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Glioma

Overview

Glioma is a type of tumor that forms in the brain or spinal cord. These tumors are made up of cells that look similar to normal brain cells called glial cells. Glial cells support and protect nerve cells, helping them do their jobs. As a glioma grows, it creates a mass, or tumor, that can press on the surrounding brain or spinal cord tissue.

The symptoms of a glioma depend on exactly where the tumor is growing. For example, a glioma in the front of the brain might cause problems with movement, while one in the back might affect vision. There are different kinds of gliomas.

Some gliomas grow slowly and are not considered to be cancerous. Other types are cancerous, sometimes called malignant. Malignant gliomas grow quickly and can spread into healthy brain tissue.

Glioma can affect people of all ages, but some types are more common in adults, and others in children. Knowing the specific type of glioma is important for doctors because it helps them understand how quickly the tumor is likely to grow and how best to treat it.

Treatment for glioma often involves a combination of approaches. These might include:

  • Surgery: Removing as much of the tumor as safely possible.
  • Radiation therapy: Using high-energy beams to kill tumor cells.
  • Chemotherapy: Using drugs to kill cancer cells throughout the body.
  • Other therapies: There are newer treatments being researched, such as targeted therapies that focus on the specific characteristics of the glioma cells.

The best treatment plan depends on the specific type of glioma, its location, and the overall health of the person.

Symptoms

Glioma symptoms vary depending on where the tumor is located in the brain, the type of glioma, how big it is, and how fast it's growing. These tumors can cause a range of problems. Here are some common signs:

Headaches: A headache, especially one that's worse first thing in the morning, could be a symptom. This is because the tumor can put pressure on the brain.

Nausea and Vomiting: Feeling sick to your stomach or throwing up can be another sign. Again, this is often due to the tumor pressing on parts of the brain involved in these functions.

Brain Function Problems: The tumor can affect how well your brain works. This might show up as confusion, trouble concentrating, or difficulty understanding things. You might also notice problems with memory.

Changes in Personality or Mood: Sometimes, gliomas can cause changes in your personality, such as becoming more irritable or angry. You might also experience mood swings.

Vision Problems: Glioma tumors can put pressure on the optic nerves, leading to vision problems. These can include blurry vision, double vision, or trouble seeing out of the sides of your eyes.

Speech Difficulties: If the tumor is in an area of the brain related to speech, you might have trouble speaking clearly.

Seizures: If you've never had seizures before, experiencing them is a potential sign of a glioma. The tumor can disrupt the normal electrical activity in the brain.

When to See a Doctor: If you notice any of these symptoms, or anything else that concerns you, make an appointment with your doctor right away. Early diagnosis is very important for effective treatment. It's essential to remember that these symptoms can also be caused by other conditions, so it's crucial to get a proper diagnosis from a medical professional.

When to see a doctor

If you're experiencing any health concerns that are bothering you, talk to your doctor. It's important to schedule a visit.

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Causes

Glioma is a type of brain tumor, and doctors don't fully understand what causes it. It all starts with changes in the DNA of cells within the brain or spinal cord. DNA acts like a set of instructions for cells, telling them what to do. When DNA is altered, it tells certain cells to multiply rapidly. Normally, cells have a lifespan and die off. But these altered cells keep growing, leading to an overabundance of cells that aren't functioning correctly. This buildup forms a mass, which we call a tumor.

This tumor can grow large enough to press on nearby nerves and parts of the brain or spinal cord. This pressure is what causes the symptoms associated with glioma. The pressure can also lead to various problems and complications. In some cases, gliomas develop further DNA changes. These more significant alterations instruct the cells to invade and destroy healthy brain tissue, effectively turning the tumor into a form of brain cancer.

Crucially, the cells in a glioma tumor resemble healthy brain cells called glial cells. Glial cells are important because they surround and support the nerve cells in the brain and spinal cord. This resemblance makes gliomas challenging to distinguish from healthy tissue, which can complicate diagnosis and treatment.

Risk factors

Glioma risk factors include:

  • Age: Most gliomas develop in adults between 45 and 65, although they can occur at any age. Some types of glioma are more common in children and young adults. This means that while older adults are more likely to get this type of brain tumor, it's not impossible for younger people to get it.

  • Radiation exposure: Exposure to ionizing radiation, like the kind used in radiation therapy for cancer treatment, can increase the risk of glioma. This is because high-energy radiation can damage brain cells, making them more likely to become cancerous.

  • Family history: While gliomas can sometimes run in families, this is unusual. Scientists are still studying whether a predisposition to glioma can be passed down through genes from parents to children. More research is needed to fully understand this connection.

Unfortunately, there's currently no known way to prevent glioma.

Diagnosis

Diagnosing Brain Tumors: Imaging and Testing

Doctors use various tests to diagnose and understand brain tumors, especially gliomas. These tests help pinpoint the location, type, and growth rate of the tumor, leading to a more effective treatment plan.

Assessing Brain Function:

A neurological exam is a crucial initial step. This exam checks different parts of your nervous system, like vision, hearing, balance, coordination, strength, and reflexes. Any problems with these functions can be a sign that a brain tumor might be present.

Taking Tissue Samples (Biopsy):

Sometimes, a small sample of the tumor tissue needs to be taken for testing (biopsy). This is often done if surgery isn't the first treatment option, or if the doctor needs extra information before surgery. If surgery is planned, a biopsy may not be necessary.

A biopsy often involves a procedure called a stereotactic needle biopsy. Using imaging tests (like MRI or CT scans) as a guide, a small hole is made in the skull. A thin needle is inserted through the hole, and a tiny piece of tumor tissue is extracted. This tissue sample is then sent to a lab for analysis.

