The brain is a soft mass of tissue that has three major parts, the
cerebrum, cerebellum and the brain stem, all of which are effectively
surrounded and protected by the bones of the skull; the brain is the tissue
that controls people's voluntary and involuntary actions (that is, bodily
functions, thoughts, and sensations).
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Cancer is
the unregulated growth of abnormal cells in the body (cancer cells are also
termed malignant cells).
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Malignant brain tumors contain cancer cells; benign brain tumors
do not contain cancer cells but do contain abnormally growing and dividing
cells that do not metastasize (spread to other organs) but may still cause
problems, often because of their size and are regulated to grow in a specific
area.
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Primary brain tumors are composed of abnormal types of brain
cells with unregulated growth; the most common type is termed gliomas that
arise from brain glial cells, but there are many other types (for example,
astrocytomas, ependymomas, medulloblastomas and oligodendrogliomas).
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Secondary brain tumors are tumors comprised of cells from other
organs where cancers have started and then spread through the bloodstream to
the brain tissue.
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The exact cause of brain tumors is unknown; however, people at
higher risk for them are children and the elderly, white males, people with
family members that have brain tumors, radiation exposure, and exposures to
many different chemicals.
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Symptoms of brain tumors, many of which are non-specific and
occur in other diseases, may include headaches, nausea, vomiting, speech, hearing or vision changes,
memory problems, personality changes and paresthesias (an abnormal sensation of
the skin such as numbness, tingling, prickling, burning, or creeping on the
skin that has no objective cause).
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Brain tumors are diagnosed preliminarily by many methods
including detailed physical exam, CT and/or MRI exams,
angiograms, and X-rays; definitive diagnosis is by removing tissue from the
tumor (tumor biopsy) and examining the cells microscopically.
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Treatment choices for a brain tumor depends
on joint decisions made by the patient and the patient's physician team (team
members may include oncologists, neurosurgeons, and others the patient may
choose, including other doctors who may give a second opinion); treatment
methods are based on the individual's disease and may consist of surgery, chemotherapy, radiation therapy,
combinations of these methods or no treatment.
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Side effects of treatments are common and numerous but vary from
patient to patient depending on the disease, method(s) used and the
effectiveness of medications and other methods to reduce them; some of the most
common side effects are weakness, nausea, edema, skin changes and hair loss but
may include more serious problems such as infections, seizures, disabilities
such as speech problems, mental changes and occasionally, death.
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Rehabilitation is frequently included in the treatment plan;
specialists like physical, occupational and speech therapists can help the
patient improve.
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Follow-up appointments are part of the treatment plan for brain
tumors to catch any recurrent disease and to help with rehabilitation
treatments.
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Support groups are available to patients with brain tumors and
to patients who have and are undergoing treatments; for example, the American
Cancer Society, American Brain Tumor Society. See more at Adult brain tumor facts
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