Brain Tumors – Overview
A brain tumor is an abnormal growth of cells in or around the brain. These tumors can be benign (non-cancerous) or malignant (cancerous). They may originate in the brain (primary tumors) or spread from other parts of the body (secondary or metastatic tumors).
Classification of Brain Tumors
1. Based on Origin
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Primary Brain Tumors – Originate in brain tissue.
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Secondary (Metastatic) Tumors – Spread from cancers elsewhere (lung, breast, etc.).
2. Based on Behavior
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Benign – Slow-growing, non-invasive (e.g., meningioma).
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Malignant – Fast-growing, invasive, and may recur (e.g., glioblastoma).
Common Types of Brain Tumors
| Type | Description | Origin |
|---|---|---|
| Gliomas | Arise from glial cells (supporting brain cells) | Brain |
| - Astrocytoma | From astrocytes | Brain |
| - Glioblastoma (GBM) | Aggressive, grade IV astrocytoma | Brain |
| Meningioma | Arises from meninges (brain lining) | Often benign |
| Pituitary Adenoma | Tumor of the pituitary gland | Hormone-related |
| Medulloblastoma | Common in children, in cerebellum | Malignant |
| Schwannoma | From nerve sheath (e.g., acoustic neuroma) | Often benign |
| Metastatic Tumors | Spread from other body cancers | Secondary |
Symptoms depend on tumor size, location, and rate of growth:
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Persistent headache
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Seizures
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Nausea/vomiting
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Vision or hearing changes
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Weakness or paralysis
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Cognitive or personality changes
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Difficulty with balance or coordination
Diagnosis
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MRI Brain (most preferred imaging method)
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CT Scan (especially in emergencies)
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Biopsy (for definitive diagnosis)
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MR Spectroscopy, DTI, Perfusion MRI (advanced imaging techniques)
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Blood tests (rarely helpful directly)
Treatment Options
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Surgery – Maximal safe removal of the tumor
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Radiotherapy – Often used post-surgery
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Chemotherapy – e.g., Temozolomide in glioblastoma
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Targeted Therapy / Immunotherapy – For specific mutations
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Supportive Care – Steroids for swelling, anti-epileptics for seizures
Prognosis
Depends on:
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Tumor type and grade
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Location and size
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Patient age and overall health
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Response to treatment
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