the lateral ventricle is compressed" means that there is obstruction of the spinal fluid drainage system which will eventually cause increased pressure and death. this is why the report says this patient needs emergent treatment
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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