Sunday, June 29, 2008

June 29th

Robert has completed his sixth and final round of chemo since completing his his initial six weeks of radiation and chemo after surgery. He was extremely tired and a bit nauseated with this cycle. He has been trying to get some extra rest and regain some energy. We will have the next MRI scan approximately one month after this round of treatment. The date has not been determined.

Summer is in full swing and it seems that everyone is on vacation or getting ready for a vacation. We will be leaving for Georgia on Tuesday and are looking forward to being away and spending time with everyone there. This has been a time of reflection for me and I am so thankful for the way that Robert has tolerated treatments and the positive reports that we have received after each MRI. I continue to try and take each day by day. Sometimes it seems overwhelming and we have to make a conscious effort to remind ourselves that relatively speaking - we are doing very well.

We have each other and we have so much to be thankful for. We are surrounded by so many people who care for us and continue to send us good wishes and for that we are forever grateful.

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My Condition - Glioblastoma Multiforme (or GBM)

I was diagnosed with Glioblastoma Multiforme (GBM). This condition has four different grades (I - IV). My tumor is a grade IV GBM. This is the most aggressive GBM tumor. I have included a little section of The Essential Guide to BRAIN TUMORS below to describe the condition more completely.

Astrocytoma

An astrocytoma develops from star-shaped glial cells (astrocytes) that support nerve cells. These tumors can be located anywhere in the brain, but the most common location is in the frontal lobe. Astrocytomas are the most common primary CNS tumor.

The physician, usually the neurosurgeon or neurooncologist, will discuss the type and location of an astrocytoma. The pathologist will assign it a grade. Astrocytomas are generally classified as low or high grade. Low-grade astrocytomas (grades I and II) are slow growing. High-grade astrocytomas (grades III and IV) grow more quickly. The main tumor type is listed for each grade. There are additional tumor types in each of these grades.

The WHO classification divides astrocytomas into four grades:

  • Grade I Pilocytic Astrocytoma
  • Grade II Low-Grade Astrocytoma
  • Grade III Anaplastic Astrocytoma
  • Grade IV Glioblastoma Multiforme (or GBM)

Characteristics

The characteristics of an astrocytoma vary depending on the tumor’s grade and location. Most people are functioning normally when diagnosed with a low-grade astrocytoma. Symptoms tend to be subtle and may take one to two years to diagnose. This is because the brain can often adapt to a slow-growing tumor for a period of time. Highgrade tumors may present with changes that are sudden and dramatic.

Symptoms

  • Headaches
  • Seizures or convulsions
  • Difficulty thinking or speaking
  • Behavioral or cognitive changes (related to thinking, reasoning, and memory)
  • Weakness or paralysis in one part or one side of the body
  • Loss of balance
  • Vision changes
  • Nausea or vomiting