My 96 yo mom has a brain tumor (meningioma)! What should we do?

The options for treatment of a meningioma brain tumor in a 96-year-old will depend on several factors such as the size and location of the tumor, the patient's overall health, and the presence of other medical conditions. In general, the goal of treatment for a meningioma is to remove as much of the tumor as possible while preserving neurological function and minimizing the risk of complications.

Surgery: Surgery is often the first-line treatment for meningiomas, particularly for those that are large or causing symptoms. However, in elderly patients, surgery is more challenging due to the increased risk of complications as well as the need for anesthesia.

Radiation therapy: Radiation therapy may be used in cases where the tumor cannot be completely removed with surgery or in cases where surgery is not an option. Radiation therapy involves the use of high-energy radiation to destroy cancer cells and shrink the tumor. This treatment is typically administered over several weeks and may be associated with side effects such as fatigue and skin irritation.

Radiographic surveillance: In some cases, particularly for meningiomas that are not causing symptoms, the doctor may recommend a wait-and-see approach. This involves monitoring the tumor with regular imaging studies such as MRI and CT scans to ensure that it is not growing or causing problems.

Ultimately, the decision regarding treatment options for a meningioma in a 96-year-old will depend on many factors, including the patient's overall health, the extent and location of the tumor, and the goals of treatment. It is important for the patient and their family to have a discussion with their healthcare provider to determine the best course of action for their individual situation.

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