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Overview of Glioblastoma
Glioblastoma is an aggressive form of brain cancer that arises from glial cells, which
are supportive cells in the brain. Known for its rapid growth and resistance to
treatment, glioblastoma is one of the most challenging cancers to manage. Despite
advances in medical science, the prognosis for glioblastoma patients remains poor,
with average survival rates ranging from 12 to 15 months’ post-diagnosis.
Understanding the early warning signs and symptoms of glioblastoma is crucial for
seeking timely medical intervention, which can significantly improve outcomes and
quality of life.

Understanding Glioblastoma

Glioblastoma, also known as glioblastoma multiforme (GBM), is classified as a Grade
IV astrocytoma by the World Health Organization (WHO), indicating its high
malignancy. This cancer typically originates in the cerebral hemispheres but can
occur in any part of the brain or spinal cord. The exact cause of glioblastoma is
unknown, but risk factors include genetic mutations, exposure to ionizing radiation,
and certain inherited conditions. Glioblastomas are highly invasive, infiltrating
surrounding brain tissue, which complicates surgical removal and contributes to
frequent recurrence even after aggressive treatment.

Early Warning Signs and Symptoms of Glioblastoma
Recognizing the early warning signs of glioblastoma is essential for prompt diagnosis
and treatment. Common symptoms include persistent headaches, often more severe
in the morning or when lying down, due to increased intracranial pressure. Patients
may also experience seizures, which can manifest as sudden, uncontrolled electrical
activity in the brain, leading to convulsions or altered consciousness. Cognitive and
personality changes are another hallmark, with patients showing memory loss,
difficulty concentrating, or altered behaviour. Additionally, motor function
impairments such as weakness on one side of the body, difficulty with balance and
coordination, and vision problems like blurred vision or double vision can occur.
Nausea and vomiting, especially when associated with headache, are also common
symptoms due to increased pressure in the brain. It's important to note that these
symptoms can vary significantly depending on the tumor's location and size, making
it vital to seek medical attention if these signs are present.

Seeking Timely Diagnosis
Timely diagnosis of glioblastoma is critical for improving patient outcomes. Early
detection allows for more effective intervention and management of symptoms.
Diagnostic evaluation typically begins with a thorough medical history and
neurological examination to assess cognitive function, motor skills, and reflexes.
Imaging tests such as Magnetic Resonance Imaging (MRI) and Computed
Tomography (CT) scans are essential tools in identifying the presence and extent of
brain tumors. MRI, in particular, provides detailed images of brain structures and is
highly effective in detecting glioblastoma. In some cases, a biopsy may be necessary
to confirm the diagnosis. This involves surgically removing a small tissue sample from
the tumor and examining it under a microscope for cancerous cells. Advanced
diagnostic techniques, such as molecular testing, can further classify the tumor based
on genetic mutations, which can guide targeted therapy options. Given the
aggressive nature of glioblastoma, early and accurate diagnosis is crucial for initiating
treatment strategies that may include surgery, radiation therapy, and chemotherapy.

Conclusion
Glioblastoma is a formidable opponent in the realm of oncology, but early
recognition of its symptoms and timely diagnosis can make a significant difference in
patient outcomes. Persistent headaches, seizures, cognitive changes, and motor
impairments should not be ignored, and immediate medical evaluation is essential.
With advances in imaging and molecular diagnostics, there is hope for more effective
treatment options and improved survival rates. Awareness and education about the
early warning signs of glioblastoma are vital steps in the fight against this aggressive
brain cancer.

Recent Oncological Imaging

Dr. Hrishikesh Sarkar
Senior Consultant-Neurosurgery


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