|
Brain cancer cases
Case 1: Oligodendroglioma-glioblastoma
Pathology
Name: Sirvart Doganian de Topalian
Age: 74 years old
Country: Brazil
Reason of consultation:
Brain tumor
Personal antecedents:
No personal antecedents to remark.
Family antecedents:
No family antecedents to remark.
Present disease antecedents:
On 09/02/1999: she has a cranial CAT done which shows
as a conclusion a left frontal expansive lesion. Front-parietal
expansive process, whose nature is to be clarified.
On 06/15/1999: she has a magnetic nuclear resonance
done which shows left frontal expansive lesion that
presents heterogenic aspect and irregular contours,
observing hyper-signal areas in T1 and hypo-signal
in T2. Suggesting blood component, signs of peri-lesional
edema, there is expansive effect characterized by
erasing of the adjacent lines and compression of the
left lateral ventricle, with slight deviation of the
middle line structures. This lesion measures approximately
4 cm. Of diameter. The conclusion is that the magnetic
nuclear resonance aspect is of a left frontal blastomatose
process of probable glial origin.
09/26/1999: She has another cranial CAT done that
does not show significant changes considering the
previous ones.
On 09/28/1999: By per-surgery biopsy is diagnosed
primary mixed brain malignant neoplasy, oligodendroglioma-glioblastoma.
On 12/23/1999: A new cranial computerized tomography
is done which shows: Signs of left frontal craniotomy,
hypo-atenuating area in left frontal area is observed,
in the borders of the craniotomy, which after the
intra-venous injection of yode contrast, produces
annular highlighting. Recidivism? Accentuation of
cortical lines and fissures and cerebella lines. Centro
medial structures without deviation relating the middle
line. Slight expansion of the supra-tentorial ventricular
system. Post-surgery control.
On 01/17/2000: A cranial magnetic resonance is done,
conclusion: left frontal lesion suggesting glial originated
lesion, in relation to the previous exam of 09/15/1999
a reduction of the dimensions of the described lesion
is observed.
Observation: Signs of right maxillary sinusopathy
and bilateral sphenoidal.
On 05/26/2000: Encephalic magnetic resonance, conclusion:
post-surgery control of left frontal neoplasy, post-surgery
alterations with blood rests occupying the surgery
remotion cavity. Extended alteration of the sign of
the white substance of the brain hemispheres, of unspecific
nature, maybe representing gliosis, de-mielinization
associated to micro-angiopathies, not being possible
to exclude post-actinic leuco-encephalopathy if the
patient underwent radiotherapy. Gliosis focuses and/or
ischemic lagoons, and/or peri-vascular spaces extended
in lentiform nucleus, caudated, internal capsules
and sub-insular regions. Cortico-subcortical encephalic
volumetric reduction.
Disease evolution:
She begins to take GREEN SAP drops at a dosage of
40 drops, 6 times per day in August, 2000.
On 08/31/2000: An encephalic magnetic resonance is
done which shows, conclusion: post-surgery control,
blood rests occupying surgery remotion area with smaller
dimensions in relation to the last exam with no evidences
of local recidivism.
The rest of the findings did not alter significantly
from the last study.
On 01/30/2001: An encephalic magnetic resonance is
done which shows: conclusions: Post-surgery control
exam of left frontal neoplasy, in relation to the
previous exam (from 08/31/2000) it is noted a reduction
of the dimensions of the blood content and the contrast
associated of the medium left frontal lesion and in
correspondence to the surgery layer. Slight increase
of the extension of the diffuse signal alteration
in the white substance of the brain hemispheres, of
unspecific significance. If there has been radiotherapy
post-actinic leuco-encephalopathy has to be the first
diagnose consideration.
On 04/27/2001: Encephalic magnetic resonance, in relation
to the previous exam of 01/30/2001, there are evidences
of partial absorption of the blood rests, which are
situated in the surgery layer, as well as of the associated
residual contrast; with other findings practically
unaltered.
No evidences of local neoplasic recidives have aroused.
