benign tumors Archives - Amazing Health Advances

5 Things to Know About Acoustic Neuroma Surgery

The AHA! Team — Fri, 24 Jan 2025 08:33:14 +0000

Duke Health – Acoustic neuromas (also known as vestibular schwannomas) are a noncancerous type of skull base tumor, which grow just below the brain. Acoustic neuromas (also known as vestibular schwannomas) are a noncancerous type of skull base tumor, which grow just below the brain. More specifically, acoustic neuromas form on the vestibulocochlear nerve that controls balance and hearing. While removing these tumors can completely cure symptoms, their location is highly sensitive and requires an expert surgical approach. Here, Duke Health specialists discuss what you should expect if you need acoustic neuroma surgery. 1. Acoustic Neuroma Surgery Can Be Risky Removing acoustic neuromas is challenging because of their location. “The nerves that help move the eyes, the nerves that allow you to feel your face, move your face, chew food, taste food, hear — all of those are packed into a very small space at the base of the skull” said Duke neurosurgeon Ali Zomorodi, MD. “To treat a tumor in this area, you need to be able to work very delicately and precisely around some very sensitive neurological and vascular structures.” 2. When to Choose Acoustic Neuroma Surgery While you may be eager to be rid of your acoustic neuroma, your age, the tumor’s size and location, as well as the severity of your symptoms will help determine whether surgery is your best option. You may be better off waiting and watching. 3. There Are Three Main Approaches to Acoustic Neuroma Surgery There are three main approaches to surgically removing acoustic neuromas that grow within the skull base (doctors call this lateral skull base tumor surgery). The surgical approach that is recommended for you will depend on the size of your tumor, its location within the skull base, and the status of your hearing. The middle fossa approach accesses the tumor from above the ear. This option is best for smaller tumors, and it is used to try to preserve hearing. The retrosigmoid approach accesses the tumor from behind the ear. This option can be used for tumors of any size, and it may also help preserve hearing. The translabyrinthine approach accesses the tumor through the temporal bone behind the ear. It is considered when tumors are very large or when significant hearing loss has already occurred because it leaves little or no chance of hearing preservation. 4. What to Expect Before, During, and After Acoustic Neuroma Surgery Before surgery, your first stop is a pre-operative check where your vitals will be monitored. You’ll also speak with an anesthesiologist and your surgeon. Assuming everything looks good, you’ll be transferred to the operating room. The surgery usually lasts between six and eight hours. Your Duke Health surgical team will include a neurosurgeon and a neurotologist, which is a specialized ear, nose, and throat (ENT) surgeon who treats complex ear and hearing issues and neurological-related inner ear concerns. The role of the neurotologist is to surgically expose the tumor and assist in its removal, according to Duke’s Calhoun Cunningham, MD. The neurosurgeon’s role is to remove the tumor, dissecting it “away from important nerve structures as well as from the brain itself,” Dr. Cunningham said. Finally, the ENT surgeon/neurotologist closes everything back up. After surgery, you’ll recover in a special neurosurgery intensive care unit (ICU) before moving to a step-down unit, usually the next day. Most people return home after about five days in the hospital, but full recovery takes up to eight weeks. 5. Choosing a Hospital for Acoustic Neuroma Surgery If you need acoustic neuroma surgery, keep these considerations in mind, said Drs. Zomorodi and Cunningham. Find a center that routinely performs complex skull base tumor surgery. Also, look for a specialized team approach to care, meaning you’ll have access to an ENT, a neurosurgeon, and other specialists, including radiation oncologists, neuroradiologists, audiologists, physical therapists, and speech pathologists. “If we do everything we can and do a great job, the patient can be healed,” said Dr. Zomorodi. “They don’t have to worry about this tumor anymore. They can carry on with their lives, and this will become a distant memory. Our goal is to minimize the impact that the tumor and its treatment will have on their quality of life.” To read the original article click here.

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What You Need to Know About Pituitary Tumors

