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MRI
EVIDENCE OF TUMOR REGRESSION
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Case 5:Glioblastoma Multiforme, Grade IV,
Left Parietal Lobe
BO, Male, 45 yrs old
| Sept 05 |
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Surgery |
| Nov 06 |
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Radiotherapy |
| Feb 06 |
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Chemotherapy |
| Aug 06 |
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Chemotherapy |
| Jan 07 |
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Surgery
Chemotherapy |
| 07 Feb
07 - 06 Mar 07 |
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RFQMR
Therapy 1 |
| 28 Mar
07 - 24 Apr 07 |
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RFQMR
Therapy 2 |
Note: Patient had presented
with right sided hemiparesis in Feb 07, which had normalised
following first
RFQMR therapy. However, it recurred to a
lesser extent and was reversed again after second RFQMR
therapy.
Observation:-
- The MRI changes are encouraging and
indicative of continuing tumour necrosis and apoptosis.
- The peritumoral oedema needs to be
managed with dexamethasone and anticonvulsant under regular supervision
of the treating Onco/Neuro Surgeon.
- Avoid exposure to all forms of known
carcinogens in terms of diet and environment.
- Continue active and passive exercises and
weight management.
- Pay special attention to stress
management.
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