Basics of Brain Tumors
A brain tumor is a collection of cells that grow out of control. As they
continue to grow, they form a mass of cells that becomes a tumor. Brain
tumors form in 1 of 2 ways:
primary brain tumor starts with an abnormal brain cell and grows in the brain.
metastatic (secondary) tumor starts as a cancer in another part of the body (such as the lungs or breast)
and then spreads to the brain, where it forms a new tumor.
Doctors don't know why some cells begin to form into tumor cells. It
may have something to do with a person's genes or his or her environmen, or both.
The tumors can cause local damage by growing and pushing on crucial areas
of the brain. They can also cause problems if they block the flow of fluid
around the brain, which can lead to an increase in the pressure inside
the skull. Some types of tumors can spread through the spinal fluid to
distant areas of the brain or the spine.
A primary brain tumor can be malignant or benign:
A malignant tumor is more dangerous because it can grow quickly and may
grow into or spread to other parts of the brain or to the spinal cord.
Malignant tumors are also sometimes called brain cancer. Metastatic brain
tumors are always malignant because they have spread to the brain from
other areas of cancer in the body.
A benign primary brain tumor is not cancer. Benign tumors can cause damage
by growing and pressing on other parts of the brain, but they don't
spread. In some cases, a benign tumor can turn into a malignant tumor.
Symptoms of a brain tumor depend on the size and location of the tumor,
as well as other factors. They may include:
Weakness or numbness
Changes in speech, vision, hearing, or personality
Problems with balance or walking
Types of brain tumors
Beyond the type of brain tumor, the location of the tumor is important.
For example, some benign brain tumors can be quite harmful and cause severe
neurological problems if located in a crucial area of the brain. More
than 100 types of brain tumors have been identified, usually named by
the type of brain cell or part of the brain where they begin to grow.
Some of the more common types of primary brain tumors include:
Astrocytoma. This is the most common type of malignant brain tumor. They get their
name from the star-shaped brain cells that make up the tumor. They can
grow anywhere in the brain.
Meningioma. This is the most common type of benign brain tumor. It makes up about 1
out of 3 of all primary brain tumors. These tumors start in the lining
that covers the brain. In rare cases, they can become malignant.
Oligodendroglioma. These brain tumors form in the cells that make the lining that covers nerves,
called myelin. These tumors are usually malignant.
Astrocytomas are common in children, as they are in adults, but they are
less likely to be malignant. These are other common primary brain tumors
Medulloblastoma. This tumor type is malignant and forms in the back part of the brain called
the cerebellum, which is near the spinal cord. It can spread to the spinal
cord and cause spinal fluid to back up into the brain.
Ependymoma. This tumor, which can be seen in young children and young adults, can range
from benign to malignant. An ependymoma forms in the lining around fluid-filled
areas of the brain.
Brain stem glioma. This tumor can be benign or malignant and occurs in the base of the brain.
Metastatic brain tumors are more common than primary brain tumors in adults.
These tumors usually occur in more than 1 area of the brain. The most
common cancers that spread to the brain are lung, breast, colon, kidney,
and melanoma skin cancers.
Grading primary brain tumors
Most cancer centers that treat brain tumors use a grading system developed
by the World Health Organization. A tumor's grade is determined by
looking at cells from the tumor under a microscope. Tumor grading is important
because it is one factor that helps doctors decide how to treat a tumor.
Grade I and II tumors are typically considered low grade. They look more
normal under the microscope, are less likely to spread, and are easier
to treat. Grade III and IV tumors are considered high grade; they grow
more quickly, and are harder to treat. Over time, some low-grade tumors
become high-grade tumors.
Here is more specific information on tumor grades:
Grade I. These tumors are considered to be benign and slow growing. They may be
treated with surgery, they rarely come back, and a patient can usually
expect long-term survival.
Grade II. These tumors are considered to be malignant, but they grow slowly. They
are less likely to spread, but they may recur after treatment.
Grade III. These tumors are malignant and tend to spread to other parts of the brain.
They may come back as grade IV after treatment.
Grade IV. These are the most malignant tumors. They grow and spread most rapidly
and are least likely to be cured.
If you or a loved one has been diagnosed with a brain tumor, keep in mind
that many new treatments are available that are leading to longer survival
and better quality of life. Treatment will depend on a person's age,
overall health, and the tumor type, grade, location, and other factors.
Learn as much as you can about brain tumors and work closely with your
medical team to find the best treatment.