Treatment for Glioblastoma Multiforme
- Whether the condition of her husband is serious?
- Will the fluid in the "empty space" reduce as time goes by?
- Can my friend be considered cured since the doctor is unable to find any tumor in his brain?
Li Liu, MD, OncoLink Editorial Assistant, responds:
Thank you for your question and interest.
Glioblastoma multiforme (GBM) is a very serious brain cancer. Unfortunately, very few adult patients with this condition are cured. Treatment usually consists of surgical resection, followed by adjuvant radiation therapy with the addition of chemotherapy in selected patients. If the tumor is completely removed prior to radiation, survival is prolonged compared to patients who have incomplete removal (International Journal of Radiation Oncology Biology and Physics, 26:239-244, 1993). Even after 2 years, it is possible for the tumor to return.
Without a detailed history, physical exam, and reviewing diagnostic studies, it is impossible to assess the reason for the fluid accumulation in your friend's brain. There can be many causes for this problem including cancer, infection, vascular disorder, and/or post surgical and radiation changes. Microscopic and chemical evaluation of the fluid itself would be helpful. The fluid accumulation in itself could be serious, for instance, if it causes an increase in pressure on the brain, or is infectious. You should discuss these questions with your friend's physicians who may be able to provide a more direct response.