A brain tumor is an abnormal growth of tissue inside the skull. This growth can place pressure on tissue within the skull and impair function. Primary brain tumors are tumors that originate in the brain. Although the cause of most brain tumors is unknown, the leading cause is believed to be abnormal growth among cells surrounding neurons.
According to the National Brain Tumor Society, about 80,000 new cases of brain tumor will be diagnosed this year in the United States. Additionally, there are about 700,000 Americans are living with a brain tumor. Of these, 80% of the tumors are benign, and 20% are malignant.
The most prevalent brain tumor types in adults are:
- Meningiomas, 36% of all primary brain tumors
- Gliomas (such as glioblastoma, ependymomas, astrocytomas, and oligodendrogliomas), which make-up 74% of malignant brain tumors
Brain tumors can happen to anyone. While they occur across all age groups, they more frequently appear in children under the age of 15 and in older adults. Adults are more likely to develop a metastatic brain tumor, while spinal cord tumors seem to occur more in younger adults.
According to the Central Brain Tumor Registry of the United States, about 10.9 out of every 100,000 people in the U.S. will have a benign or malignant brain tumor in their lifetime. Out of every case of cancer annually, brain tumors represent only 1.3 percent. The incidence of malignant brain tumors is 6.1 per 100,000 people.
There are many different types of brain tumors. They are generally categorized according to the kind of cells/tissue from which they form.
Gliomas, which form from glial cells, are the most common type of adult brain tumors, particularly astrocytomas. Grade I is the least aggressive astrocytoma, while Grade IV is the most aggressive.
Symptoms and treatment depend on its location and grade. Other types categories of brain tumors include non-gliomas, such as pineal tumors and pituitary tumors, and other gliomas such as ganglioneuroma and brain stem glioma.
Metastatic tumors are tumors that originated in another part of the body but have spread to the brain. Pituitary tumors are found in the pituitary gland, a small dime-sized organ located in the center of the brain that generates hormones. A pituitary tumor can therefore result in hormonal imbalances and related problems throughout the body. These problems can include headaches, vision problems, infertility and/or menstrual problems in women, abnormal growth and other skin and body changes.
Symptoms of brain tumors generally develop slowly and worsen over time unless they are treated.
- Nausea and vomiting
- Vision or hearing problems
- Behavioral and cognitive problems
- Motor problems
- Memory loss
- Balance problems
The diagnosis of a brain tumor can imply cancer, but it is important to note that not all brain tumors are cancerous. Some non-cancerous, benign tumors can be just as dangerous as cancerous tumors if they form in the brain stem or spinal cord.
"Brain Tumors in Children," a book published in 1994, reports encouraging statistics that state that 60 percent of all children with brain or spinal cord tumors will survive into adulthood.
After conducting a neurological exam, your doctor will use special imaging techniques such as a CT scan or MRI or lab tests such as an EEG. Also, a biopsy allows the doctor the diagnose the particular type of brain tumor by taking a sample of tissue from a suspected tumor.
Radiation, chemotherapy and surgery are the most common types of treatments for brain tumors.
Surgery for brain tumors aims at removing the entire tumor, since residual tumor cells can cause recurrence of the tumor. After surgery, radiation may be used to eliminate the portion of the tumor that could not be removed surgically. Radiation may also be used when surgery is too risky. Chemotherapy is typically injected into a vein or ingested and aims at destroying tumor cells.
Gamma knife neurosurgery
Gamma knife surgery represents a significant advance within the field of neurosurgery. The tool delivers beams of radiation to abnormal brain tissue and only affects the area of the brain where multiple beams meet. This procedure is often used to treat brain tumors and other conditions within the skull in a noninvasive fashion. It allows for extreme precision and accuracy and involves no incisions and a minimal hospital stay.
Intensity-modulated radiation therapy (IMRT) can treat brain tumors of any shape or size while at the same time sparing the greatest amount of normal tissue. This highly advanced technique involves using digital images of the tumor to coordinate a three-dimensional approach in which beams of radiation are delivered to it. The radiation is controlled, and, therefore, can better target the region where the tumor resides with a more concentrated dosage.
IMRT radiosurgery represents a significant advance within the field of spinal tumor treatment and is expected to eventually become the standard treatment for primary and metastatic tumors.
Scott B. Phillips, MD is a neurological surgeon based in San Antonio who specializes in minimally invasive spine surgery, artificial disc replacement, carpal tunnel surgery, spinal cord stimulator implants and other brain disorders, including brain tumor and chiari decompression. Patients travel from Bexar County, San Marcos and South Texas, including Corpus Christi, Kingsville, McAllen and Brownsville for treatment of back pain, neck pain, brain tumor, carpal tunnel and epilepsy-related neurological problems. Dr. Scott Phillips provides second opinions for back surgery and neck surgery, and emphasizes non-surgical treatment options in advance of spine surgery. Where surgery is necessary because of a herniated disc or spinal instability, Dr. Phillips uses minimally invasive spine surgery techniques and advanced technology like the artificial disc to help patients relieve pain symptoms and get back to activity. This spine neurosurgeon expertise enables many patients to have outpatient spine surgery and be home the same day.