A schwannoma is a benign nerve sheath tumor composed of Schwann cells. It is nothing
but the tumor of the nerve sheath, tissue covering the nerves.
This kind of tumor is not often cancerous. If cancerous, they are termed as malignant
schwannoma. They can occur in any part of the body. The common sites, where the
schwannoma invade are the Sciatic nerve, Brachial Plexus and Sacral plexus.
The difference between benign tumors and malignant tumors is to be understood.
The benign tumors are not cancerous cells. They do not spread to other parts. But
when it hits sensitive areas, it can become life threatening.
When it is removed, it rarely occurs. Very rarely, there is a chance of recurrence
of this turning to malignant.
Whereas, the malignant brain tumor is itself very dangerous. They grow rapidly and
invade the surrounding tissues. In rare cases, the cancerous cells break away from
the malignant tumor and spread to the other parts of the spinal cord or even to
other parts of the body. This condition is termed as metastasis.
When the cancerous cell doesn’t extend to other healthy tissues and invade it. In
such cases, the growth persists within a particular layer of tissue, such kind of
malignant tumor is known as encapsulated.
The brain tumors are classified into two:
The tumors that begin in the brain tissue are known as primary brain tumors. The
secondary brain tumors are so named when the tumor spreads to brain from any other
parts or organs of the body. This kind of tumor is also known as metastatic tumor.
Symptoms of brain tumor
The most common symptoms seen in persons afflicted with brain tumor are headaches
(that occurs more often in the morning), nausea or vomiting, irrelevant speech or
disturbance in vision or hearing. Has change in mood and concentration, Lack of
memory, seizures, numbness or tingling in the arms or legs.
Clinical manifestations of primary brain tumors
Patients commonly present with a sub acute progressive neurologic deficit exhibiting
either focal signs or personality changes. Prior mental changes or seizures may
antedate tumor diagnosis. Clinical symptoms may occur abruptly with seizures or
with sudden deficits secondary to tumor haemorrhage.
MRI scans often define more extensive tumor involvement than is indicated on the
CT scan.
Malignant astrocytoma can arise in the brain stem, cerebellum or spinal cord in
addition to the more common locations within the white matter of the cerebral hemispheres.
Treatment
Confirmation of histology by biopsy should be performed in most patients; debulking
(to remove part of the tumor) of tumor is recommended if the tumor is located in
an area that permits an extensive operation. Large tumor resections are more likely
than biopsies to disclose small glioblastoma tumor foci within anaplastic astrocytoma.
The conventional treatment includes surgery, chemotherapy and radiotherapy.