Complaint
John, a 45-year-old male, has provided an MRI brain scan showing a large, irregularly shaped mass in the right side of the brain with heterogeneous intensity. The central necrosis and surrounding enhancement suggest a possible malignant tumor, specifically glioblastoma multiforme.
Main Possible Diagnosis
Glioblastoma Multiforme (80%) - Glioblastoma multiforme is an aggressive type of cancer that occurs in the brain or spinal cord. It is characterized by rapid growth and a tendency to spread quickly.
Less Likely Diagnosis
Brain Metastasis (20%) - This is a type of cancer that has spread to the brain from another part of the body. It can also present with irregular masses and necrosis.
Diagnosis
The MRI scan shows a large, irregularly shaped mass in the right side of your brain with heterogeneous intensity, central necrosis, and surrounding enhancement. These findings are highly suggestive of glioblastoma multiforme, which is an aggressive and fast-growing type of brain cancer. Glioblastoma can cause symptoms such as headaches, seizures, and neurological deficits depending on its location in the brain. It is a serious condition that requires prompt medical attention.
Another possibility, though less likely, is brain metastasis, which means that cancer from another part of your body has spread to your brain. This can also present with similar MRI findings.
Given the seriousness of the findings, it is crucial to consult with a neuro-oncologist or a neurosurgeon as soon as possible. They will likely recommend a biopsy to confirm the diagnosis and determine the best course of treatment, which may include surgery, radiation therapy, and chemotherapy.
It is important to address this condition urgently to improve the chances of effective treatment and management.
Medical Test Report
The MRI brain scan shows a large, irregularly shaped mass in the right side of the brain with heterogeneous intensity, central necrosis, and surrounding enhancement. These findings are highly suggestive of a malignant tumor, likely glioblastoma multiforme.
More Tests Recommended For You
Biopsy of the brain mass to confirm the diagnosis and determine the specific type of tumor.Full body PET scan to check for any other possible metastases.Blood tests including complete blood count (CBC) and liver function tests (LFTs) to assess overall health and readiness for potential treatments.Possible Medications
Temozolomide (Temodar) - This is an oral chemotherapy drug commonly used to treat glioblastoma. The usual dosage is 150-200 mg/m² once daily for 5 days in a 28-day cycle. Side effects may include nausea, vomiting, fatigue, and low blood counts. The price range is approximately $2,000-$3,000 per cycle.Bevacizumab (Avastin) - This is a targeted therapy drug that inhibits the growth of blood vessels to the tumor. It is administered intravenously, usually at a dose of 10 mg/kg every 2 weeks. Side effects may include high blood pressure, bleeding, and blood clots. The price range is approximately $5,000-$10,000 per dose.Urgency Of Your Diagnosis
This situation requires urgent medical attention. Please consult with a neuro-oncologist or a neurosurgeon as soon as possible.
Disclaimer
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. Contact us at hi@doctola.com