I am Sanman Kelkar from Mumbai India Turning 36 on June 28. I had first seizure of my life on January 26th 2011. The doctors later advised MRI and I was diagnosed with Oli Grade II with 4 cms of tumour. Later as advised by doctors, I underwent awake craniotomy by a neurosurgeon on February 3rd 2011. I was discharged on 8th February. In the discharge summary it was written that right frontal glioma Histopathology report awaited. In the histopathology report, it was written that
1) Tumor: Received multiple greyish soft bits aggregate measuring 2 x 1 x 0.8 cm Sections:1A-1B, Fro A, Fro B.
2) Tissue from suction and CUSA: Received multiple greyish friable bits of 5 x 4 x 1.5 cm. Sections 2A-2C.
Frozen Section diagnosis: Pathologic tissue seen. Oligodendroglioma-Tissue from Right Frontal SOL.
Microscopy: Sections show a moderately cellular glioma composed of proliferating oligodendroglial cells.
Diagnosis: Right Frontal Tumor Oligodendroglioma Grade II.
I was called for a follow up on 12th April 2011.
I did a MRI which again showed almost the same amount of tumor.
The neuro surgeon then directed me to a Radiation Consultant and an Onco Consultant. The radiation consultant advised me radiation treatment of 6 weeks, Monday to Friday i.e. Total of 30 sittings. The radiation method used was IMRT alongwith Temodal tablets 2 hrs before the radiation. I started the radiation on 26th april and ended on 8th June.
Now again they have called me after 2 months i.e. 19th august with another IMRI.
I have got completely bald with terrible black patches and tremendous loss of appetite due to nausea.
Also the doc now says, the tumor is interleaved and I might have to go for IV Chemotherapy which I am very uncomfortable with. Kindly advise.
Hi Sanman. First, I moved your post and created a new one for you. This way, people can reply to you without risking hijacking the original thread.
I am very sorry about your Oligodendroglioma. A grade II is relatively low so slow growing. It sounds like you are getting the same treatment that is standard here in the USA. I can fully understand the report. What I am not sure about is what "interleaved" means. Do you know what kind of IV Chemo he plans to offer? I know that Avastin is given by IV but so is Vincristin and other agents. Avastin is a newer addition to the oncologist's arsenal. Vincristin has been around for a very long time.