My MOM. MRI shows 2 brain tumors. Questions?

HELP! I need info and hopefully reassurance.
Thanks in advance for any responses.

This week my mother went to an eye doctor who noticed a twitching in her
left eye. The twitching has been an on/off problem since ’91 but has not
been severe. He recommended she see a neurologist and get an MRI. The MRI
showed 2 tumors. One the size of a quarter in the left frontal region and
one the size of a marble in the region directly in from the right ear.
After seeing the MRI she told the doctor that she has also been noticing
hearing problems in the right ear in the last year or so.

I have not seen the scans but my mother, 71 yrs old, retired nurse, said
that the tumors were quite smooth, spherical and localized. She is seeing
an ear doctor today.

Other symptoms in retrospect include occasional loss of short-term memory.
(ie. made dinner and then forgot whether she had or not.)

She is 71. Perhaps only 10-15 pounds overweight. Very active and healthy in
all other respects.

Questions?
———-

I assume the smooth nature of the tumors is promising in regard to being
benign or malignant. Is this true?

If benign, what is the likelihood that the tumours will require removal
anyway?

What are the major risks of such an operation?

If malignant, what is the general course of action, time and
procedure-wise?

What are the success rates, in general, for both benign and malignant brain
tumour extraction?

What questions need to be raised to the doctors and surgeons to ensure that
all factors are being considered in the course of treatment?

Given a successful conclusion to her treatment, what are the odds of
recurrence of both benign and malignant tumours?

Can anyone give me any high reccomendations for Neurosurgeons in either
Billings, MT(parents live) or in Denver(where I live).
—————

I found out about this last night and it has been quite a shock but I want
to make sure that we ask the right questions of the doctors and have the
most info possible when deciding on the approval of any treatments.

Again, thanks to any who can provide information.

PLEASE!! In addition to posting could any responders also e-mail me
directly at;
                    toen…@pogo.den.mmc.com

Roger Toennis

8 Responses to “My MOM. MRI shows 2 brain tumors. Questions?”

  1. admin says:

    HELP! I need info and hopefully reassurance.
    Thanks in advance for any responses.

    This week my mother went to an eye doctor who noticed a twitching in her
    left eye. The twitching has been an on/off problem since ’91 but has not
    been severe. He recommended she see a neurologist and get an MRI. The MRI
    showed 2 tumors. One the size of a quarter in the left frontal region and
    one the size of a marble in the region directly in from the right ear.
    After seeing the MRI she told the doctor that she has also been noticing
    hearing problems in the right ear in the last year or so.

    I have not seen the scans but my mother, 71 yrs old, retired nurse, said
    that the tumors were quite smooth, spherical and localized. She is seeing
    an ear doctor today.

    Other symptoms in retrospect include occasional loss of short-term memory.
    (ie. made dinner and then forgot whether she had or not.)

    She is 71. Perhaps only 10-15 pounds overweight. Very active and healthy in
    all other respects.

    Questions?
    ———-

    I assume the smooth nature of the tumors is promising in regard to being
    benign or malignant. Is this true?

    If benign, what is the likelihood that the tumours will require removal
    anyway?

    What are the major risks of such an operation?

    If malignant, what is the general course of action, time and
    procedure-wise?

    What are the success rates, in general, for both benign and malignant brain
    tumour extraction?

    What questions need to be raised to the doctors and surgeons to ensure that
    all factors are being considered in the course of treatment?

    Given a successful conclusion to her treatment, what are the odds of
    recurrence of both benign and malignant tumours?

    Can anyone give me any high reccomendations for Neurosurgeons in either
    Billings, MT(parents live) or in Denver(where I live).
    —————

    I found out about this last night and it has been quite a shock but I want
    to make sure that we ask the right questions of the doctors and have the
    most info possible when deciding on the approval of any treatments.

    Again, thanks to any who can provide information.

    PLEASE!! In addition to posting could any responders also e-mail me
    directly at;
                        toen…@pogo.den.mmc.com

    Roger Toennis

  2. admin says:

    In <1995Aug2.201806.6…@den.mmc.com> "Roger T." <toen…@pogo.den.mmc.com> writes:

    [2 brain tumors in a 71 year old woman]

    >What questions need to be raised to the doctors and surgeons to ensure that
    >all factors are being considered in the course of treatment?

    The big question is, how will the operation improve or damage her quality
    of life.  My 78 year old grandmother was diagnosed with ovarian cancer.
    At the time, I thought that aggressive treatment was unwarranted, given
    that it would mess up her life, she was old, and should just enjoy life
    as much as possible.  She had surgery to remove her ovaries, then a
    follow-up surgery to correct abdominal complications, then aggressive
    chemotherapy.  The day after chemo ended, she died in her sleep.
    Her last three months she was not the same person she had been.  She
    had been alert, spry, active; she became listless, tired.