On 09/04/2001: Cranial magnetic resonance, conclusions:
Analysis: Signs of left frontal craniotomy, slight
expansion of the supra-tentorial ventricles, without
hypertensive characteristics, slight expansion of
the IV ventricle, slight accentuation of cortical
lines and fissures and of the basal cisterns. Excepting
for lines in the left frontal region, which are partially
fainted. Diffuse hypersignal in T2, and Flair in the
white substance bilaterally compatible with leuko-encephalopathy.
Presence of magnetic susceptible articles in the craniotomy
area which may give partly the adjacent structures
image.
On 08/14/2002: Cranial magnetic resonance, showed:
left frontal craniotomy, with presence of slight irregular
areas of post-contrast highlighting, besides the surgery
layer, less evident in the present study.
Magnetic susceptible artifacts adjacent to the craniotomy.
Peri-vascular spaces extended. There persist extended
areas of signal alteration, characterized by a high
sign in T2 and Flair that does not present post-contrast
highlighting, compromising the white substance of
both brain hemispheres. Suggesting post-actinic alterations.
The rest of the encephalic parenchyma with normal
sign intensities. Crane-vertebral transition without
abnormalities. Extended cortical lines. Big Silvian
caesuras and basal cisterns. Dilatation of the supra-tentorial
ventricular system, IV ventricle with normal form
and dimensions.
Comparatively to the previous exam, reduction of the
extension and intensity of the signals of the post-contrast
highlighting areas was observed adjacent to the left
frontal craniotomy.
Cranial magnetic resonance was made on 01/02/2003,
which shows: left frontal post-surgery status. The
comparative analysis of the present exam to that of
the previous one no significant alterations are observed.
Irregular contrast focus in the left frontal white
substance which can correspond to a gliosis focus
but does not discard recidivism signs. Increase of
the encephalic liquid spaces. Signs of micro-leuko-angiopathy,
peri-ventricular and in semi-oval centers.
We must remark that the patient received in all this
period GREEN SAP drops as medicament, finding herself
as it arises from the imagenologic results, stable
since 2 years and a half ago with the intake of the
medicament. Although the tumor extirpation was performed
we think that this therapy alone does not justify
the excellent evolution she had afterwards, reason
why we consider her asymptomatic in clinic cure, receiving
maintenance dosage of the medicament.
Conclusions:
It is about a patient of 74
years old at present, with a brain malignant neoplasy
of ominous prognosis. This neoplasy was extirpated,
turning out to be a oligodendroglioma-glioblastoma,
the patient in the 2000 begins to take the medicament,
maintaining unchanged the imagenology and with a tendency
to reduction. GREEN SAP evidently acted crossing the
hemato-encephalic barrier as we stated in the central
nervous system GREEN SAP anti-tumor action. This appears
evident by the excellent result achieved as in the
other cases already referred. This is why that a direct
GREEN SAP action on the tumor is observed, although
before we did not have the experience we nowadays
have and was stated that GREEN SAP could not cross
the hemato-encephalic barrier as well as many other
medicaments.
Nowadays, with the acquired experience and the results
achieved by the patients, we firmly think that GREEN
SAP has a very well deserved position in the treatment
of the Central Nervous System tumors, obtaining remissions,
stabilizations and clinic cures. It is remarkable
that no endo-cranial hypertension syndrome has produced,
and this would be related to the mass effect taken
away by the surgery, but also to the anti-inflammatory
and stabilization effect of GREEN SAP.
This is a case that fills us with proud. The use of
our medicament, which has already been proved by time
and the empiric experience, has led a very difficult
prognosis patient, even with the more modern conventional
techniques, to a state of health. At the present moment
she is in cure and can perform the tasks that other
people of her age develop. GREEN SAP is a medicament
of proven efficacy, even in so dangerous diseases
and recommendable in oncology pathology. We can affirm
this medicament is a so fortunate finding from the
medical point of view that enables us to have such
rewards as the one offered by this patient. This medicament
is not an improvisation and hundreds of cases all
around the world testify so. It creates hope where
there is hopelessness, creates strength where the
body and the soul weak and from the medical point
of view achieves a percentage of cure that plenty
justifies what we previously said.
|