Brain cancer causes symptoms treatment and severity

Brain cancer is one of the most serious and life-threatening conditions, as it directly affects brain tissue and its vital functions. Understanding the causes of brain cancer, its early symptoms, and treatment options can help with early diagnosis and increase the chances of controlling the disease we will explore the different types of brain tumors, warning signs, the latest available treatments, and answer an important question: Is brain cancer really dangerous?

What is the difference between a brain tumor and brain cancer?
Question: What is the difference between a brain tumor and brain cancer?
Answer:

  • Brain tumor: Any abnormal growth or mass in the brain, which can be benign (non-cancerous) or malignant (cancerous).

  • Brain cancer: A type of malignant tumor that grows rapidly and invades surrounding tissues, potentially causing serious problems with brain function.

Important fact:

  • Benign tumors do not spread to other parts of the body but may press on brain tissue.

  • Malignant tumors (cancer) can spread and cause greater long-term damage.


Can a CBC test detect brain cancer?
Question: Can a CBC (complete blood count) detect brain cancer?
Answer:

  • No, a CBC does not directly detect cancer.

  • However, it may show indirect abnormalities, such as:

    • Anemia: Due to the tumor’s effect on appetite and nutrition.

    • Increased white blood cells: May indicate inflammation or infection associated with the tumor.

    • Low platelets: Sometimes occurs due to chemotherapy.

Advice: If brain tumor or cancer is suspected, a specialist should order MRI or CT scans and detailed tests.


Is brain cancer dangerous?
Question: Is brain cancer dangerous?
Answer:

  • Yes, brain cancer is very serious, especially malignant tumors like glioblastoma.

  • It grows quickly and affects essential brain functions.

  • Its severity depends on tumor type, size, location, and spread.

  • Some tumors can be treated with surgery, chemotherapy, or radiation, while others are harder to manage.


Is brain cancer fatal?
Question: Is brain cancer fatal?
Answer:

  • Depends on tumor type and stage:

    • Benign tumors: Usually treatable and rarely fatal.

    • Advanced malignant tumors: Can severely affect quality of life and may be fatal if untreated.

  • Brain cancer is not always immediately deadly but can be life-threatening in advanced stages.


How long do brain cancer patients survive?
Question: What is the average survival for brain cancer patients?
Answer:

  • Depends on tumor type and response to treatment:

    • Low-grade brain cancer: Patients may live 5–10 years or more with proper treatment.

    • Glioblastoma: Average survival is about 12–18 months after diagnosis, with a 5-year survival rate of less than 5%.

  • Early diagnosis and effective treatment increase survival chances and improve quality of life.


What is the recovery rate from a brain tumor?
Question: What is the recovery rate from a brain tumor?
Answer:

  • Depends on tumor type, size, and location:

    • Benign tumors: Very high recovery rate, especially if completely removed surgically.

    • Malignant or widespread tumors: Lower recovery rate, but modern treatments can extend life and improve quality of life.


Role of surgery in brain tumor treatment
Question: Is surgery necessary for brain tumor treatment?
Answer:

  • Yes, surgery is the primary treatment to remove as much of the tumor as possible, especially if it is operable.

  • Post-surgery, radiation or chemotherapy is often used to reduce the risk of recurrence.


Do brain tumors cause seizures?
Question: Can brain tumors cause seizures?
Answer:

  • Yes, especially tumors in the temporal or frontal lobes can cause repeated seizures.


Can persistent mood changes be related to a brain tumor?
Question: Are continuous mood changes a sign of a brain tumor?
Answer:

  • Yes, particularly if the tumor is in the frontal lobes, it may cause:

    • Irritability or depression

    • Loss of concentration

    • Personality changes


Can sudden vision problems be a sign of a brain tumor?
Answer:

  • Yes, especially if the tumor presses on the optic nerve or areas of the brain responsible for vision, particularly if accompanied by headache or nausea.


What is the connection between persistent vomiting and increased intracranial pressure?
Answer:

  • Increased intracranial pressure from the tumor can cause nausea and repeated vomiting, often worse in the morning.


Most common brain tumors in children

  • Medulloblastoma

  • Astrocytoma (low-grade and high-grade)

  • DIPG (Diffuse Intrinsic Pontine Glioma)


Symptoms of medulloblastoma in children

  • Persistent headache

  • Morning vomiting

  • Difficulty walking and balance problems

  • Muscle weakness

  • Sometimes seizures


How do brain tumor symptoms differ between children and adults?

  • Children: More likely to experience morning vomiting, growth, or developmental changes.

  • Adults: Usually headaches, muscle weakness, and concentration difficulties.

 

Do children need the same chemotherapy and radiotherapy as adults?
Answer: The treatment is similar but adjusted according to the child’s age and tolerance, with careful monitoring of brain development to avoid long-term side effects.