    Your Mom should be informed on both the benefits and costs of aggressive
    treatment verses doing nothing.  If these are slow growing tumors, or
    in difficult locations; would require surgery and chemo, then perhaps
    she would prefer to have 2 more good years rather than 4 poor years
    bought at a cost of chemo, surgery, and radiation.  On the other hand,
    if the tumors are accessible, easy to remove, then maybe she wants to
    go for it.

    >Given a successful conclusion to her treatment, what are the odds of
    >recurrence of both benign and malignant tumours?

    Impossible to say without more information.  In general, malignant
    tumors grow back quickly if even a few cells are left behind.  Since
    it is very difficult to get all of a brain tumor (the surgeon must
    be very conservative in removing tissue) if the biopsy is malignant
    then you can expect chemo or radiation after the surgery.  Benign
    tumor usually won’t grow back.

    >Can anyone give me any high reccomendations for Neurosurgeons in either
    >Billings, MT(parents live) or in Denver(where I live).
    >—————
    >I found out about this last night and it has been quite a shock but I want
    >to make sure that we ask the right questions of the doctors and have the
    >most info possible when deciding on the approval of any treatments.
    >Again, thanks to any who can provide information.
    >PLEASE!! In addition to posting could any responders also e-mail me
    >directly at;
    >                toen…@pogo.den.mmc.com
    >Roger Toennis


    Tom Thatcher                          | You can give a PC to a Homo habilis,
    University of Rochester Cancer Center | and he’ll use it, but he’ll use it
    t…@uhura.cc.rochester.edu           | to crack nuts.

  3. admin says:

    I cannot answer any specific questions but I can offer this:  Hope a
    nd  a positive outlook on your mothers part is worth more than
    anything else.  My mother survived with cancer for nine years on hope
    and prayer.   My thoughts are with you.\
    Roselle

    - Hide quoted text — Show quoted text -

    "Roger T." <toen…@pogo.den.mmc.com> wrote:
    >HELP! I need info and hopefully reassurance.
    >Thanks in advance for any responses.
    >This week my mother went to an eye doctor who noticed a twitching in her
    >left eye. The twitching has been an on/off problem since ’91 but has not
    >been severe. He recommended she see a neurologist and get an MRI. The MRI
    >showed 2 tumors. One the size of a quarter in the left frontal region and
    >one the size of a marble in the region directly in from the right ear.
    >After seeing the MRI she told the doctor that she has also been noticing
    >hearing problems in the right ear in the last year or so.
    >I have not seen the scans but my mother, 71 yrs old, retired nurse, said
    >that the tumors were quite smooth, spherical and localized. She is seeing
    >an ear doctor today.
    >Other symptoms in retrospect include occasional loss of short-term memory.
    >(ie. made dinner and then forgot whether she had or not.)
    >She is 71. Perhaps only 10-15 pounds overweight. Very active and healthy in
    >all other respects.
    >Questions?
    >———-
    >I assume the smooth nature of the tumors is promising in regard to being
    >benign or malignant. Is this true?
    >If benign, what is the likelihood that the tumours will require removal
    >anyway?
    >What are the major risks of such an operation?
    >If malignant, what is the general course of action, time and
    >procedure-wise?
    >What are the success rates, in general, for both benign and malignant brain
    >tumour extraction?
    >What questions need to be raised to the doctors and surgeons to ensure that
    >all factors are being considered in the course of treatment?
    >Given a successful conclusion to her treatment, what are the odds of
    >recurrence of both benign and malignant tumours?
    >Can anyone give me any high reccomendations for Neurosurgeons in either
    >Billings, MT(parents live) or in Denver(where I live).
    >—————
    >I found out about this last night and it has been quite a shock but I want
    >to make sure that we ask the right questions of the doctors and have the
    >most info possible when deciding on the approval of any treatments.
    >Again, thanks to any who can provide information.
    >PLEASE!! In addition to posting could any responders also e-mail me
    >directly at;
    >                toen…@pogo.den.mmc.com
    >Roger Toennis

  4. admin says:

    If you have a Web Browser (Mosaic, Netscape etc) point it
    at : http://oncolink.upenn.edu/disease/brain/abta/

    Very useful info on brain tumors.