Analyzing Tumor Cells (Pathology):

The tissue sample is examined by pathologists, doctors who specialize in analyzing body tissues. The lab tests help determine the type of glioma and how quickly it's growing. More advanced tests can even look for specific DNA changes within the tumor cells. This information is critical in confirming the diagnosis and creating a personalized treatment plan.

Imaging the Brain:

Creating images of the brain is essential for identifying any tumors. Magnetic Resonance Imaging (MRI) is commonly used, sometimes with a dye injection to make the images clearer. Other imaging methods, such as computed tomography (CT) scans and positron emission tomography (PET) scans, might also be employed.

The combination of these tests – neurological exams, biopsies, pathology reports, and imaging – provides a comprehensive picture of the brain tumor, allowing doctors to develop the most appropriate treatment strategy.

Treatment

Treating Gliomas: A Comprehensive Overview

A glioma is a type of brain tumor. Treatment often starts with surgery to remove the tumor. However, if the glioma is located near crucial parts of the brain, removing it completely might be too risky. In such cases, other treatments like radiation therapy or chemotherapy might be the initial approach.

The best treatment plan depends on several factors: the type and size of the glioma, its location in the brain, your overall health, and your preferences.

Symptom Management:

If the glioma is causing symptoms, your healthcare team may prescribe medication to ease discomfort. These medications might include:

  • Anti-seizure medications: To control seizures.
  • Steroids: To reduce swelling in the brain.
  • Medications to improve alertness: For cases of significant fatigue.
  • Cognitive enhancers: To help with thinking and memory problems.

Surgical Removal:

Surgery is often the first step in glioma treatment. If the entire tumor can be safely removed, surgery may be the only treatment needed. However, sometimes it's not possible to remove the entire tumor. In these situations, surgeons aim to remove as much of the glioma as possible, a procedure called a subtotal resection. This might be necessary if the tumor is intertwined with healthy brain tissue or located in a sensitive area of the brain. Even partial removal can help alleviate symptoms.

Risks of Surgery:

Surgery for glioma carries risks, including infection and bleeding. The specific risks also depend on the tumor's location. For example, a tumor near the nerves controlling vision could potentially lead to vision problems.

Radiation Therapy:

Radiation therapy uses high-energy beams (like X-rays or protons) to target and destroy tumor cells. It's often used after surgery to eliminate any remaining glioma cells. Radiation therapy can also be the initial treatment if surgery isn't a viable option.

During radiation, you lie on a table while a machine precisely directs beams of radiation to the tumor. Treatments typically occur five days a week for several weeks.

Side Effects of Radiation Therapy:

Possible side effects of radiation therapy include fatigue, scalp irritation, and hair loss. The severity of these side effects depends on the type and dosage of radiation.

Chemotherapy:

Chemotherapy uses drugs to kill tumor cells. These drugs are usually taken as pills or injected into a vein. In some cases, chemotherapy can be directly delivered to the tumor. Chemotherapy is often used in combination with radiation therapy to treat gliomas.

Side Effects of Chemotherapy:

Common chemotherapy side effects include nausea, vomiting, hair loss, fever, and extreme tiredness. Many of these side effects can be managed with medication.

Tumor Treating Fields (TTFields):

TTFields uses electrical currents to disrupt the growth of glioma cells. This treatment is mainly used for aggressive gliomas like glioblastoma and is often combined with chemotherapy. Sticky pads are placed on the scalp to deliver the electrical field.

Side Effects of TTFields:

Skin irritation at the pad placement sites is a common side effect.

Targeted Therapy:

Targeted therapy focuses on specific molecules within cancer cells. By blocking these molecules, targeted therapy aims to stop cancer cell growth. Testing of the glioma cells can help determine if targeted therapy is a suitable option. For slow-growing gliomas, targeted therapy is sometimes used after surgery if complete removal isn't possible. For other types of gliomas, targeted therapy may be considered if other treatments haven't been effective.

Side Effects of Targeted Therapy:

Side effects depend on the specific targeted therapy drug and dosage.

Rehabilitation After Glioma Treatment:

Glioma treatment can affect motor skills, speech, vision, and cognitive functions. Rehabilitation therapies can help restore these abilities. These may include:

  • Physical therapy: To regain lost motor skills and muscle strength.
  • Occupational therapy: To help with daily activities like work.
  • Speech therapy: To address communication difficulties.
  • Educational support (tutoring): For children who have experienced changes in memory or thinking skills.

Complementary and Alternative Treatments:

While research on complementary and alternative treatments for glioma is limited, some people find them helpful in managing the emotional and physical challenges of the disease. These treatments, also called integrative therapies, can be used alongside traditional treatments. Examples include acupuncture, hypnosis, meditation, music therapy, and relaxation exercises. It's important to discuss any interest in these therapies with your healthcare team.

Coping with a Glioma Diagnosis:

A glioma diagnosis can be emotionally challenging. It's important to take steps to cope with the shock, anxiety, and grief that may arise. These include:

  • Educating Yourself: Learning about the specific type of glioma, treatment options, and prognosis can empower you to make informed decisions about your care.
  • Maintaining Relationships: Strong social support from family and friends can provide practical and emotional support.
  • Seeking Support: Talking to a counselor, medical social worker, clergy member, or joining a support group (like those offered by the National Brain Tumor Society) can provide valuable emotional support.

Remember to always discuss your treatment options and any concerns with your healthcare team.

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Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

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