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Suggest Treatment For Tumor In The Left Frontal Lobe Of Brain

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Posted on Mon, 28 Sep 2015
Question: Dear Doctor, my friend is being diagnosed with
tumor in his left frontal (left temporal) lobe of his brain. He got seizure. I am attaching his reports along. Doctors are advising him to wait for 3 months and check MRI again. Wanted to seek your help to understand next steps.
doctor
Answered by Dr. Ajay Panwar (36 minutes later)
Brief Answer:
Why are they saying to wait?

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have gone through the MRI images you have uploaded.It appears to be a high grade glioma.
Taking medicines for seizures is fine but till the time we have a structural cause therein within the brain,we can't expect a good seizure control. Infact,if nothing curative is done for the tumor,we can't expect a good control of the symptoms.

What did the neurosurgeon say about this?Plan about surgical intervention? Radiotherapy?
It is not expected that in next 3 months,without doing anything curative,tumor will resolve by itself.

It can be discussed with the treating neurosurgeon.

Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ajay Panwar (17 minutes later)
We have discussed this with our neuro surgeon. As per him we have to wait for 3 months and watch the rate of Tumor growth and then take a final call on surgery. What are your recommendation for treatment plan and surgical treatment should we, actually wait for 3 months. And what is the success of surgery or treatment
doctor
Answered by Dr. Ajay Panwar (17 minutes later)
Brief Answer:
As follows:

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

I am afraid to say that prognosis is usually not good.Average period for which a person survives after the diagnosis is approximately 5-6 years from the time of diagnosis.Surgery usually makes a survival difference of about 24-36 months.However,sometimes even after surgery some microscopic tumor tissue may be left behind,thus reducing the success rate.

An expert opinion of a neurosurgeon should be taken as final.I think,there is no harm in waiting for 3 months to see the growth of the tumor and then deciding upon,for surgical intervention.

Neurosurgeon's opinion should be taken as the last verdict.

Hope that I have answered your query.If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest Treatment For Tumor In The Left Frontal Lobe Of Brain

Brief Answer: Why are they saying to wait? Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I have gone through the MRI images you have uploaded.It appears to be a high grade glioma. Taking medicines for seizures is fine but till the time we have a structural cause therein within the brain,we can't expect a good seizure control. Infact,if nothing curative is done for the tumor,we can't expect a good control of the symptoms. What did the neurosurgeon say about this?Plan about surgical intervention? Radiotherapy? It is not expected that in next 3 months,without doing anything curative,tumor will resolve by itself. It can be discussed with the treating neurosurgeon. Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me. Regards Dr.Ajay Panwar, MD,DM(Neurology)