Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery
The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supraorbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
- Laser surgery
- Photodynamic laser surgery
- Ultrasonic aspiration
- Fluorescence guided surgery (FGS)
- Electrophysiological monitoring

Brain Tumor Surgery

Brain cancer is a disease of the brain in which cancer cells (malignant cells) arise in the brain tissue. Cancer cells grow to form a mass of cancer tissue (tumor) that interferes with brain functions such as muscle control, sensation, memory, and other normal body functions. Tumors composed of cancer cells are called malignant tumors, and those composed of mainly non-cancerous cells are called benign tumors. Cancer cells that develop from brain tissue are called primary brain tumors while tumors that spread from other body sites to the brain are termed metastatic or secondary brain tumors.

Prologue:

Brain cancer is actually the abnormal growth and uncontrolled growth of the cancer cells in the brain,that forms a tumor in the brain.Tumours can be either benign or malignant.

Benign brain tumours are abnormal collections of cells that reproduce slowly and usually remain separate from the surrounding normal brain.

Malignant tumours reproduce and grow quickly. Their borders are hard to distinguish from the normal brain around them.

Symptoms:

There are few early symptoms of brain cancer, but as the tumour grows within the confines of the skull, it causes increased intracranial pressure and exerts pressure on the brain, causing signs to develop.

Brain cancer symptoms and signs are varied and depend on the area of the brain involved, but can include:

Headaches.

Seizures.

Nausea and vomiting, which, CANSA reports, may be worse in the morning or after a sudden position change.

Difficulty walking or clumsiness.

Vision changes.

Changes in alertness.

Behavioural impairment.

Causes:

Brain cancer occurs when there is an uncontrolled growth of cancer cells in the brain that form a malignant brain tumor. The underlying cause of primary brain cancer, cancer that begins in the brain, is not known. Secondary brain cancer is caused by a cancer of another organ in the body, such as the breast, prostate, kidney, skin, or bone, that has spread to the brain.

What are the risk factors for brain cancer?

Certain inherited conditions, including neurofibromatosis, Von Hippel-Lindau syndrome, Li-Fraumeni syndrome, and Turcot syndrome

Personal history of cancer or family history of brain cancer

Impaired immune system

Radiation therapy of the head

Treatments Options:

Treatment

Surgery is the main form of treatment for brain tumors that lie within the membranes covering the brain or in parts of the brain that can be removed without damaging critical neurological functions. The goal is to remove the entire tumor, whenever possible, as a tumor may recur if any tumor cells are left behind. Radiation therapy and chemotherapy are generally used as secondary treatment for tumors that cannot be cured through surgery alone.

Stereotactic radiosurgery

Stereotactic radiosurgery is a treatment option that delivers a high concentration of radiation directly to the tumor in order to stop its growth, while delivering only a minimal dose of radiation to the surrounding tissue. Unlike conventional surgery, stereotactic radiosurgery does not require making an incision to remove the tumor. It can be especially effective in patients with many small metastatic brain tumors.

Brain Cancer

Can Ayurveda Treat Cancer?

The development of abnormal cells that can spread to other areas of the body is known as cancer. It has about 100 types and includes cancer of the skin, lung, prostate gland and so on. Compared to normal body cells that follow a proper path of cell division, growth, and termination, cancer cells don't die but continue to develop and divide.

Holistic treatment of cancer involves purification and strengthening of body's immune system.

Ayurvedic treatment of cancer comprises an all-around approach keeping in mind your temperament and body characteristics, the affected energies in the body as well as the tissues involved. More importantly, the treatment focuses not only on the malignant spot but your entire body system. This is because Ayurveda believes in restoring harmony to your entire being for the ailment to be treated effectively so as to prevent its recurrence.

The treatment plan involves the purification of the body and of the toxins that influence the cells to attack your body. Certain blood cleansing herbs are administered alongside the recommendation of a detoxifying diet. To stimulate blood flow in your body, herbs that improve blood circulation are prescribed by a practitioner. This renders an efficient removal of toxins, prevents stagnant blood from forming and assists in the healing process of your tissues. Since it's a debilitating disease, herbs and minerals that boost your immunity are also suggested.

