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23 Cards in this Set

  • Front
  • Back

#1 primary CNS tumor in adults

Glioma

Diagnostic imaging of choice for cns tumors

MRI

Etiology of CNS tumors

Chemicals


Synthetic rubber


Pesticides


Ionizing radiation


Hair dyes


Cell phones


Smoking


Viral Infections


<5% Genetic

Most important prognosis factor in CNS tumors

Histopathologic diagnosis or garde

Other prognostic factors for CNS tumors besides diagnosis and grade

Necrosis


Age


Performance Status

Symptoms of CNS tumors

Headache


Seizures


Difficulty with balance


Change in vision


Mental/personality changes


Memory impairment

Symptoms for frontal lobe tumor

Increased ICP


Seizures


Impaired judgement


Personality changes


Short term memory loss


Loss of smell


Speech difficulties


Gait disorders

Symptoms for parietal lobe tumors

Increased ICP


Loss of vision


Spatial disorders


Seizures


Language distrubances


Tingling sensation


INability to do do arithmetic

Symptoms for occipital lobe tumors

Loss of vision


Tingling


Weakness


Seizures

Symptoms for temporal lobe tumors

Speech disorders


Loss of smell


Hearing issues


Tinnitus


Hallucinations


Seizure

Symptoms for cerebellar tumors

Swaying


Difficulty with coordination


Difficulty with speech

ICP caused by

Edema


Infetion


Hemorrhage


Disease itself


Irradiation

Edema increases if:

Daily dose greater than 2 Gy


Whole brain is treated


Steroids tapered too quickly

Corticosteroids to decrease edema of brain

Prednisone


Dexamethasone

Symptoms of ICP

Papilledema


Headache


Nausea and vomiting


Weakness of limbs


Changes in vision


Speech difficulties


Seizures

Support cells of CNS

Gliomas

Brain tumor seen with calcifications on imaging studies

Oligodendrogliomas

#2 most common CNS tumors in adults

Meningiomas

Type of PERIPHERAL nervous system tumor in adults

Accoustin neurilemona


"Schwannoma"

#1 tumor in the parasellar region

Craniopharyngioma

Most common cancers that spread to brain

Lung, breast, colon

OAR for CNS tumors

Cord


Ear


Lens of Eye


Lacrimal Gland


Optic Chiasm


Optic Nerve


Temporal lobe


Brain stem

Side effects of brain irradiation

Temporary hair loss (20-40Gy)


Permanent hair loss (>40 Gy)


Erythema (30 Gy)


Dry desquamation (40 Gy)


Moist desquamation (50 Gy)


Necrosis (Around 50 Gy)


Myelitis (47-50 Gy)