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Brain Mets
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The most frequently seen CNS tumors
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Lungbreastgastrointestinal
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Brain mets may come from any primary site within the body including the head/neck, prostate, and melanoma. Name the 3 most common sites that are sources for brain mets.
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25%
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Brain mets occurs in about ____% of patients with cancer.
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CT w/contrastMRI
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What diagnostic procedures are used to evaluate patients for brain mets
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Nauseaedema
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Name 2 symptoms of brain mets
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Dexamethasoneedema (swelling)
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If brain mets is confirmed, the patient should be placed on what drug?Why?
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The inability of some chemo drugs crossing the blood brain barrier
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Radiation is the treatment of choice over chemo...Why?
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Supratentorial compartment
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80% of parenchymal mets occur where?
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Cerebrum (or front of brain) - composed of the right and left hemispheres
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Where is the supratentorial compartment
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Tsmall cell or oat cell lung cancer
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T or Fsome cancers have a greater frequency of brain mets, therefore, the brain is treated prophylacticallyif T, name 1
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Skullduraarachnoidpiaparenchymal substance
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What are the most common areas for brain mets (5)
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Headacheweaknesscognitive or affective disturbancevertigoseizures
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The presenting symptoms of brain mets are (5) ?
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Headache
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What is the most frequent symptom of brain mets?
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1 cm flash off skin of top of head
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FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:Superior ?
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Cervical Vertebrae C-2
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FIELD BORDERS FOR A WHOLE BRAIN FIELD FOR METASTATIC DISEASE:Inferior ?
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