Brain Tumours Flashcards

1
Q

Types of glioma?

A

Astrocytoma
Oligodendroglioma
Ependymoma

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2
Q

What are astrocytomas derived from?

A

Astrocytes

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3
Q

Who gets astrocytomas?

A

Children and young adults

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4
Q

What is a low grade glioma?

A

An astrocytoma - slow growing and truly benign

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5
Q

Treatment for grade 1 glioma?

A

Surgery is curative

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6
Q

How does a low grade/ grade II glioma/astrocytoma present?

A

Seizures

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7
Q

Treatment for grade II astrocytoma?

A

Surgery

+/- radiation / chemo

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8
Q

What is a grade 3 astrocytoma?

A

Anaplastic astrocytoma - malignant

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9
Q

Survival of a grade 3 astrocytoma?

A

2 years

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10
Q

What is a grade 4 glioma?

A

Glioblastoma multiforme - malignant

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11
Q

Survival with grade 4 glioma?

A

< 1 year

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12
Q

Treatment for malignant gliomas?

A

Surgery
Post op radiotherapy
Chemo - temozolamide

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13
Q

What are oligodendrogliomas derived from?

A

Oligodendrocytes

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14
Q

Where are oligodendrogliomas usually found?

A

Mainly in frontal lobes

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15
Q

Who normally gets oligodendrogliomas?

A

25-45 year olds

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16
Q

Diagnosis for oligodendrogliomas?

A

MRI
CT
Biopsy

17
Q

Treatment of oligodendrogliomas?

A

Chemo sensitive

Surgery and chemo

18
Q

Median survival of low grade oligodendrogliomas?

19
Q

Who gets meningiomas?

A

More females

Older

20
Q

Where do meningiomas starts?

21
Q

Are meningiomas fast growing?

A

No majority are benign and slow growing

22
Q

Presentation of meningiomas?

A

Majority asymptomatic
Headaches
Regional anatomical disturbance
If affect skull base -> cranial nerve neuropathies

23
Q

Diagnosis of meningiomas?

A

CT
MRI
Angiography

24
Q

Treatment of meningiomas?

A

Small - expectant
Perioperative embolisation
Surgery
Radiotherapy

25
Name nerve sheath tumours?
Schwannoma Neurofibromas Malignant peripheral nerve sheath tumours (MPST)
26
Where is a vestibular schwannoma?
Schwann cells in CN VIII
27
Who gets vestibular schwannoma?
Older people
28
Do vestibular schwannomas have any associations?
Neurofibromatosis
29
Signs or symptoms of vestibular schwannoma?
Unilateral hearing loss Tinnitus Dysequilibrium
30
Diagnosis of vestibular schwannoma?
Audiometry | MRI
31
Treatment for vestibular schwannoma?
Medically - hearing aid and regular MRIs Surgically Radio surgery - gamma knife if surgery is too high risk or refusal