Most Dangerous Types of Brain Cancer

  1. Glioblastoma Multiforme (GBM)

  • Risk: The most dangerous brain tumor in adults; grows rapidly and invades surrounding tissue.

  • Symptoms: Severe headache, nausea and vomiting, muscle weakness, speech or vision difficulties, mood and personality changes.

  • Treatment: Surgery to remove as much as possible + radiation and chemotherapy.

  • Average survival: 12–15 months after diagnosis.

  1. DIPG (Diffuse Intrinsic Pontine Glioma) in children

  • Risk: The most aggressive pediatric brain tumor, inoperable due to location in the brainstem.

  • Symptoms: Difficulty moving, facial muscle weakness, swallowing and balance problems, eye disorders.

  • Treatment: Radiation to relieve symptoms; resistant to chemotherapy.

  • Average survival: Usually less than 1 year.

  1. Anaplastic Astrocytoma (High-Grade Astrocytoma)

  • Risk: Aggressive, faster-growing than low-grade astrocytomas, less aggressive than GBM.

  • Symptoms: Persistent headache, nausea, personality changes, weakness, seizures.

  • Treatment: Surgery + radiation + chemotherapy.

  • Average survival: About 2–3 years.

  1. Anaplastic Meningioma

  • Risk: Most meningiomas are benign, but the aggressive type grows quickly and can recur after removal.

  • Symptoms: Headache, muscle weakness, difficulty concentrating or vision problems depending on tumor location.

  • Treatment: Surgery + radiation with continuous follow-up to prevent recurrence.

  1. Medulloblastoma

  • Risk: Common in children, aggressive, can spread through cerebrospinal fluid.

  • Symptoms: Headache, vomiting, balance and walking difficulties, muscle weakness.

  • Treatment: Surgery + radiation + chemotherapy; risk of recurrence if treatment is incomplete.

  • Average survival: Depends on tumor response; up to 5 years in some cases with intensive treatment.


Causes of Brain Cancer

  1. Genetic Mutations

  • Most brain tumors arise from gene changes that regulate cell growth and division.

  • Certain mutations cause abnormal brain cell growth, forming tumors.

  • Examples:

    • TP53 mutation: Normally prevents abnormal cell growth.

    • EGFR alterations: Stimulate brain cell proliferation.

  • Rare genetic syndromes increase risk: Li-Fraumeni, Turcot syndrome.

  1. Radiation Exposure

  • High-dose radiation to the head (e.g., prior cancer therapy or nuclear exposure) increases risk.

  • Chronic low-level exposure is less common but possible.

  1. Environmental and Occupational Factors

  • Long-term exposure to harmful chemicals (pesticides, industrial solvents, plastics) may increase risk.

  • Workers in factories or labs with carcinogenic substances are more susceptible.

  1. Age

  • Brain cancer can occur at any age, but:

    • GBM is more common in adults aged 45–70.

    • Medulloblastoma is more common in children.

  1. Personal and Family Medical History

  • Previous brain tumors or other cancers increase risk.

  • Family history of brain tumors may indicate genetic susceptibility.

  1. Weakened Immune System

  • Immunocompromised individuals (e.g., organ transplant patients or HIV-positive) are at higher risk for certain brain tumors.

  1. Other Potential Factors

  • Prolonged exposure to radio waves or mobile phones (studies inconclusive).

  • Unhealthy lifestyle: poor sleep, bad nutrition, chronic stress.


Types of Brain Tumors

1. Gliomas (Tumors from neurons and glial cells)

  • Glioblastoma Multiforme (GBM): Highly aggressive, common in frontal or temporal lobes, symptoms include headache, nausea, weakness, speech/vision difficulties, personality changes; treatment: surgery + radiation + chemo; survival: 12–15 months.

  • Astrocytoma: Low-grade (slow) vs high-grade (aggressive); symptoms: headache, movement/speech issues, seizures; treatment: surgery + radiation ± chemo.

  • Oligodendroglioma: Usually slow-growing, can become aggressive; mainly in frontal lobes; symptoms: headache, seizures, weakness; treatment: surgery + radiation ± chemo.

2. Meningiomas

  • Mostly benign, aggressive type: Anaplastic Meningioma; symptoms: headache, muscle weakness, vision or concentration issues; treatment: surgery + radiation.

3. Medulloblastomas

  • Aggressive, common in children; usually in cerebellum, spreads through cerebrospinal fluid; symptoms: headache, vomiting, balance issues; treatment: surgery + radiation + chemo.

4. Pituitary Tumors

  • Mostly benign; some secrete excess hormones; symptoms: headache, hormonal imbalance; treatment: surgery via nasal approach, sometimes radiation or medication.

5. DIPG (Diffuse Intrinsic Pontine Glioma)

  • Most aggressive pediatric tumor, located in brainstem; inoperable; symptoms: weakness, movement difficulties, swallowing/balance problems; treatment: radiation for symptom relief.


