Brain tumour Flashcards
Astrocytic tumour classifications
I: pilocytic astrocytoma
II: astrocytoma
III anaplastic astrocytoma
IV: glioblastoma
Oligodendricytic tumour classifications
II: oligodendroglioma
anaplastic oligodendroglioma
Classes of brain tumours
I: in-situ/localized
II: diffuse
III: undefied
IV: malignant
Neuron tumour classifications
I: gangliocytoma
II: neurocytoma
Ependymal tumour classifications
I: subependymoma
II; ependymoma
III: anaplastic ependymoma
Meningeal tumour classifications
I: meningioma
II: atypical meningioma
III: anaplastic meningioma
Neurononal stem cell tumour classification
IV: neuroblastoma (PNET) - named by location Medulloblastoma Neuroblastoma Retinoblastoma Pineoblastoma
Mixed brain tumour classification
I: ganglioglioma
II: mixed oligoastrocytoma
III: anaplastic oligoastrocytoma
PSNS tumour classifications
I:Schwannoma/neurofibroma
IV: malignant peripheral nerve sheath tumour
General principles of brain tumours
1/2 are “benign” but mass effect
cure rate for malignant brain tumours much lower than other cancers
lifetime risk: 1/200
leading cause of cancer deaths in children/teenagers
2nd leading cause of cancer deaths in males 20s-40s
40% primary CNS tumours: gliomas
80% of malignant CNS tumours: gliomas
CNS tumour etiology
majority are unknown Irradiation --> meningoma, glioma, nerve sheath tumours Genetic Immunosuppression: CNS lymphoma Experimental: SV40 Occupation: some risk Trauma, diet- no convincing data
CNS tumour risk factors
Sex: gliomas Men. women
Meningiomas: women > men
Association with breast cancer and meningioma
Cell phone: of concern
Clinical features of CNS tumours
epilepsy headache raised ICP focal neurologic deficit short history: more aggressive
Intracranial CNS tumour distribution
adults: 70% supratentorial, 30% infra
children: 30% supra, 70% infra
CNS tumours common among adults
glioblastoma metastasis malignant astrocytoma meningioma pilocytic Schwannoma