How to treat multiple brain tumors

How to treat multiple brain tumors? Treatment is the most direct means to protect our health. If a patient with multiple brain tumors cannot find a treatment method that can really help him improve or even cure, the patient will be closer to the edge of death step by step. It can be seen that treatment is important to patients. Multiple brain tumors themselves are a disease that is not easy to treat, so we should be more careful in treatment. How to treat multiple brain tumors?

Surgery

1. Treatment

The surgical indications and surgical treatment principles for multiple brain tumors are still an issue that needs further discussion. Since patients are generally older and in poor physical condition, comprehensive considerations should be made before surgery, including the size, number, location of the tumor, and the possibility and risk of surgery for tumors in each location. Most scholars believe that surgery should first relieve the patient's main symptoms and remove larger tumors, that is, the principle of first large and then small, first above the tentorium and then below the tentorium, and first superficial and then deep. Tumors in adjacent locations can be removed at one time, and tumors in different locations can be operated on in stages. Tumors that are small in size, asymptomatic or with mild symptoms, and deep in location can also be temporarily exempted from surgery and closely observed, or treated with X-knife or γ-knife.

It should be noted that for multiple lesions with large volumes in both hemispheres or above and below the tentorium, simply removing the tumor on one side will often induce the occurrence of various brain herniations. Therefore, one should strive for a single surgical resection with adequate preparation.

(II) Prognosis

The prognosis of multiple brain tumors is good after all the tumors are removed. However, because the tumors are often present in multiple locations, one operation cannot completely remove the tumors. Multiple operations will place a heavy physical and psychological burden on the patient, and postoperative complications will increase accordingly. Therefore, the prognosis is often not as good as that of a single meningioma.

Especially for multiple meningiomas combined with acoustic neuromas, the chance of postoperative recurrence is higher than that of simple multiple brain tumors. Try to remove the tumor tissue and the affected dura mater as much as possible during the operation, and adjuvant radiotherapy after surgery is an effective way to reduce tumor recurrence. In addition, γ-knife and X-knife irradiation of multiple small intracranial meningiomas is also an ideal method.