Download Brain Metastasis from Melanoma PowerPoint Presentation

Login   OR  Register

Share page


Home / Health & Wellness / Health & Wellness Presentations / Brain Metastasis from Melanoma PowerPoint Presentation

Brain Metastasis from Melanoma PowerPoint Presentation

onlinesearch By : onlinesearch

On : Feb 24, 2014

In : Health & Wellness

Embed :

Login / Signup - with account for

  • → Make favorite
  • → Flag as inappropriate
  • → Download Presentation
  • → Share Presentation
  • Slide 1 - 68 y/o. Caucasian M Brain Metastasis from Melanoma Shintaro Ono Neurosurgery
  • Slide 2 - HPI The patient is a 68 y.o. gentleman with h/o metastatic melanoma primarily on his left neck with spread to adjacent lymph nodes as well as potential metastases to liver and lung. On May 21, 2009, He presented to the BI and underwent routine follow up with brain MRI which showed a large intracranial hemorrhagic lesion in the right frontal lobe. This was new since his prior scan which was on Nov. 11, 2008. Past Medical History - Metastic Melanoma to lung and liver - DM, HTN, and Af Past Surgical History - Left lung lower lobectomy for metastasis (12/11/08) - Appendectomy 60 years ago Medicatoin - lisinopril, aspirin, warfarin Allergy NKDA Family History - Non-contributory Social History - Farmer with extensive sun exposure - Tobacco; a cigar / week (stopped in 2009) - EtOH; No, - illicit drugs; No Case: 68 y/o. Caucasian M
  • Slide 3 - Physical Examinations VS: T: 98.5 BP: 146/79 HR: 103 R: 16 O2Sats: 96RA Gen: WD/WN, comfortable, NAD. HEENT: Pupils: 3-->1.5, bilat EOMs intact, Neck: Supple. Lungs: CTA bilaterally. Cardiac: irregularly irregular. S1/S2. Abd: Soft, NT, BS+ Extrem: Warm and well-perfused. Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Recall: 3/3 objects at 5 minutes. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Case: 68 y/o. Caucasian M
  • Slide 4 - Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Very slight left facial nerve droop, otherwise facial nerve intact and muscles intact, sensation intact to all fields VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. XI: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. Strength full power 5/5 throughout. Sensation: Intact to light touch, propioception, pinprick and vibration bilaterally. Coordination: normal on finger-nose-finger, heel to shin Case: 68 y/o. Caucasian M
  • Slide 5 - MRI Nov. 11, 2008. May. 21, 2009. Right frontal craniotomy was done on May 22, 2009. 4.5 x 3.7cm 4mm
  • Slide 6 - Post-operative MRI May. 21, 2009. May. 22, 2009. He was discharged on May 26, 2009. He is taking a course of whole brain radiation therapy.
  • Slide 7 - The most common intracranial tumors in adults (>50% in brain tumors). In patients with systemic metastasis, Brain Metastasis occurs 10 to 30 % in adults. The incidence of brain metastases is increasing due to improved imaging tools. Lung — 16 to 20 % Renal cell cancer — 7 to 10 % Melanoma — 7 % Breast cancer — 5 % Colorectal cancer — 1 to 2 % Brain Metastasis
  • Slide 8 - 50% to 75% of malignant melanoma patient end up with brain metastasis. Melanoma is the third most common cause of brain metastases in US. The incidence of malignant melanoma is increasing at rate greater than any other human cancer. Brain Metastasis from Melanoma
  • Slide 9 - Whole Brain Radio therapy WBRT after surgery reduce the rate of recurrence and possibly prolong survival. [Wen, PY, Loeffler, JS. Management of brain metastases. Oncology (Huntingt) 1999; 13:941.] [Skibber, JM, Soong, SJ, Austin, L, et al. Cranial irradiation after surgical excision of brain metastases in melanoma patients. Ann Surg Oncol 1996; 3:118.] Treatment Chemotherapy Brain Metastases from melanoma are generally resistant to chemotherapy. But, fotemustine and temozolomide have a possibility of treatment. [Jacquillat, C, Khayat, D, Banzet, P, et al. Final report of the French multicenter phase II study of the nitrosourea fotemustine in 153 evaluable patients with disseminated malignant melanoma including patients with cerebral metastases. Cancer 1990; 66:1873.] [Hwu, WJ, Lis, E, Menell, JH, et al. Temozolomide plus thalidomide in patients with brain metastases from melanoma. Cancer 2005; 103:2590. ]
  • Slide 10 - Craniotomy Large, single/dominant, and accessible lesions Patients with good performance status Patients with herniation or a posterior fossa mass effect Stereotactic Radiosurgery (SRS) Small(<3cm), multiple(=or<3), and deep lesions Patients unlikely to tolerate general anesthesia. Craniotomy vs SRS
  • Slide 11 - Resection, Craniotomy? SRS? Whole Brain Radiation Therapy (WBRT)? Chemotherapy? or Combination? Treatment for the patient What the reason for resection surgery and following WBRT?
  • Slide 12 - The Patient Good performance status (KPS 90 > 70) Large (>3cm), dominant Lesion Mass Effect Resectable The lesion cannot be well controlled with external radiation alone. Reasons for Surgery
  • Slide 13 - Reasons for Surgery
  • Slide 14 - Case: 68 y/o. Caucasian M with Brain Metastasis from Melanoma The incidence of malignant melanoma is increasing at a rate greater than any other human cancer. Patient with brain metastasis from melanoma still has poor prognosis. New treatment and medical progression is needed for better prognosis. Summary
  • Slide 15 - Thank you!!
  • Slide 16 - ppt slide no 16 content not found
  • Slide 17 - Patient Age; 68 y.o. (> 65 y.o.) Karnofsky Performance Score (KPS); 90 Metastasis; Lung, Liver, Brain Prognosis
  • Slide 18 - ppt slide no 18 content not found
Smoker Free PowerPoint Template


Views : 487

Swans Free PowerPoint Template


Views : 437

Drone Free PowerPoint Template


Views : 4021

Male Female Free PowerPoint Template

Male Female

Views : 557

Female Mosquito Free PowerPoint Template

Female Mosquito

Views : 461

4g Free PowerPoint Template


Views : 347

Nature Abstract Free PowerPoint Template

Nature Abstract

Views : 513

Air Baloon Free PowerPoint Template

Air Baloon

Views : 914

Health Tips Free PowerPoint Template

Health Tips

Views : 1027

Good Friday Free PowerPoint Template

Good Friday

Views : 912

Car Free PowerPoint Template


Views : 523

Jaguar Free PowerPoint Template


Views : 1067

Coffee Free PowerPoint Template


Views : 819

Anniversary Free PowerPoint Template


Views : 569

Interior Free PowerPoint Template


Views : 518

Credit Debit Card Free PowerPoint Template

Credit Debit Card

Views : 414

Domino Free PowerPoint Template


Views : 562

Firefighters Free PowerPoint Template


Views : 1231

Quit Smoking Free PowerPoint Template

Quit Smoking

Views : 572

Email Symbol Free PowerPoint Template

Email Symbol

Views : 458

Description : Available Brain Metastasis from Melanoma powerpoint presentation for free download which is uploaded by search an active user in belonging ppt presentation Health & Wellness category.

Tags : Brain Metastasis from Melanoma

Shortcode : Get Shareable link