brain cancer and astrocytoma Posted: 02-21-08 17:17pm
My 42 year old niece has been in treatment
for astrocytoma for exactly 1 year. She
just received this information and would
like a laypersons interpretation of what
it says for my benefit. Could a physician
please help with this? Thank you very much
in advance.
Subject: MRI 2/18/08 1 yr appt update
Technique: Axial T2, T1, FLAIR T2,
diffusion, sagittal T1 and ostcontrast
axial and coronal T!-weighted MR images of
the brain are reviewed.
Findings: There is redemonstration of a
heterogeneously enhancing solid and cystic
lesion in the mid left frontal lobe
extending into the insula. There is also
involvement of the amygdala and
inferoposterior left frontal lobe.
Associated vasogenic edema is present.
There are small areas of ring enhancement
present centrally within the lesion. Three
of these lesions are noted measuring 5 to
6 mm in diamter. These are slightly
smaller since the previous scan and are
more clearly defined. Centrally, there is
increased cystic change within the lesion
and a decreasing amount of solid tumor
component. While the overall dimensions of
the lesion are essentially unchanged at 6
cm anteroposterior x 3.4 cm mediolateral .
3.5 cm cephalocaudad, the central
component is more cystic since the
preivious study and may indicate response
to therapy.
There are no new separate lesions. Minimal
mass effect on the left lateral ventricle
is present, but there is no evidence for
shift of the septem pellucidum.
There is a left frontal craniotomy/biopsy
change.
Ventricles, sulci, and cisterns appear
normal. Major intracranial flow voids
appear normal. Orbits appear unremarkable.
Posterior fossa structures are
unremarkable. Minimal sphenoid sinus
mucosal thickening is present.
Conclusion:
1. Solid and cystic left frontotemporal
mass lesion consistent with history of
astrocytoma.
2. Findings discussed with Dr. Huber of
the oncology service immediately following
the scan.
|
MandMs
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Joined: 26 Jan 2007 Posts: 2080 Location: Strumica, Macedonia
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Posted: 02-22-08 06:00am
Do you know if this tumor was diagnosed
initially like a low-grade or high-grade
astrocytoma?
What kind of treatment she received?
