From the MRI films, can't see an abnormal in the skull (bone). The met is not outside the skull either. Just see a thick line (~8mm long, 2 mm wide) from the skull or the soft tissue under the skull to the brain. If it's brain mets, usually it wouldn't cause a headache. But George feels a headache (very close to that position) which has become more severe since a few days ago.Olga wrote:We had few cases with the brain mets to the skull (bone) or to the area just under or even to the soft tissue of the skull (muscles) on the outside. I would suggest to pursue the resection to get that tissue analyzed, the surgery should not be that difficult.
I read about some Meningeal metastasis cases of lung cancer, the sympton is the same as brain met but just can't find anything in MRI! What worst thing is there is no much efficient method to treat it (lung cancer patient can have WBR but the efficiency rate is low). A medcine that can go through the BBB seems to be the only way.
Another problem found in the MRI yesterday, actually 2 problems. 1. there are maybe 3 new brain mets, the biggest one is ~5mm. But the doctor is not sure of it because they're very small. 2. the 2 brain mets treated by Gama Knife in August 8th are bigger than the MRI done in Sept 5. Can it be the swelling after the Gama Knife? I don't think it's because of the MRI resolution (8mm) because George also feels headache in this position.
I will go to see the Gama Knife doctor today and maybe an neurosurgon as well. Any inputs are warmly welcome and much appreciated!