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|00000000| 05 00 0c 00 41 01 2a 02 | 60 03 a7 04 41 20 74 75 |....A.*.|`...A tu|
|00000010| 6d 6f 72 20 69 73 20 61 | 6e 20 61 62 6e 6f 72 6d |mor is a|n abnorm|
|00000020| 61 6c 20 6d 61 73 73 20 | 6f 66 20 74 69 73 73 75 |al mass |of tissu|
|00000030| 65 20 74 68 61 74 20 66 | 6f 72 6d 73 20 77 68 65 |e that f|orms whe|
|00000040| 6e 20 63 65 6c 6c 73 20 | 69 6e 20 61 20 73 70 65 |n cells |in a spe|
|00000050| 63 69 66 69 63 20 61 72 | 65 61 20 72 65 70 72 6f |cific ar|ea repro|
|00000060| 64 75 63 65 20 61 74 20 | 61 6e 20 61 63 63 65 6c |duce at |an accel|
|00000070| 65 72 61 74 65 64 20 72 | 61 74 65 2e 20 54 68 6f |erated r|ate. Tho|
|00000080| 75 67 68 20 74 75 6d 6f | 72 73 20 6d 61 79 20 62 |ugh tumo|rs may b|
|00000090| 65 20 6d 61 6c 69 67 6e | 61 6e 74 20 6f 72 20 62 |e malign|ant or b|
|000000a0| 65 6e 69 67 6e 2c 20 61 | 6c 6c 20 62 72 61 69 6e |enign, a|ll brain|
|000000b0| 20 74 75 6d 6f 72 73 20 | 61 72 65 20 73 65 72 69 | tumors |are seri|
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|000000d0| 75 6d 6f 72 73 20 69 6e | 76 61 64 65 20 73 75 72 |umors in|vade sur|
|000000e0| 72 6f 75 6e 64 69 6e 67 | 20 74 69 73 73 75 65 73 |rounding| tissues|
|000000f0| 2c 20 73 70 72 65 61 64 | 20 74 68 72 6f 75 67 68 |, spread| through|
|00000100| 20 74 68 65 20 62 6c 6f | 6f 64 73 74 72 65 61 6d | the blo|odstream|
|00000110| 20 6f 72 20 6c 79 6d 70 | 68 61 74 69 63 20 73 79 | or lymp|hatic sy|
|00000120| 73 74 65 6d 20 74 6f 20 | 66 6f 72 6d 20 61 20 73 |stem to |form a s|
|00000130| 65 63 6f 6e 64 61 72 79 | 20 67 72 6f 77 74 68 2e |econdary| growth.|
|00000140| 00 42 65 6e 69 67 6e 20 | 74 75 6d 6f 72 73 20 74 |.Benign |tumors t|
|00000150| 65 6e 64 20 74 6f 20 67 | 72 6f 77 20 6d 6f 72 65 |end to g|row more|
|00000160| 20 73 6c 6f 77 6c 79 20 | 61 6e 64 20 72 65 6d 61 | slowly |and rema|
|00000170| 69 6e 20 77 69 74 68 69 | 6e 20 61 20 66 69 62 72 |in withi|n a fibr|
|00000180| 6f 75 73 20 63 61 70 73 | 75 6c 65 2e 20 54 68 69 |ous caps|ule. Thi|
|00000190| 73 20 6d 61 6b 65 73 20 | 73 75 72 67 65 72 79 20 |s makes |surgery |
|000001a0| 61 6e 64 20 72 65 6d 6f | 76 61 6c 20 6d 6f 72 65 |and remo|val more|
|000001b0| 20 73 74 72 61 69 67 68 | 74 66 6f 72 77 61 72 64 | straigh|tforward|
|000001c0| 2e 20 42 65 63 61 75 73 | 65 20 74 75 6d 6f 72 73 |. Becaus|e tumors|
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|000001f0| 79 20 61 72 65 20 76 65 | 72 79 20 64 61 6e 67 65 |y are ve|ry dange|
|00000200| 72 6f 75 73 20 69 6e 20 | 74 68 65 20 63 6f 6e 66 |rous in |the conf|