What are the holistic methods of treating cancer according to Ayurveda?

The treatment methods for cancer include:

- Elimination of toxins from the body through Panchakarma (a therapy that involves five cleansing procedures)
- Abstinence from lifestyle and foods that lead to the imbalance of the tridosha namely, vata (air), pitta (heat) and kapha (water and earth forces)
- Restitution of the functions of your digestive system
- Rejuvenation through a special form of treatment called rasayanas
- Recommendations on Ayurvedic preparations that can be taken along with radiotherapy or chemotherapy
- Suggestions on Ayurvedic medications for minimizing the side effects of the various cancer therapies

In addition to these, treatment also involves suggesting ways to relax the mind. Yoga, meditation, and praanayam (an ancient practice involving ways to control your breath) are some of the ways that are recommended for bringing about deep personal healing for cancer patients.

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Can Ayurveda Treat Cancer?

Grading of brain cancer is entirely different as compared to the staging of other cancers in the body. Cancer in the breast, lung, colon etc. are staged depending on the possible spread, location of a tumor and lymph node involvement etc. However, brain tumors are graded based on the aggressiveness of the tumor cells under a microscope. The resect ability and the grade of the tumor cells guide a doctor on the treatment decisions. The decision of a brain surgery depends on factors such as the location, spread of a tumour and the general health of the patient.

Types of Brain Tumor Grading:

Grade 1 tumor- These sets of tumors are medically known as the juvenile pilocytic astrocytoma and subependymoma. They are slow growing and non-invasive. There is a likelihood of the patient getting cured with surgery.
Grade 2 tumor- These are brain tumors that do not possess dead cells as part of the tumour. But, they do portray a lot of abnormal cells. Tumors of this type can be categorized under oligodendroglioma, astrocytoma, and ependymoma.
Grade 3 tumor- Tumors of this type are graded based on the cell type of the cancer cells. For instance, an anaplastic astrocytoma is a grade 3 tumor that has no dead cells but possesses dividing cells. In contrast, anaplastic ependymoma and anaplastic oligodendroglioma are grade 3 tumor cells that have dead cells in them.
Grade 4 tumor- Tumors of this type are referred to as glioblastoma. The tumor cells are actively dividing, the growth of blood vessels is witnessed and areas of dead tissue keep expanding.

Treatment options:
Surgery- If the location of a brain tumor is such that it is accessible to a surgeon, the latter goes ahead and removes most of the tumor if not the whole. If, however, the brain tumor cells are placed very near to the surrounding very sensitive brain tissues, a doctor might remove a small portion of the tumor to curb its growth.
Radiation Therapy- This mode of treatment uses high energy X-ray beams to kill targeted cells of the brain. External beam radiation usually targets a small area of the brain. A whole brain radiation, on the other hand, is usually employed when a tumor has spread to most parts of the brain. Radiotherapy is now so evolved that it is highly targeted to tutor cells that kills cancer and spares normal brain .
Chemotherapy- Chemotherapy employs drugs to kill cancer cells. Chemotherapy can either be taken in the form of an IV or in the form of pills. The dosage of chemotherapy is decided based on the concentration of cancer cells, spread frequency, platelet count of the patient etc. The most common chemotherapy drug that is prescribed by doctors to fight cancer cells is temozolomide.

Brain Tumor - Stages and Treatment!

Developing cancer is either totally your bad luck where you haven t been doing anything wrong in your diet and lifestyle still develop it or it is out of bad lifestyle, eating habits and negative attitude towards life. But death due to cancer is totally due to carelessness in which a person didn t pay attention to initial symptoms and left cancer for thriving in the body. The truth has been said that cancer isn t a killer but delayed diagnosis and wrong or improper treatment is. Awareness, early diagnosis and treatment is the key to survival. Cancer does not always mean death if some earlier signs of cancer are noted and action is taken timely.

