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How Can A Grade-2 Astrocytoma Be Treated?

Posted on Thu, 17 Aug 2017

Question: Is a grade II astrocytoma of 7 mm in diameter operable, or would it just be treated with radiation?

Answered by Dr. Deepak Sundriyal (42 minutes later)

Brief Answer:
Hello. A surgery is preferable.

Detailed Answer:
Hello dear
. I have gone through the details. So a surgery is preferable. If the tumor is removed completely, there is no need of radiation.
Radiation without surgery is not recommended.
Thanks and regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepak Sundriyal (24 minutes later)

The tumor is located quite deep in the Cerebellum. Can surgery be performed safely by a top class specialized surgeon? What technique will he use to minimize damage to the surrounding brain tissue?

Answered by Dr. Deepak Sundriyal (6 minutes later)

Brief Answer:
Hello. In expert hands, it can be done

Detailed Answer:
Hello.

In expert hands, this is possible. If it is not possible, then only radiation has to be done.
Surgical technique will vary from surgeon to surgeon.
Thanks and regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepak Sundriyal (18 hours later)

How many days in hospital are required to prepare for this surgery, and how many days would the patient remain in hospital after the surgery?

Answered by Dr. Deepak Sundriyal (32 minutes later)

Brief Answer:
Hello. Patient can be prepared in a single day.

Detailed Answer:
Hello. Only a single day is required. Post op stay is of maximum 7 days.
Thanks and regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepak Sundriyal (14 hours later)

If the surgeon recommends post-operative radiation therapy to ensure that there are no surviving tumor cells, what kind of radiation technique would be used after the tumor has been excised from the Cerebellum? What would be the length and frequency of radiation treatment?

Answered by Dr. Deepak Sundriyal (3 hours later)

Brief Answer:
Hello. Imrt technique is used

Detailed Answer:
Hello again. So if surgeon removes it completely, then nothing more required. If not completely, then 50 to 54 gy radiation by imrt technique is given scattered over 4 weeks period.
Thanks and regards

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Above answer was peer-reviewed by : Dr. Remy Koshy