Brain tumor treatments

VnExpressVnExpress10/06/2023


There are many effective brain tumor treatments from traditional to high-tech applications such as chemotherapy, radiotherapy, and surgery using artificial intelligence robots.

There are more than 130 different types of brain tumors that can develop in the brain, including benign brain tumors and malignant brain tumors. Brain tumors can be treated with a variety of methods based on the characteristics and location of the tumor, the extent of metastasis, the level of response of the tumor, and the patient's health condition.

Master, Doctor, Specialist II Chu Tan Si (Head of Neurosurgery Department, Tam Anh General Hospital, Ho Chi Minh City) said that the earlier a brain tumor is detected and the more appropriate the treatment method, the higher the success rate of the treatment. Below are the main methods used to treat brain tumors.

Radiosurgery

Radiosurgery is a radiosurgical technique that uses a beam of radiation to directly target the tumor and destroy the cells that cause the brain tumor. With radiosurgery, the tumor is not removed. However, radiosurgery helps to deform the DNA of the tumor cells, making the tumor unable to grow.

Dr. Tan Si added that radiosurgery methods can include many different forms such as gamma knife surgery or stereotactic radiosurgery (SRS).

Radiotherapy

Malignant brain tumors are often treated with radiation therapy. In addition, in some cases, after surgery to remove the brain tumor, the patient still needs to continue radiation therapy because the tumor has not been completely removed. In cases where the tumor is located deep in the brain, cannot be operated on or the patient's health is not guaranteed to be able to undergo surgery, the doctor will also consider radiation therapy.

Patients can receive external radiation therapy, which involves beams of radiation being directed at benign brain tumors without surgery, or internal radiation therapy, which involves placing radioactive substances directly into the body to eliminate the brain tumor. In addition, there is also a form of radiation therapy in the hospital, which is directed at the tumor during surgery. A person with a brain tumor can have from one to five radiation treatments, lasting from several weeks to several months.

Valence

With chemotherapy, strong chemicals (drugs) are injected into the body or intravenously to kill rapidly growing cells in the body, including brain tumor cells and some other cells. Therefore, chemotherapy can affect some normal cells in the body.

Chemotherapy can be given before radiation therapy and surgery (pre-adjuvant chemotherapy) or after radiation therapy or surgery (post-adjuvant chemotherapy) to reduce the risk of brain tumors recurring. A course of chemotherapy can last several months and has some side effects such as nausea, loss of appetite, constipation, fatigue, hair loss...

Targeted drugs

Targeted therapy helps block the activity of certain enzymes, proteins or other molecules that support, stimulate the proliferation and spread of brain tumor cells.

Surgery

Surgery is considered the most common method of treating brain tumors. If treatment is successful, especially in cases of benign brain tumors, the patient may not need to undergo chemotherapy or radiation therapy. There are currently four surgical methods for removing brain tumors, including: neuroendoscopy, craniotomy, guided high-energy laser ablation, and the use of a tubular retractor system.

Although traditional brain surgery methods can still remove the tumor from the brain, they cannot help the doctor clearly see nerve fiber bundles or healthy brain tissue during the surgery, so there is a risk of damaging them and leaving the patient with sequelae such as weakness, difficulty speaking, blurred vision, and even disability after surgery.

Robotic brain surgeons. Photo: Tam Anh General Hospital

Robotic brain surgeons. Photo: Tam Anh General Hospital

Dr. Tan Si said that the birth of the Modus V Synaptive brain surgery robot is considered a turning point in the field of neurosurgery - cranial nerves, helping to overcome the limitations of traditional brain surgery methods, improving treatment effectiveness, and helping patients recover quickly. Currently, only 10 countries in the world apply this robot. In Vietnam, Tam Anh General Hospital in Ho Chi Minh City has applied robots in brain surgery.

Brain tumors can be treated and often require a combination of treatments to achieve the best results. Patients with signs of brain tumors such as severe and sudden headaches, seizures, dizziness, cognitive decline, etc. should visit reputable facilities for examination.

Dung Nguyen

In order to update the latest information on brain tumor surgery and cerebral hemorrhage stroke using the Modus V Synaptive robot with artificial intelligence, the only one in Vietnam, Tam Anh General Hospital System organizes an online consultation week on VnExpress newspaper. The program takes place from June 8-14, readers can follow and ask questions here to get answers from doctors.


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