In normal conditions our body functions normally, i.e. we eat, pass urine and stool, breath, and drink water. Any alteration from this is abnormal and must be noticed like difficulty in swallowing, difficulty in urinating and defecating, passing blood in urine or stool, long continued severe pain in any part of the body.

The appearance of new moles on the body which keep on growing with an irregular border, painful and bleed.

Hoarseness of voice

Long persisting cough and blood in saliva. Cough lasting more than a month.

Loose stools or any change in bowel habits without any dietary changes lasting more than a few weeks needs to look into.

Presence of blood in stool without any obvious reason like ulcers or hemorrhoids.

Unexplained low blood count, i.e. anemia. Anemia needs to be evaluated unless there is any obvious source of blood loss.

Not all breast lumps are cancerous but all of them should be investigated. Also if there is any bloody discharge or discharge only from one nipple that should also not be ignored at all. Self-examination of the breast daily once a week is necessary and it is easy too. Check for any nodule or discharge from the breast.

Any lump in the testicles should be evaluated thoroughly. Men should also do a self-examination of the testicles, once in a month.

Urinary symptoms like less urine, pain while passing urine, blood or burning in urine, especially in men shouldn t be ignored. It can be a sign of bladder or pelvic cancer

Hoarseness without any respiratory infection or persistent for more than 3-4 weeks.

Normally lymph nodes swell due to any surrounding infection and then shrink eventually when the infection goes away. If it remains for a longer time and without any infection in the body, should be investigated.

A mole that is multicoloured with irregular borders, bleeding can be cancerous. Especially which is growing rapidly and is painful shouldn t be avoided at all.

Long continued heartburn and difficulty in swallowing even after using over the counter antacids. This can be a sign of esophageal cancer.

Bloody discharge or bleeding from the vagina which is unusual or after menopause can be due to cancer of the uterus or cervix.

Unobvious or unexplained weight loss, fever or night sweats can be an early sign of different types of cancer.

Continuous itching in the genital or anal area, non-healing sores and pain in back, head, bloating and indigestion which is there for a long time without any cause, should be inspected.

Cancer can be horrifying and debilitating but if diagnosed early by giving attention to the symptoms mentioned above and treated properly can fight off. Cancer is no more incurable if treated early. In cases where this disease is out of carelessness if some points are kept in mind and followed, prove to be preventive. If not preventive then definitely reduce the risk of developing it at least.

Do not overuse the birth control pills. Using them randomly can increase the chances of cancer.

Excessive consumption of alcohol shouldn t be done as it irritates the gastric mucosa and increases the incidences of malignancy. However, an occasional glass is fine and does no harm.

Avoid using pesticides around you or having things on which they are sprayed as many of them are definitely carcinogen.

Say no to smoking as tobacco in any form is an invitation to death. Smoking for a long time like 10-30 years can make you pay a heavy price for that.

Long continued anxiety and stress create havoc in the hormonal system of the body which ultimately results in diseases. Try to keep yourself more optimistic and relax in daily life.

Prefer organic vegetables and fruits as other ones have pesticides used while growing them which are definitely a source of getting carcinogens in the body.

Limit intake of processed and packaged food as they increase the risk or certain types of cancer. 

Stay active and try to maintain healthy weight.

Cancer can be the biggest slayer of the health but one can fight it and keep it at bay if mentioned tips are read and implement. Early diagnosis can prevent many lives. So spread awareness and let more people know about it. 

Cancer - A Misfortune Or Carelessness!

Brain tumor refers to the development of unusual cells in the brain or around the nearby tissues and structures. Pediatric Brain Tumor means the development of these unusual cells in the brain of children. There are two types of brain tumors: Benign or non-cancerous and malignant or Cancerous. Tumors like ependymoma and medulloblastoma are quite common among children. The treatment of the tumor is determined by its severity, type, location, age, and overall health of the child. The treatment of Brain Tumor in children is different from the adult s treatment. One should ensure to consult with the pediatrician with the specialty in cancer and neurology. Brain Tumors in children are Primary Brain Tumors that develop in the brain or nearby tissues. This Primary Brain Tumor develops when the usual cells have DNA mutations or alterations. The alterations in the DNA permit the cells to develop and distribute or split with an increased rate and destroy the healthy cells. This leads to the development and collection of unusual cells forming a tumor. In most Primary Brain Tumor cases, the cause is not clear. Children with a family history of the genetic syndrome and Brain Tumor are more prone to the problem.

