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February 9, 2012

Brain Cancer

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Medical Editor:
Brain Cancer Symptoms: Headaches and Seizures

Medical Author: Benjamin C. Wedro, MD, FAAEM
Medical Editor: Melissa Conrad Stöppler, MD

Read more about headaches and seizures

Most people seek medical care to make certain that nothing bad is happening in their body. They seek reassurance from their doctor that all is well. Unasked questions that linger fill patients and their families with dread until their concerns are addressed.

"Is my abdominal pain due to appendicitis?"

"Am I having a heart attack?"

And the 800 pound gorilla in the room: "Is there 'something really bad' causing my headache?"

For golf legend Seve Ballesteros, there is something bad happening in his body. Two weeks ago, he experienced a grand mal seizure for the first time. As part of the evaluation of a new onset seizure, a CT scan of his brain was done and revealed a large tumor. It is amazing that significant parts of the brain can be destroyed and yet the patient can have normal function. Looking back, though, friends had reported that Mr. Ballesteros had been complaining of headaches, and perhaps he had had a few episodes of unusual or erratic behavior. Often the clues are recognized after the fact and can help explain previous events.

Brain cancer facts

  • Brain cancer can arise from many different types of brain cells (primary brain cancer) or occur when cancer cells from another part of the body spread (metastasize) to the brain.


  • Causes of brain cancer are difficult to prove; avoiding compounds linked to cancer production is advised.


  • Symptoms of brain cancer vary but often include weakness, difficulty walking, seizures, and headaches. Other common symptoms are nausea, vomiting, blurry vision, or a change in a person's alertness, mental capacity, memory, speech, or personality.


  • Tests for brain cancer involve a history, physical exam, and usually a CT or MRI brain scan; sometimes a brain tissue biopsy is done.


  • Treatments usually are directed by a team of doctors and are designed for the individual patient; treatments may include surgery, radiotherapy, or chemotherapy, often in combination.


  • Side effects of treatments range from mild to severe, and patients need to discuss plans with their treatment team members to clearly understand potential side effects and their prognosis (outcomes).


  • Depending on the brain cancer type and overall health status of the patient, brain cancer frequently has only a fair to poor prognosis; children have a somewhat better prognosis.


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Suggested Reading on Brain Cancer by Our Doctors

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    • Headache
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Brain Cancer

What is cancer?

Cancer is the uncontrolled growth of abnormal cells anywhere in a body. The abnormal cells are termed cancer cells, malignant cells, or tumor cells. Many cancers and the abnormal cells that compose the cancer tissue are further identified by the name of the tissue that the abnormal cells originated from (for example, breast cancer, lung cancer, colon cancer). Cancer is not confined to humans; animals and other living organisms can get cancer. Below is a schematic that shows normal cell division and how when a cell is damaged or altered without repair to its system, the cell usually dies. Also shown is what can occur when such damaged or unrepaired cells do not die and become cancer cells and proliferate with uncontrolled growth; a mass of cancer cells develop. Frequently, cancer cells can break away from this original mass of cells, travel through the blood and lymph systems, and lodge in other organs where they can again repeat the ...

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