Glial Tumor
They are diseases that affect the central system. They are generally malignant and can progress aggressively. They are grouped under 4 main headings.
- Astrocytomas,
- Ependymomas,
- Oligodendroglioma
- Embryonic tumors
Treatment is surgery and chemotherapy.
Meningioma
They are slow-growing benign tumors arising from the membrane surrounding the brain. They do not metastasize. As they grow, they cause neurological problems. For this reason, close monitoring is required. If it progresses, surgical intervention is required.
Corner Tumors
The main corner tumors are acoustic schwannoma, meningiomas and epidermoid tumors. They usually complain of hearing loss, ringing and humming. Definite surgery is required. They are named in this way (anatomically) due to the region where they are located in the brain.
Posterior Fossa Masses
It is usually seen in childhood. It is seen in the posterior cavity of the skull known as the posserior fossa. It complains of intracranial pressure. According to its histopathology, it progresses slowly and aggressively. They are taken by microsurgical technique. According to the prognosis, chemotherapy or radiotherapy is applied after surgery.
Skull Base Empty Leak Repair
The fluid in the spaces between the brain, spinal cord and the membranes surrounding them is called CSF. The outermost membrane surrounding the brain and spinal cord is called the Dura. In case of perforation or damage to this membrane, the cerebrospinal fluid begins to flow from the nose and exits its normal flow. This brings diseases.
For the definitive diagnosis, a fluid sample should be taken from the nose, laboratory analysis, MRI and tomography should be performed. The treatment is repair of the meninges with endoscopic sinus surgery. If not operated, it can lead to meningitis, encephalitis or abscess.
Spinal Mass
These tumors are abnormal masses surrounding the spinal cord and spinal column. They can be benign and malignant. They are called intradural-extramedullary, intramedullary and extradural according to the region and the area where they are located.
Primary tumors originate from the spinal cord, but metastatic ones extend from elsewhere to the spine. Metastatic spinal column is the most common of these tumors. 65-70% of cancer patients have spread to the spine. As a symptom, non-mechanical pain in the middle and lower back is usually seen in both malignant and benign tumors. Radiology has a great place for diagnosis.
(Mr+BT+XR), Biopsy, PET CT, etc.. As a treatment, a single branch does not usually decide. Spine surgeon, oncologist, radiation oncologist decide together. According to the council decision, only surgery and follow-up, surgery and post-operative chemotherapy + radiotherapy or priority order is discussed in the council and a path is followed accordingly.
Plates or screws are often used to stabilize post-surgery and prevent diffusion. The average hospital stay is between 2-14 days.
As a result, the treatment varies according to the patient's age, general health, type of spinal tumor and whether it will metastasize. It is aimed to remove the entire tumor in primary tumors and to increase the quality of life in metastatic tumors.