Brain Cancer Stages

Grade 1 (Low-Grade Tumor): Slow growth, mild or no symptoms, high recovery chance with surgery.

Grade 2 (Low-to-Intermediate Grade): Slower growth, risk of becoming aggressive; symptoms: recurrent headache, seizures, mild weakness; treatment: surgery ± radiation; recovery chance: good.

Grade 3 (High-Grade – Anaplastic): Aggressive, fast growth, invades nearby tissue; symptoms: severe headache, nausea, weakness, speech/vision issues, personality changes; treatment: surgery + radiation + chemo; recovery: moderate.

Grade 4 (Glioblastoma – GBM): Most aggressive, hard to remove completely; symptoms: continuous severe headache, nausea, vomiting, severe weakness, speech/vision problems, personality changes, frequent seizures; treatment: surgery + radiation + chemo ± drugs to reduce intracranial pressure; recovery: limited, survival 12–15 months.


Brain Tumor Appearance

  1. By general shape:

  • Solid tumors: Masses, well-defined or irregular (e.g., GBM: irregular with infiltration; low-grade astrocytoma: relatively well-defined).

  • Cystic tumors: Contain fluid-filled spaces with solid parts; common in some astrocytomas or pediatric medulloblastomas.

  • Mixed tumors: Combination of solid and cystic areas; many GBMs are mixed with necrotic zones.

  1. By location:

  • Frontal lobe: May affect behavior, movement.

  • Temporal lobe: Impacts memory and speech.

  • Brainstem (DIPG in children): Swollen area, inoperable.

  • Cerebellum (pediatric medulloblastoma): Small mass but spreads rapidly.

  1. By imaging appearance:

  • MRI T1/T2: Shows solid/cystic nature, boundaries, and tissue impact.

  • CT scan: Highlights high/low density areas, bleeding, calcifications.

  • GBM: Often irregular with necrotic regions and edema.


Brain Cancer Imaging

  1. CT Scan: Quick, detects calcifications/bleeding; less precise than MRI.

  2. MRI: Detailed, distinguishes solid vs cystic, uses contrast for tumor delineation; shows edema clearly.

  3. PET Scan: Measures metabolic activity; distinguishes active tumor from scar tissue; useful for follow-up.

  4. Special Imaging:

  • fMRI: Maps speech/movement areas pre-surgery.

  • DTI: Shows nerve tracts to avoid during surgery.


Brain Cancer Effects

1. Physical Effects:

  • Pressure on brain tissue → weakness, difficulty walking, vision problems, partial paralysis.

  • Increased intracranial pressure → severe headache, nausea, vomiting, eye swelling, dizziness.

  • Seizures → temporary loss of consciousness, involuntary movements.

2. Psychological and Neurological Effects:

  • Mood/personality changes → irritability, depression, loss of motivation.

  • Memory and attention deficits → especially temporal lobe tumors.

  • Speech/language issues → difficulty speaking or understanding.

3. Treatment-Related Side Effects:

  • Surgery → possible partial paralysis or loss of function in sensitive areas.

  • Radiation → damage to healthy tissue, memory/cognitive changes, weakness.

  • Chemotherapy → fatigue, hair loss, immunosuppression, digestive issues.

4. Lifestyle Impact:

  • Difficulty performing daily tasks, reduced independence.

  • Physical coordination and balance issues.

  • Psychological impact on patient and family: anxiety, depression, stress.

5. Serious Complications:

  • Tumor recurrence → especially GBM.

  • Hydrocephalus → increased intracranial pressure.

  • Life-threatening symptoms → sudden unconsciousness, breathing problems, complete paralysis.


Treatment of Malignant Brain Tumors

  1. Surgery:

  • First-line if tumor is accessible without damaging vital tissue; aims to remove or reduce tumor size.

  • Not suitable for tumors in sensitive areas like the brainstem.

  1. Interventional Radiology:

  • Minimally invasive alternatives to traditional surgery; targets tumor precisely.

  • Examples:

    • Cerebral catheterization: Delivers localized chemo or blocks tumor blood vessels.

    • Stereotactic radiosurgery (SRS): CyberKnife/Gamma Knife for small/inoperable tumors.

    • Thermal ablation therapy: Laser-generated heat destroys tumor cells under MRI guidance.

  1. Radiotherapy:

  • High-energy radiation targets cancer cells; used when surgery is impossible or post-surgery to eliminate residual cells.

  • Can be internal or external depending on patient condition.

  1. Chemotherapy:

  • Anti-cancer drugs administered orally, intravenously, or directly into cerebrospinal fluid to kill or slow tumor cells.

  1. Palliative Care:

  • Used when definitive treatment is not possible.

  • Aims to reduce symptoms (pain, headache, seizures), improve quality of life, and provide psychological support to patients and families