My mother has a HII-9710 GLIOBLASTOMA MULTIFORME.
and she is 65 yrs old. She has it removed and next 12th Sep’11 onwards radiation and chemo–pill will be started. They give him 8-12 mths to live. Is there any other answer or help available? She is having her treatment one of the best oncology units possible…but that is not enough for us…Please find the discharge summary & please please help us…

DISCHARGE SUMMARY
Name of the patient : Ms Krishna Sengupta
Age / Sex : 65 / F
Date of admission : 30.08.11
Date of Surgery : 30.08.11
Date of discharge : 08.09.11
Consultant : Dr. S. Ghosh, M.Ch(Neuro)

Diagnosis:
LEFT PARIETAL GLIOBLASTOMA MULTIFORME KARNOFSKY PERFORMANCE STATUS SCORE 60.

INTERSTITIAL LUNG DISEASE.

Surgery:
LEFT POSTEROTEMPORAL CRANIOTOMY AND PARTIAL EXCISION OF TUMER ON 30.08.2011by Dr. S.Ghos, M.Ch.(Neuro) at Appolo Specialty Hospital, Chennai, India.

HPE Report:
HII-9710 GLIOBLASTOMA MULTIFORME.

History of present illness:
67 years old lady presented with occasional headache since 4 days & weakness of the right hand since 10 days which progressed to involve the whole of right upper limb and then the right lower limb. There was also involvement of the face. There was no h/o vomiting, slurred speech, and diplopia. There was no h/o bladder and bowel involvement. No history of co-morbidities.

On Examination:
Pulse = 86/min,
BP = 120/70 mmHg,
RR = 22/min,
Temp = afebrile,
CVS, RS, Abd = NAD
CNS
Higher functions = GCS – 15/15, sensory inattention, Speech was slow but fluent, Right handed.
Cranial nerves = PERL 3 (+)
EOM = Full
Fundus = Could not be visualized, B/L pseudophakia
Others = Rt, UMN 7th NERVE PALSY
Motor System = Power – 1/5 in right side, 5/5 in left side. // Tone – Right sided spasticity.
DTRs = ++ in left side, 3+ on right side
Plantars = flexor on left side, extensor on right side
Sensory system = Grossly normal
Gait = Could not be tested
Cerebellum = Normal
Spine = Normal

Course in the hospital:
On admission, clinical evaluation and necessary investigation were done, CT scan brain plain and contrast showed left peripherally enhancing SOL with minimal mass effect and perilesional edema. The nature of the illness and the need of surgical intervention were explained to her attendants. After preoperative evaluation, fitness from Cardiologist and consent he was taken up the following procedure.

Operative Procedure:
LEFT POSTERO TEMPOROPARIETAL CRANIOTOMY AND PARTIAL EXCISION OF TUMER.

Findings:
Ill defined, grayish yellow moderately vascular soft suckable SOL with cyst containing yellowish fluid.

Postoperatively she developed urinary infection. She was treated after getting culture and sensitivity report. She had Bronchiectasis and bronchiolitis for which she was referred to pulmonologist. Drain was removed on POD 3. She was treated prophylactic antibiotics, analgesics, antiepilepties, steroids and other necessary medications. She was mobilized gradually. The HPE was reported as glioblastoma multiform. Sutures were removed on POD 7, Post operative CT scan was satisfactory. She was advised to undergo chemoradiation at her local center.

Condition at discharge:
Conscious, GCS – 15/15, ambulant, taking solid food, right sided weakness improving with physiotherapy, surgical wound healthy.

Advice:
• Normal Diet
• Physiotherapy to continue at home
• Chemoradiation to be taken at home town
• Tab. Eption 100mg 1-1-1 to continue
• Tab. Dexa 2 mg 1-1-1 to continue till radiotherapy
• Tab. Cremalx 10mg 1-0-1 for 1 week
• Tab. Dolo 650mg 1-0-1 for 1 week
• Tab. Pan 40mg 1-0-1 for till radiation therapy is over
• Syp. Sucrafil 10ml twice daily till radiation therapy is over
• Oral glycerol 30 ml 1-1-1 to continue till radio therapy is over
• Tab. Lasilactone 25 mg 1-0-0 to continue till radiation therapy is over
• To review with Doctor after 3 months.

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A concerned mother. Ann

We are cameroonians and we cannot expect help from our governement as we were told that we need to evacuate her my sister who is suffer=ing from an ear tumour.Being from a poor home, the family is since then gathering money and also looking for the cheaper way to evacuate and save her life.sir i would be grateful if you can help be me to be in touch or give me the contact of any clinic that can estime the cost of such an operation in south africa.
time is running an we are planning to evacuate latest march 2010.
thanks in advance for your concern and extend my encouragements to your entire staff