Brain Tumor Biopsy/Resection
Surgery is usually the preferred treatment when a patient is diagnosed with a brain tumor. It involves the surgical removal of the tumor from the brain either completely or partially. It is usually the treatment of choice for benign (non-cancerous) and malignant (spreading) tumors that can be removed without damage to the surrounding structures.
Brain tumor surgery may be indicated to:
- Obtain a tissue sample and confirm the type of tumor
- Remove a part or complete tumor to minimize symptoms caused by the tumor pressing against surrounding structures
- Remove a part of the tumor at an initial stage so that the amount of radiotherapy or chemotherapy that will be required to treat the inoperable part of the tumor can be minimized
- Allow access for radiation implants or chemotherapy
- Relieve seizures caused by a brain tumor
Prior to surgery the following preparations may be required:
- Blood tests and heart function tests to determine if you are healthy to recover from the surgery
- MRI or CT scans to exactly locate the tumor
- Cerebral angiogram to identify the blood vessels around the tumor so that your surgeon can avoid damaging them
- Electroencephalogram (EEG) to test the electrical activity of the brain and detect abnormalities that could indicate seizures
- Medications to prevent seizures and infection
Common brain tumor surgical procedures include:
- Biopsy: Removal of a small part of the tumor for analysis
- Craniotomy: Removal of a part of the skull to gain adequate access to the tumor and subsequent replacement of the skull once the surgery is complete
- Craniectomy: Removal of a part of skull to gain adequate access to the tumor without its subsequent replacement on completion of the surgery
- Debulking: Removal of part of the brain tumor to reduce its size
- Partial removal: Removal of only part of the tumor to avoid neurological injury
- Complete removal: Removal of the entire tumor when it is in an easily accessible location
- Shunt placement: Insertion of a drain to remove excess fluid
- Ommaya reservoir: Insertion of a small container connected to a tube under the scalp to deliver chemotherapy, or remove cerebrospinal fluid (fluid found in the brain) or cystic fluid (fluid-filled sac) from the brain
- Skull base surgery: Removal of tumor from the skull base, underside of brain, or first few vertebrae
- Trans-sphenoidal surgery: Surgical removal of a tumor in the brain through the nose and the sphenoid bone of the face
- Laser interstitial thermal therapy (LITT): Minimally invasive procedure used to ablate (burn) poorly accessible or deep brain tumors with heat
Following brain tumor surgery, you may be in the hospital for 2-5 days. The recovery period will vary depending on the location of the tumor, the type of surgery, and the patient’s age and health. Rehabilitation specialists may be required to aid in recovery. These include physical therapists to improve your strength and balance, occupational therapists to ensure that you return to activities of daily living, and speech therapists to aid in speech and swallowing issues. Before discharge, you will be given information regarding the healing process and signs and symptoms to watch out for.
As with any surgical procedure, brain tumor surgery may be associated with certain potential risks and complications such as bleeding, infection, blood clots, brain swelling, meningitis, seizures, problems with balance and coordination, cognitive or memory impairment, leakage of cerebrospinal fluid, coma and death.
