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Suggest Treatment When Diagnosed With Glioblastoma Multiforme

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Posted on Fri, 2 Jun 2017
Question: My mom is diagnosed with Glibolastoma multiforme(Who grade IV), her age is 70 please advise.
doctor
Answered by Dr. Sudhir Kumar (39 minutes later)
Brief Answer:
Radiation therapy along chemotherapy is advisable.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your mother's diagnosis. Based on this, she has glioblastoma multiforme, the most common cancerous tumor of the brain. Grade IV refers to the highest grade of malignancy. At this stage, radiation therapy is the best treatment. This is often combined with chemotherapy with Temozolomide.

This is the standard of care all over the world and is available at XXXXXXX

Treatment is well tolerated, however, some patients do have side effects such as hair loss, nausea, vomiting, headache, etc.

I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Sudhir Kumar (24 minutes later)
I heard about cyber knife radiation therapy, Is this available in Apollo?

Can she able to get this therapy at this age?. She is so weak person.
How many time she has to get it?

She had a biopsy on May 9th and they said stitches will be removed on 19th. When can they start radiation therapy?

I am in USA so, I would like to plan my travel accordingly, please advise.
doctor
Answered by Dr. Sudhir Kumar (9 minutes later)
Brief Answer:
Yes, Cyber knife is available.

Detailed Answer:
Thank you for getting back.

Radiation therapy is usually started after the suture removal. The exact dose and frequency of radiation therapy would be decided after consultation with Dr XXXXXXX XXXXXXX XXXXXXX Radiation oncologist. The usual dose of radiation given is 60 Gy and in about 30 sittings.

You can ask your mom to meet Dr XXXXXXX XXXXXXX XXXXXXX so that a treatment schedule can be planned, which would enable you to plan your XXXXXXX trip better.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sudhir Kumar (50 minutes later)
Thank you for the reply.

Will they start Radiation after the surgery?

What is the frequency of the Radiation treatment? is it every one week or biweekly? What might be side effects and the life span before treatment and after treatment.

Thank you XXXXXXX

I guess they advised initially surgery may not be possible due to the sensitive place.without surgery is Cyberknife therapy is available?

Thanks
doctor
Answered by Dr. Sudhir Kumar (16 minutes later)
Brief Answer:
Yes, radiation therapy is started after the surgery.

Detailed Answer:
Thank you for getting back.

Radiation is always started after the surgery, as biopsy confirmation of cancer is needed, which is possible only after the surgery.

Radiation treatment is usually given five days a week (Monday to Friday) for a total of about 6 weeks.

Side effects include nausea, vomiting, hair loss and headache.

Average life span with treatment is 12-16 months.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Brief Answer:
Biopsy (which is a surgery) has been done.

Detailed Answer:
Thank you for getting back.

The fact that she has a biopsy report, means that a surgery has been done. For starting radiation, the doctor only needs a biopsy report.

I think what you mean is that the entire tumor has not been removed from the brain. Yes, it is possible, if the tumor is located in eloquent/sensitive parts of brain.

So, to answer your question, even if the entire tumor has not been removed, radiation therapy with Cyberknife can be given, as long as the biopsy report is available.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

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Suggest Treatment When Diagnosed With Glioblastoma Multiforme

Brief Answer: Radiation therapy along chemotherapy is advisable. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you. I have noted your mother's diagnosis. Based on this, she has glioblastoma multiforme, the most common cancerous tumor of the brain. Grade IV refers to the highest grade of malignancy. At this stage, radiation therapy is the best treatment. This is often combined with chemotherapy with Temozolomide. This is the standard of care all over the world and is available at XXXXXXX Treatment is well tolerated, however, some patients do have side effects such as hair loss, nausea, vomiting, headache, etc. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in