|00000210| 69 6e 65 64 20 73 70 61 | 63 65 73 20 6f 66 20 74 |ined spa|ces of t|
|00000220| 68 65 20 73 6b 75 6c 6c | 2e 00 53 59 4d 50 54 4f |he skull|..SYMPTO|
|00000230| 4d 53 2e 20 20 41 73 20 | 74 68 65 20 74 75 6d 6f |MS.  As |the tumo|
|00000240| 72 20 67 72 6f 77 73 20 | 69 74 20 70 72 65 73 73 |r grows |it press|
|00000250| 65 73 20 6f 6e 20 6e 6f | 72 6d 61 6c 20 62 72 61 |es on no|rmal bra|
|00000260| 69 6e 20 74 69 73 73 75 | 65 73 20 63 61 75 73 69 |in tissu|es causi|
|00000270| 6e 67 20 68 65 61 64 61 | 63 68 65 20 6f 72 20 77 |ng heada|che or w|
|00000280| 65 61 6b 6e 65 73 73 20 | 69 6e 20 74 68 65 20 61 |eakness |in the a|
|00000290| 72 6d 73 20 6f 72 20 6c | 65 67 73 2e 20 52 65 66 |rms or l|egs. Ref|
|000002a0| 6c 65 78 65 73 20 77 69 | 6c 6c 20 62 65 20 61 67 |lexes wi|ll be ag|
|000002b0| 67 72 61 76 61 74 65 64 | 20 61 63 63 6f 6d 70 61 |gravated| accompa|
|000002c0| 6e 69 65 64 20 77 69 74 | 68 20 61 20 6c 6f 73 73 |nied wit|h a loss|
|000002d0| 20 6f 66 20 73 65 6e 73 | 61 74 69 6f 6e 20 6f 6e | of sens|ation on|
|000002e0| 20 74 68 65 20 6f 70 70 | 6f 73 69 74 65 20 73 69 | the opp|osite si|
|000002f0| 64 65 20 66 72 6f 6d 20 | 74 68 65 20 74 75 6d 6f |de from |the tumo|
|00000300| 72 2e 20 54 68 65 20 70 | 61 74 69 65 6e 74 27 73 |r. The p|atient's|
|00000310| 20 73 70 65 65 63 68 20 | 77 69 6c 6c 20 62 65 20 | speech |will be |
|00000320| 69 6d 70 61 69 72 65 64 | 20 69 66 20 74 68 65 20 |impaired| if the |
|00000330| 74 75 6d 6f 72 20 69 73 | 20 6c 6f 63 61 74 65 64 |tumor is| located|
|00000340| 20 6f 6e 20 74 68 65 20 | 6c 65 66 74 20 73 69 64 | on the |left sid|
|00000350| 65 20 6f 66 20 74 68 65 | 20 62 72 61 69 6e 2e 00 |e of the| brain..|
|00000360| 44 49 41 47 4e 4f 53 49 | 53 2e 20 20 54 6f 20 66 |DIAGNOSI|S.  To f|
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|00000380| 68 65 20 70 68 79 73 69 | 63 61 6c 20 65 78 61 6d |he physi|cal exam|
|00000390| 69 6e 61 74 69 6f 6e 2c | 20 62 72 61 69 6e 20 74 |ination,| brain t|
|000003a0| 75 6d 6f 72 73 20 61 72 | 65 20 6c 6f 63 61 74 65 |umors ar|e locate|
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|000003c0| 68 65 20 75 73 65 20 6f | 66 20 61 20 43 41 54 20 |he use o|f a CAT |
|000003d0| 73 63 61 6e 20 6f 72 20 | 4d 52 49 20 73 63 61 6e |scan or |MRI scan|
|000003e0| 20 74 6f 20 76 69 65 77 | 20 74 68 65 20 61 62 6e | to view| the abn|
|000003f0| 6f 72 6d 61 6c 69 74 79 | 2e 20 41 6e 20 61 6e 67 |ormality|. An ang|
|00000400| 69 6f 67 72 61 6d 20 6d | 61 79 20 72 65 76 65 61 |iogram m|ay revea|
