Today, I would like to
attempt to explain the condition of the disease to an outpatient. Let's suppose
that a sixty-year-old man visited our hospital.
Well, then, Mr. GB. I'll
summarize your condition and explain the results of your examination. First,
your right hand made a convulsion two months ago and since then you've had the
feeling of heaviness in the right hand. You also have a very mild speech impediment.
These symptoms indicate that the lesion is located in the left hemisphere of
your brain.
These are your MR images
performed six weeks ago. We can see a mass lesion in the left frontal lobe. The
lesion is enhancing and well demarcated. You can see a large area of edema
around the mass. From these observations, it looks like a brain tumor. These
are other MR images performed the day before yesterday. The tumor has been
getting bigger in only six weeks. The growth speed of the tumor is relatively high.
Based on these
inspections, we have to consider the possibility of primary brain tumors,
metastatic brain tumors, and infections like a brain abscess. You need to be
checked further with an MR spectroscopy, a PET study, and a whole body CT.
After that the treatment should be performed immediately. You should stay in
this hospital for at least for a few weeks.
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