    **********************************
    David Armstrong
    Data Capture Analyst

    Oryx Energy Company
    PO Box 2880
    Dallas, TX 75221-2880

    Internet: david.armstr…@oryx.com
    **********************************

    In article <40aggg$…@blackice.winternet.com>, ath…@winternet.com ()
    writes:
    |> I cannot answer any specific questions but I can offer this:  Hope a
    |> nd  a positive outlook on your mothers part is worth more than
    |> anything else.  My mother survived with cancer for nine years on hope
    |> and prayer.   My thoughts are with you.\
    |> Roselle
    |> "Roger T." <toen…@pogo.den.mmc.com> wrote:
    |>
    |>
    |> >HELP! I need info and hopefully reassurance.
    |> >Thanks in advance for any responses.
    |>
    |> >This week my mother went to an eye doctor who noticed a twitching in her
    |> >left eye. The twitching has been an on/off problem since ’91 but has not
    |> >been severe. He recommended she see a neurologist and get an MRI. The MRI
    |> |> >showed 2 tumors. One the size of a quarter in the left frontal region
    |> and
    |> >one the size of a marble in the region directly in from the right ear.
    |> >After seeing the MRI she told the doctor that she has also been noticing
    |> >hearing problems in the right ear in the last year or so.
    |>
    |> >I have not seen the scans but my mother, 71 yrs old, retired nurse, said
    |> >that the tumors were quite smooth, spherical and localized. She is seeing
    |> |> >an ear doctor today.
    |>
    |> >Other symptoms in retrospect include occasional loss of short-term memory.
    |> |> >(ie. made dinner and then forgot whether she had or not.)
    |>
    |> >She is 71. Perhaps only 10-15 pounds overweight. Very active and healthy
    |> in
    |> >all other respects.
    |>
    |> >Questions?
    |> >———-
    |>
    |> >I assume the smooth nature of the tumors is promising in regard to being
    |> >benign or malignant. Is this true?
    |>
    |> >If benign, what is the likelihood that the tumours will require removal
    |> >anyway?
    |>
    |> >What are the major risks of such an operation?
    |>
    |> >If malignant, what is the general course of action, time and
    |> >procedure-wise?
    |>
    |> >What are the success rates, in general, for both benign and malignant
    |> brain
    |> >tumour extraction?
    |>
    |> >What questions need to be raised to the doctors and surgeons to ensure
    |> that
    |> >all factors are being considered in the course of treatment?
    |>
    |> >Given a successful conclusion to her treatment, what are the odds of
    |> >recurrence of both benign and malignant tumours?
    |>
    |> >Can anyone give me any high reccomendations for Neurosurgeons in either
    |> >Billings, MT(parents live) or in Denver(where I live).
    |> >—————
    |>
    |> >I found out about this last night and it has been quite a shock but I want
    |> |> >to make sure that we ask the right questions of the doctors and have
    |> the
    |> >most info possible when deciding on the approval of any treatments.
    |>
    |> >Again, thanks to any who can provide information.
    |>
    |> >PLEASE!! In addition to posting could any responders also e-mail me
    |> >directly at;
    |> >                  toen…@pogo.den.mmc.com
    |>
    |> >Roger Toennis
    |> >
    |>
    |>
    |>
    |>

  5. admin says:

    In article <1995Aug2.201806.6…@den.mmc.com>, "Roger T." <toen…@pogo.den.mmc.com> says:

    >HELP! I need info and hopefully reassurance.
    >Thanks in advance for any responses.

    First of all, extremely sorry to hear of your mother’s plight.  It must be quite a strain
    on you and your family.  HAve strength, your mother needs you!

    - Hide quoted text — Show quoted text -

    >This week my mother went to an eye doctor who noticed a twitching in her
    >left eye. The twitching has been an on/off problem since ’91 but has not
    >been severe. He recommended she see a neurologist and get an MRI. The MRI
    >showed 2 tumors. One the size of a quarter in the left frontal region and
    >one the size of a marble in the region directly in from the right ear.
    >After seeing the MRI she told the doctor that she has also been noticing
    >hearing problems in the right ear in the last year or so.

    >I have not seen the scans but my mother, 71 yrs old, retired nurse, said
    >that the tumors were quite smooth, spherical and localized. She is seeing
    >an ear doctor today.

    >Other symptoms in retrospect include occasional loss of short-term memory.
    >(ie. made dinner and then forgot whether she had or not.)

    >She is 71. Perhaps only 10-15 pounds overweight. Very active and healthy in
    >all other respects.

    >Questions?
    >———-

    >I assume the smooth nature of the tumors is promising in regard to being
    >benign or malignant. Is this true?

    >If benign, what is the likelihood that the tumours will require removal
    >anyway?

    It may be a good idea to remove the tumours, even if benign, because they
    may enlarge and impinge on other nerves which may be quite painful and/or
    compromise other nervous function eg. she may lose her sight.

    >What are the major risks of such an operation?

    Depends on the nature of the tumour – if its malignant, they may have to
    remove a margin or brain tissue surrounding the tumours which may impair
    some functions eg. speech.  However, she won’t be vegetative, if that’s
    what you’re worried about.  With the right followup therapy eg. physio/speech,
    she should be OK.
    However her age is also a factor, which may not support a total recovery.
    The procedures (surgery, followed by radiation or chemo) will add to her life
    but don’t know about the vitality of that added time.
    Still, it all depends on the tumours…..

