During the fall of 1995, I had just turned 40 and was at the top of my legal profession. But I suddenly found myself getting totally exhausted each weekend. I was of no use to my wife, Ellie, or my kids.
One morning while using the treadmill, I saw stars. I drove myself to the emergency room; the doctors there thought I was having a heart attack. But tests showed no heart problems, so I went back to work -- I had to because I own my business. My internist sent me to a cardiologist and other specialists...
Updated statistics with estimated new cases and deaths for 2014 (cited American Cancer Society as reference 1).
Treatment Option Overview
Added text to state that the natural histories of these tumors are variable, depending on histological and molecular factors; therefore, treatment guidelines are evolving. Also revised text to state that therapy involving surgically implanted carmustine-impregnated polymer wafers combined with postoperative external-beam radiation therapy may play a role in the treatment of high-grade gliomas (grade III and IV gliomas) in some patients.
Management of Specific Tumor Types and Locations
Revised the Glioblastomas subsection extensively.
Revised text to state that patients who have oligodendrogliomas (WHO grade II) generally have a better prognoses than do patients who have diffuse astrocytomas; however, most of the oligodendrogliomas eventually progress.
Added text to include stereotactic radiosurgery for tumors less than 3 cm as a standard treatment option for grade 1 meningiomas and revised a treatment option to read fractionated radiation therapy for patients with resectable tumors.
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