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Brain Cancer

A brain tumour is a growth of cells in the brain that multiplies in an abnormal, uncontrollable way. It can either be cancerous (malignant) or non-cancerous (benign).

Brain tumours can affect people of any age, including children, although they tend to be more common in older adults.
More than 9,000 people are diagnosed with primary brain tumours in the UK each year, of which about half are benign and half are malignant. Many others are diagnosed with secondary brain tumours.

The type of brain tumour and how fast it grows will place it in one of four categories, with 1-2 being the slower-growing type that are less likely to come back after treatment and 3-4 for the faster growing type that may not be as easy to treat.

  • Grade 1-2 brain tumours are referred to as ‘Benign’ due to their slow, non-aggressive nature.
  • Grade 3-4 brain tumours are known as ‘malignant’  and can either start in the brain or spread there from elsewhere in the body. They are fast growing and much more likely to grow back after treatment.

Symptoms

As the brain is responsible for the operation of most other parts of the body, the tumour’s location will determine what symptoms are experienced. Common systems include;

  • Seizures (fits)
  • Prolonged vomiting, nausea and drowsiness
  • Severe and persistent headaches
  • Progressive weakness or paralysis on one side of the body
  • Memory problems
  • Mental or behavioural changes
  • Vision problems
  • Speech problems

These symptoms may only be mild to begin with and develop slowly over time.

Detection and diagnosis

If you are experiencing any of the symptoms listed above, it is imperative that you speak to a health professional for further investigation. This could involve either a MRI or CAT scan (both of which are painless) to determine a diagnosis.

Causes

The exact causes of benign and malignant brain tumours is not known, but in the majority of cases, malignant brain tumours are as a result of cancer that has spread to the brain. This can happen when if someone is suffering with either lung, bowel, melanoma skin cancer and breast cancer.

In a few cases, a brain tumour can start in the brain when it changes from a benign status to a malignant one. Again, it is not known why this happens.

Treatment

The overriding treatment for brain tumours, is surgery to remove as much abnormal tissue as possible. Chemotherapy may still be needed in addition to surgery, as it is not always possible to remove an entire tumour and any remain cancer cells need to be eradicated.

The success or failure of treatment for tumours will depend heavily on whether it is benign or malignant. Most people will recover from benign tumours, but the prognosis is not always so good when it is malignant, although age, location of the tumour and general health will affect the outcome also.

As with all cancers, an early diagnosis will improve your chances of survival. If you have any worries or symptoms, please do contact us today for a friendly chat.




Eye Cancer

Eye cancer, also known as ocular cancer, is rare, with around 430 cases diagnosed in the UK each year.

The five year survival rates for different stages of ocular melanoma are as follows:

  • Early stage small melanoma – 84 people out of 100 (84%) will live for at least five years after diagnosis
  • Medium stage eye melanoma – about 68 out of 100 (68%) will live for at least five years after diagnosis
  • Large eye melanoma – about 47 out of 100 people (47%) will live for at least five years after diagnosis

There are numerous types of eye cancers, most of which are extremely rare and they include;

  • Basal cell carcinoma
  • Lymphoma
  • Squamous cell carcinoma
  • Melanoma of the eye (this can be in the eye, eye socket or on the skin around the eye
  • Sebaceous cell carcinoma
  • Retinoblastoma (a childhood cancer)

The most common type of eye cancer (although all are very uncommon) is intraocular eye melanoma (inside the eye), which is inside the eye itself. It can originate in the eye or spread there from other areas.

Symptoms

As eye problems are by their very nature quickly noticed, the following symptoms should be easily picked up;

  • Partial, blurring or total loss of vision
  • Bulging of one eye (proptosis)
  • Pain in the eye area
  • A lump on your eyelid
  • A change in appearance of the tissue around the eye
  • Spots, lights or uneven lines in your field of vision

There are other conditions that share these symptoms, so you don’t necessary have cancer if you have experienced any of them. However, it is very important to get it looked at by a health professional as soon as you can. Early diagnosis more often than not leads to an increased chance of recovery.

There aren’t always symptoms of ocular melanoma and the condition can be detected during routine eye tests.

Detection and diagnosis

If it is deemed that you may have a melanoma of the eye, you may be referred one of the UK’s opthalmic specialist centres, which are located in; London, Sheffield, Liverpool or Glasgow.

Whilst there, it is probable that a variety tests will be carried out to determine the exact nature of the abnormality.

  • Ultrasound scans are often used on the affected eye to get a detailed picture and you may be required to have numbing eye drops which will blur your vision for a time.
  • Ocular probes can be used to find out more about the tumor and it’s location. They can be uncomfortable, but shouldn’t hurt as lubricating gel is administered to reduce friction during the procedure.
  • Fluorescein angiograms involve dye being injected into the bloodstream and can help identifying ocular problems.
  • A Biopsy is also something that can help identify your problem, by taking a tissue sample and analysing it under a microscope for abnormalities

Causes

No direct cause is known for eye cancer, but the following can increase your risk of melanoma;

  • those with lighter-coloured eyes are more at risk than those with brown eyes
  • suspicious moles in the eye area can lead to secondary cancer in the eye
  • there is some evidence that has linked vocations such as welding, due to exposure to ultraviolet radiation

Treatment

As with most cancers, the treatment required will depend on the type, size and location of the melanoma.