    >If malignant, what is the general course of action, time and
    >procedure-wise?

    The docs may operate and remove and then follow up with radio/chemo therapy,
    if they consider her chances of recovery to be good.  If they are doubtful
    of her recovery, they may ask the family if they wish to proceed……
    With chemo and radiation, they may be side-eefects eg. hair loss, nausea, fatigue

    >What are the success rates, in general, for both benign and malignant brain
    >tumour extraction?

    Depends on the tumours, their stage of development mainly, how much it’s spread
    from teh site of origin.  If it’s advanced, it’s not very good I’m afraid mate.
    If they’ve picked it up early enough and she’s of good health then she should
    be OK

    >What questions need to be raised to the doctors and surgeons to ensure that
    >all factors are being considered in the course of treatment?

    See above:
    1. How advance is the tumour?
    2. Are they benign/ maslignannt?
    3. Is it in an operable site?
    4. What functions will be impaired with tumoutr removal?
    5. Will she need rehabilitation?
    6. How healthy is she REALLY to reccover well?

    >Given a successful conclusion to her treatment, what are the odds of
    >recurrence of both benign and malignant tumours?

    Tumour is a thing you can never be sure of I’m afraid mate.  Unfortunately, techniques
    ofd detecting tumours don’t pick it up unitl it’s about a million cells big.
    But the treatment may wipe the suckers out completely too.  Here’s hoping!

    - Hide quoted text — Show quoted text -

    >Can anyone give me any high reccomendations for Neurosurgeons in either
    >Billings, MT(parents live) or in Denver(where I live).
    >—————

    >I found out about this last night and it has been quite a shock but I want
    >to make sure that we ask the right questions of the doctors and have the
    >most info possible when deciding on the approval of any treatments.

    >Again, thanks to any who can provide information.

    >PLEASE!! In addition to posting could any responders also e-mail me
    >directly at;
    >                    toen…@pogo.den.mmc.com

    >Roger Toennis

    All the very best of wishes and prayers Roger.  I sincerely hope that your mum recovers.

    - Hide quoted text — Show quoted text -

  6. admin says:

         Above all, get a second and third opinion.  Ask lots of questions.
    If the doctor is too busy to answer all your questions, either sit there
    and don’t leave until you’re satisfied, or get a different doctor.  
    Find out how many procedures this doctor has done that are JUST LIKE
    THIS ONE.  Read, read, read all you can at the library…..

         The region that the tumors are in is encouraging.  At least they’re not
    in the centre of the brain, which would involve alot of cutting
    through brain tissue.  Alot of how well the outcome is will depend on
    your mother’s attitude, and how willingly she goes through with any
    rehab. she might need later.

         I had a cousin in Saskatoon several years ago who had a tumor in the
    centre of the brain.  She was in her thirties, but was a heavy smoker.  
    Her father had also had a brain tumor, which was sucessfully removed.  
    At first the physicians refused to remove it, as they had never done
    anything that deep in the brain before.  Then they decided to go for it,
    as she didn’t have any chance otherwise.  She did very well, you would
    never know now that she had ever had a problem.  Since the operation
    she remarried and has had 2 children.  BTW, they filmed the operation
    and now use it as a training film for new surgeons.

    Michelle LaBrosse-Purcell
    B.Sc. (pharmacology)


    purc…@nyquist.ee.ualberta.ca                                
    University of Alberta,                  
    Edmonton, Alberta.                      

  7. admin says:

    The American Brain Tumor Association has FREE information available on the
    Internet as well as through snail mail.

    For printed materials, contact us at

    800-886-2282
    or
    708-827-9910
    or
    A…@aol.com — provide your snail mail address & what specifically you
    are looking for.

    Also, visit us at
    http://neurosurgery.mgh.harvard.edu/ABTA/
    or
    http://pubweb.acns.nwu.edu?~lberko/abta_html/abta1.htm

    Also visit the clinical trials listing at:
    http://www.lanminds.com/local/brain/trial.html

    *********************************
    American Brain Tumor Association
    2720 River Road  Suite 146
    Des Plaines, IL  60018
    708-827-9910
    800-886-2282<–patient line
    A…@aol.com
    708-827-9918<–faxline
    ***************************************

  8. admin says:

    After reading your posting about your Mom’s two tumors in the
    brain as well as her previous tumor and the familiy history of
    tumors, you may want to consider asking your physicians to
    rule out the possibility of von Hippel-Lindau (VHL) disease.  
    VHL causes tumors to grow in various parts of the body,
    notably, the brain, spinal cord, kidneys, eyes, adrenal glands
    and pancreas.  There is a support group for patients with VHL
    or to get further information about the disease, call the VHL
    Family Alliance at 1-800-767-4VHL.  
    If a patient knows they have VHL they can undergo routine
    screening to assess the growth of any new tumors.  This is
    much better that waiting for symptoms to appear.

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