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Pineal Region Tumours Treatment by Neurosurgeon Dr. Rohan Sinha

Dr. Rohan Sinha is serving as a consultant at Jaypee Hospital, Noida. He is one of the most renowned Neurosurgeon in Noida. With experience of more than16 years, he has worked for some of the renowned hospitals in India. He did MBBS and MS from the Institute of Medical Sciences, Banaras Hindu University, Varanasi followed by MCh from the Institute of Medical Education and Research, Chandigarh. His Fellowship in Advanced Neurosurgery was done in Japan. His papers have been published in various well-known national and international journals.

Dr. Sinha’s expertise lies in cranial endoscopic procedures & avascular neurosurgeries like carotid endarterectomy, aneurysm clipping, microvascular decompression, AVM resection. He was bestowed with Best Surgical Student Award from Tara Chandra Surgical Education and Research Foundation.

Pineal Region Tumours

They occur in the primary central nervous system. These tumours begin in the brain but gradually can spread in the spinal cord. It is located deep in the middle of the brain and arises from stem cells near the pineal gland.

A piece of tumour tissue is removed during surgery to get an accurate diagnosis. A neuropathologist is required to review the tumour tissue.

Grades of Pineal Region Tumours

Tumours are graded based on their location, type, the extent of spread, genetic findings, the patient’s age, and tumour remaining after surgery.

Pineal region tumours are grouped into four grades.

  1. Grade I – Known as Pineocytoma are low-grade tumours that mean the tumour cells grow slowly.
  2. Grade II or III – Known as Pineal Parenchymal or Papillary tumours are both mid-grade tumours. This means the tumours have a higher risk of coming back after being removed.
  3. Grade IV - Pineoblastoma is malignant or cancerous. They are fast-growing and tend to invade nearby tissue. 

Causes

Tumours don’t have any specific reason for their occurrence. Certain internal imbalances or changes are a common reason.

  • Certain changes in genes
  • Mutation in genes that causes growth and spread of cells
  • Inherited genetic disorder
  • Symptoms of a Pineal Region Tumour

Signs And Symptoms Of This Tumour May Include:

  • Headaches
  • Nausea
  • Vomiting
  • Difficulty with eye movements
  • Difficulty with balance
  • Difficulty walking

Diagnosis

Various tests are necessary before surgery. Some of the common tests include

  • Magnetic resonance imaging (MRI)
  • Computer tomography (CT) scans of the brain
  • Specific high-resolution MRI
  • Lumbar puncture
  • Surgical Biopsy

Treatment of Pineal Region Tumour

Surgery is the first treatment for pineal region tumours. Its goal is to obtain tissue to determine the tumour type and to remove as much tumour as possible. It is done using a high-definition surgical telescope inserted via a small opening at the back of the head. A biopsy can be performed through ventricles.

After surgery treatment includes radiation, chemotherapy, and clinical trials. Other possible treatment options are Clinical trials with new chemotherapy, targeted therapy, or immunotherapy drugs. Depending on the factors the patient’s healthcare team decides the measures.

Take Away

With the rapid growth in technology and medical science, pineal tumours can be accessed by a minimally invasive keyhole endoscopic approach passing over the cerebellum. Using this cutting-edge technology you can have a much safer, more effective, and less invasive surgery. Contact Dr. Rohan Sinha for the best treatment and consultancy in Noida at Jaypee Hospital for all problems related to neurosurgery.

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Published Date
: 23-Jul-2021

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