BPKMCH | ANNUAL REPORT - 2018
DEPARTMENT OF SURGICAL ONCOLOGY
NEURO SURGERY UNIT
Introduction
Neuro-oncology is the study of brain and spinal neoplasms, many of which are very dangerous and
life-threatening. Among the malignant brain cancers, gliomas of the brainstem and pons, glioblastoma
multiforme and high-grade astrocytoma are among worst. In these cases, untreated survival usually
amounts to only a few months and survival with current radiation and chemotherapy treatments may
extend that time from around a year to a year and a half, possibly two or more, depending on patient’s
condition, immune function, treatments used. Surgery may in some cases be curative, but, as a general
rule, malignant brain cancers tend to regenerate and emerge from remission easily, esp highly malignant
cases. In such cases, the goal is to excise as much of the mass and as much of the tumor margin as
possible without endangering vital functions or other important cognitive abilities.
Table 1 : Services provided in the year 2018
Services
No.
OPD
2137( Male:1009, Female: 1128)
Total Admission
19( male: 13, Female: 6)
Operations major
21
Operations minor
18
Mortality
4
LAMA & DOR
2
Table 2 : List of Operat ons
Locat on of tumor
Name of the procedure
HPE
F/U
Redo surgery & near-total excision of
Recurrent left Parietooccipital glioma
Diffuse fibrillary astrocytoma
none
mass
Sellar tumor with suprasellar
Transphenoidal Endonasal
Pituitary Adenoma
none
extension
Endoscopic subtotal excision of mass
Bifrontal craniotomy & gross total
Frontotemporal glioma
Round small cell carcinoma
none
excision
Laminectomy & gross total excision
Recurrent Chondrosarcoma D11 - L1
Chondrosarcoma
yes
of mass
Right Acoustic Schwannoma with
VP shunt placement and right
_
_
hydrocephalus
suboccipital craniectomy & biopsy
VP shunt infection
Revision of Shunt
_
_
Post-op CSF leak from sellar floor
Endoscopic closure of sellar floor
_
Recurrent left sphenoidal wing
Redo surgery & excision of mass
meningioma
Right frontoparietal cystic mass with
Craniotomy and aspiration of fluid
none
yes
carcinoma of right breast
under USG guidance
Craniotomy &Near Total excision of
Right parietooccipital mass ?Glioma
Metastatic ca
_
mass
23