Symptoms-

The symptoms of the Pediatric Brain Tumor depend upon the severity, location, and type. There are a number of symptoms that are really common and are shared by other diseases. Other than this, there are symptoms which are possibly the signs of Brain Tumor among children. Adults and parents should consult a doctor if they find their children having the symptoms and signs for an unusual time.

Hearing issues

Frequent and severe headache

Fuller fontanel (soft spot) on the baby s skull

Vomiting or nausea

Behavior changes

Seizures

Sudden vision problems like double vision

Abnormal or strange eye movement

Increased heaviness or pressure in the head

Irritability

Slurred speech

Difficulty in swallowing

Weakness

Loss of appetite

Drooping on one side of the face

Difficulty feeding in babies

Loss of sensation on one side of the body

Imbalance or difficulty in balancing

Difficulty in walking

Diagnosis-

The diagnosis for the Pediatric Brain Tumor includes many lab tests. The doctor may initiate with some neurological examination like hearing, vision, reflexes, balance, and coordination. Any abnormality in these tests will lead to further examinations. There are some imaging tests that are used to determine the size and location of the tumor in the brain. These tests include MRI (Magnetic Resonance Imaging), PET (Positron Emission Tomography), and CT (Computerized Tomography). After the confirmation of the presence of a Brain Tumor, the specialist will further move to the Biopsy. It includes the removal of a sample tissue for analysis or testing. The type of biopsy that will be performed on the patient depends upon the location of the tumor. Other than the biopsy, the tumor tissue can be examined for molecular basis and genetic mutations. After that, Drug therapy can be designed according to the individual s requirements. It is important for the doctor and the patient to know if the tumor has been spread through cancer in other parts of the body. If it is true, then the doctor will perform more tests and examinations to know the root and initial location of cancer for further treatment.

Treatment-

The treatment of the Pediatric Brain Tumor is determined by the severity, location, size of the tumor, and age and health of the child. There is a number of treatments available with modern technology but their usage depends upon the patient s requirement.

Surgery that is used when the location of the tumor is approachable via surgery. When the brain tumor is small, it can be completely removed by the surgery. But when the tumor tissues are located nearby sensitive areas of the brain, then the surgery becomes risky and maximum tumor tissues are tried to be removed through surgery. The risk of the surgery depends upon the location of the tumor. An example can be vision loss if it is anywhere near the nerves connected to the eyes.

Targeted Drug Therapy helps to destroy the abnormalities of the cancer cells resulting in the destruction of the cancer cells.

Radiation therapy is used to kill the tumor cells by using high-energy beams. Radiation therapy can either be given by an external machine (external beam radiation) or in exceptional cases, radiation is positioned within the body (brachytherapy) near the tumor.

Chemotherapy includes the consumption of drugs to destroy the tumor cells. These drugs can be consumed in tablet form but for children, the drugs are mostly injected (intravenous chemotherapy).

Stereotactic Radio Surgery includes various radiation beams to perform extremely focused radiation therapy to destroy the tumor cells located in a small part.

Proton Beam Therapy carries higher targeted radiation doses to the tumor cells with minimum exposure of radiation to the healthy cells and tissues. It decreases the chance of development of fresh cancer cells.

Take Away-

Pediatric Brain Tumor is the development of unusual cells in the brain or around it. Although this is a life-threatening problem, however, with advanced technology, it can be treated successfully. There are no specific causes discovered by specialists but genetic mutations and family history cause it. The symptoms can be really common like headache and nausea but can also be specific like difficulty in coordination, reflexes, speech, and many more. The timely diagnosis and treatment can give a new life to the child and reduces the chance of development of fresh tumor cells in the future.

Pediatric Brain Tumor - Know In Detail About It!

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