Enucleation In severe cases, where the tumour has grown large, the eye may need to be removed to prevent the cancer spreading. This may be combined with radiotherapy to ensure all the cancer cells have been destroyed.

Local Resection – may be carried out if the prognosis for saving some sight is good. By cutting out the tumor and removing all cancer cells, it might be possible to save the eye.

Radiotherapy is performed in almost 70% of ocular melanoma cases and often include;

  • Plaque brachytherapy
  • Proton beam radiotherapy
  • Steriotactic radiosurgery

If you have any concerns regarding eye cancer, please call us today for a friendly chat.




Mouth Cancer

Mouth cancer is a type of cancer that comes under the umbrella term ‘cancers of the head and neck’. Other types of head and neck cancers include:

  • cancer of the oesophagus (gullet)
  • cancer of the larynx (voice box)
  • cancer of the nasopharynx (the area where the nose and throat connect)
  • cancer of the thyroid gland (a gland located on either side of the windpipe)

Mouth cancer is an uncommon type of cancer, accounting for one in 50 of all cancer cases. In the UK, just over 6,767 new cases of mouth cancer were diagnosed in 2011 (the latest reliable data).
Most cases of mouth cancer first develop in older adults who are between 50-74 years of age.

Mouth cancer, also known as oral cancer, is where a tumour develops on the surface of the tongue, mouth, lips or gums.

Tumours can also occur in the salivary glands, tonsils and the pharynx (the part of the throat from your mouth to your windpipe) but these are less common.

Squamous cell carcinoma is the most common type of mouth cancer, accounting for nine out of 10 cases. Squamous cells are found in many places around the body, including the inside of the mouth and under the skin.


Less common types of mouth cancer include:

  • Iral malignant melanoma – where the cancer starts in cells called melanocytes, which help give skin its colour
  • Adenocarcinomas – cancers that develop inside the salivary glands

Symptoms

As the following symptoms are easily experienced with much more minor conditions, it is not deemed suspicious until they have last at least 3-4 weeks.

  • Red or white patches on the lining of your mouth or tongue
  • An unexplained lump in the mouth or on the lips
  • Unusual bleeding or numbness in the mouth

Detection and diagnosis

Once a problem is suspected, a health professional can examine your mouth and that can lead to a biopsy where a sample of the mouth tissue is taken to check for cancerous cells.

There are 3 types of biopsy that may be conducted;

  1. A punch biopsy may be carried if the affected area is easily accessible. Your mouth will be numbed with a local anaesthetic before a specialist will cut away a small sample for analysis.
  2. A fine needle aspiration (FNA) is a type of biopsy used if it is suspected a swelling in your neck is the result of mouth cancer. Your neck is anaesthetised so a small sample of tissue and fluids can be taken from the lump. The sample is then checked for cancerous cells.
  3. A panendoscopy is used if the suspicious area is at the back of your throat or inside one of your nasal cavities. A long thin tube with a camera and a light is used to guide it through the nose, then used to remove a small section of tissue for the biopsy. The panendoscope can also check whether cancer has spread from your mouth to further down your throat, such as your larynx (voice box), oesophagus (gullet) or trachea (windpipe).

It is uncommon for mouth cancer to spread further than the lymph nodes near your mouth, although in some cases it may also spread to surrounding bones, such as the jaw bone, and in some cases your lungs.

However, it is imperative that you get checked sooner rather than later, to prevent the spread of the disease. If the disease reaches your lymph nodes, then it can move anywhere in the body.To check for this, further tests may include;

  • An X-ray
  • A magnetic resonance imaging (MRI) scan
  • A computerised tomography (CT) scan
  • A positron emission tomography (PET) scan

Further biopsies on nearby lymph nodes may also be carried out.

Causes

Lifestyle can play a big part in your risk of mouth cancer. You can be of an increased risk if;

  • You are a smoker
  • You are heavy drinker
  • If you are a heavy drinker and a smoker it increases your risk further
  • Infection with the human papilloma virus (HPV), the virus that causes genital warts

Treatment

Once a diagnosis of mouth cancer has been made, there are 3 main ways to treat it;

  • Surgery – where the cancerous cells are surgically removed and, in some cases, some of the surrounding tissue
  • Chemotherapy – where powerful medications are used to kill cancerous cells
  • Radiotherapy – where high energy X-rays are used to kill cancerous cells

These treatments are often used in combination. For example, a course of radiotherapy and chemotherapy may be given after surgery to help prevent the cancer returning.

If you have any concerns regarding mouth cancer, please contact us today for a friendly chat.