|00000410| 6c 20 61 6e 20 69 6e 76 | 69 73 69 62 6c 65 20 6d |l an inv|isible m|
|00000420| 61 73 73 20 63 6f 6d 70 | 72 65 73 73 69 6e 67 20 |ass comp|ressing |
|00000430| 74 68 65 20 62 6c 6f 6f | 64 20 76 65 73 73 65 6c |the bloo|d vessel|
|00000440| 73 2e 20 20 53 6b 75 6c | 6c 20 58 2d 72 61 79 73 |s.  Skul|l X-rays|
|00000450| 20 61 72 65 20 75 73 75 | 61 6c 6c 79 20 6e 6f 72 | are usu|ally nor|
|00000460| 6d 61 6c 20 61 6e 64 20 | 73 68 6f 75 6c 64 20 62 |mal and |should b|
|00000470| 65 20 76 69 65 77 65 64 | 20 61 73 20 75 6e 6e 65 |e viewed| as unne|
|00000480| 63 65 73 73 61 72 79 20 | 69 66 20 6f 74 68 65 72 |cessary |if other|
|00000490| 20 73 79 6d 70 74 6f 6d | 73 20 70 72 65 63 6c 75 | symptom|s preclu|
|000004a0| 64 65 20 69 74 2e 00 54 | 52 45 41 54 4d 45 4e 54 |de it..T|REATMENT|
|000004b0| 2e 20 20 54 68 65 20 70 | 61 74 69 65 6e 74 27 73 |.  The p|atient's|
|000004c0| 20 6f 75 74 6c 6f 6f 6b | 20 69 73 20 76 65 72 79 | outlook| is very|
|000004d0| 20 70 6f 6f 72 20 69 66 | 20 74 68 65 20 74 75 6d | poor if| the tum|
|000004e0| 6f 72 20 69 73 20 6e 6f | 74 20 72 65 6d 6f 76 65 |or is no|t remove|
|000004f0| 64 20 62 79 20 6f 70 65 | 6e 69 6e 67 20 74 68 65 |d by ope|ning the|
|00000500| 20 73 6b 75 6c 6c 2e 20 | 54 68 65 20 6d 61 6a 6f | skull. |The majo|
|00000510| 72 69 74 79 20 6f 66 20 | 63 61 73 65 73 20 77 69 |rity of |cases wi|
|00000520| 6c 6c 20 65 6e 64 20 69 | 6e 20 64 65 61 74 68 2e |ll end i|n death.|
|00000530| 20 4f 6e 63 65 20 74 68 | 65 20 64 69 61 67 6e 6f | Once th|e diagno|
|00000540| 73 69 73 20 69 73 20 63 | 6f 6e 66 69 72 6d 65 64 |sis is c|onfirmed|
|00000550| 2c 20 70 72 6f 63 65 65 | 64 20 69 6d 6d 65 64 69 |, procee|d immedi|
|00000560| 61 74 65 6c 79 20 74 6f | 20 4f 52 20 61 6e 64 20 |ately to| OR and |
|00000570| 64 6f 6e 27 74 20 66 6f | 72 67 65 74 20 74 6f 20 |don't fo|rget to |
|00000580| 62 72 69 6e 67 20 79 6f | 75 72 20 70 61 74 69 65 |bring yo|ur patie|
|00000590| 6e 74 20 77 69 74 68 20 | 79 6f 75 2e 20 52 65 66 |nt with |you. Ref|
|000005a0| 65 72 20 74 6f 20 74 68 | 65 20 63 6c 61 73 73 72 |er to th|e classr|
|000005b0| 6f 6f 6d 20 73 75 62 6a | 65 63 74 20 22 45 78 63 |oom subj|ect "Exc|
|000005c0| 69 73 69 6e 67 20 42 72 | 61 69 6e 20 54 75 6d 6f |ising Br|ain Tumo|
|000005d0| 72 73 22 20 74 6f 20 69 | 6d 70 72 6f 76 65 20 79 |rs" to i|mprove y|
|000005e0| 6f 75 72 20 63 68 61 6e | 63 65 73 20 66 6f 72 20 |our chan|ces for |
|000005f0| 73 75 63 63 65 73 73 2e | 00 20 61 6e 64 20 65 78 |success.|. and ex|
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