The AHA! Team — Mon, 16 Dec 2024 06:33:20 +0000

Morgan deBlecourt via Duke Health – Pituitary tumors are abnormal growths in the pituitary gland, a pea-sized organ at the base of the brain that regulates hormones. Fortunately, these tumors are usually treatable and non-cancerous. Duke Health neurosurgeon Jordan Komisarow, MD, is part of a team of doctors who specialize in diagnosing and treating pituitary tumors. Here he answers frequently asked questions to help you decide where you should seek care. How serious is a pituitary tumor? Pituitary tumors are slow-growing and rarely life-threatening. According to Dr. Komisarow, many people find out they have a pituitary tumor accidentally, after undergoing an imaging scan for an unrelated problem. They often have no symptoms. On the other hand, pituitary tumors that are large can affect your vision. A subset of tumors produce harmful hormones and can significantly impact your quality of life. Regardless, all pituitary tumors should be managed by an experienced team of specialists to avoid serious complications. How can a pituitary tumor affect the rest of my body? Since the pituitary gland produces hormones, a pituitary tumor can affect any body system that involves hormones, including growth, metabolism, and reproduction. Symptoms can vary widely from fatigue to weight gain, infertility, sexual dysfunction, breast discharge, uncontrolled diabetes and blood pressure, and more. Large pituitary tumors can crowd nearby brain structures like the optic nerves, which can cause symptoms such as vision loss. What are the most common treatments for a pituitary tumor? If your pituitary tumor is low-risk and causing few or no symptoms, your best option may be to monitor the tumor with regular imaging and hormone testing, said Dr. Komisarow. Medications can help treat hormone imbalances. Surgery to remove the tumor is usually reserved for people experiencing significant symptoms or complications related to the tumor. What doctors treat pituitary tumors? Many types of doctors treat pituitary tumors since they can affect so many body functions. Even if you’re not a candidate for surgery, a neurosurgeon often serves as the point person for pituitary tumor care. Endocrinologists manage hormones and treat any resulting pituitary disorders. Neuro-ophthalmologists, eye doctors who specialize in treating vision problems caused by neurological conditions, treat vision loss. Other specialists who may be involved in your care include ear, nose, and throat (ENT) doctors, radiation oncologists, and plastic surgeons. Where should I go for pituitary tumor treatment? Dr. Komisarow recommends seeking treatment at a center like Duke, which offers an all-in-one pituitary clinic. This means you’ll see a neurosurgeon, endocrinologist, and neuro-ophthalmologist, all in one day and in one location. They offer comprehensive testing, review your test results, and discuss next steps. “You want to find doctors who specialize in treating pituitary tumors, meaning it’s not just a component of their practice, but it’s the center of their practice,” Dr. Komosarow said. “Especially if you need surgery, our team at Duke has the experience and technology to safely care for people that other institutions turn away due to risk of anesthesia or nerve damage. We want to help every patient we can.” To read the original article click here.

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Kentucky Now to Offer Incisionless Procedure for Uterine Fibroid Relief

The AHA! Team — Wed, 05 Jun 2024 08:41:48 +0000

University of Kentucky via Newswise – UK HealthCare is the first in the state to offer the innovative Sonata® Treatment for women suffering from debilitating symptoms caused by uterine fibroids, including heavy periods.. Fibroids are benign growths in or around the uterus. They are very common in women of child-bearing age and can range in size from a grape to a grapefruit. Nearly 3 out of 4 women in the United States will have uterine fibroids before the age of 50. Not all fibroids require treatment, but symptoms often include heavy menstrual bleeding and painful periods that interfere with daily activities. These symptoms may worsen over time if left untreated. Nearly 3 out of 4 women in the United States will have uterine fibroids before the age of 50 “Fibroids are the most common solid pelvic tumor in women, up to two-thirds of women will have one or more fibroids before menopause, and many are symptomatic,” said Mark R. Hoffman, M.D., chief of the Division of Minimally-Invasive Gynecologic Surgery in the UK College of Medicine and an OB-GYN at UK HealthCare. “We see hundreds of patients with fibroids every year in our Minimally Invasive Gynecologic Surgery clinic every year.” According to the U.S. Department of Health and Human Services, more than 200,000 women each year are treated for uterine fibroids with the most common and surgical solution, a hysterectomy, which is a significant surgical procedure to remove the entire uterus. Traditionally, fibroids are treated with minimally invasive procedures such as hysterectomy or myomectomy, but a new, less invasive procedure may be an option for those seeking relief. Transcervical fibroid ablation (TFA) is a less invasive alternative to a hysterectomy or myomectomy. The fibroids are treated inside the uterus, so there are no incisions or scars. The Sonata® System, used in TFA, combines real-time ultrasound imaging with targeted radiofrequency ablation. One by one, the fibroids are targeted and reduced in size, preserving the healthy uterine tissue and providing quick, long-lasting relief. In a clinical trial, the Sonata Treatment was proven to reduce symptoms while getting half of the treated women back to their normal activities the next day. Average return to activity was two days. TFA can be used to treat almost all symptomatic uterine fibroids. This brief, outpatient procedure preserves the uterus and does not require an incision or anesthesia. Patients can return to work and activities in days, not weeks; much sooner than with traditional surgical procedures. More than 200,000 women each year are treated for uterine fibroids “This is a new, novel procedure that provides an alternative to hysterectomy, is outpatient with a same day discharge and has minimal recovery,” said Hoffman. “Patients can be back to full activity in a matter of a few days.” For more information about the Sonata® System and uterine fibroid relief, contact the UK HealthCare Obstetrics and Gynecology Clinic and schedule an appointment with one of the following providers: UK HealthCare is the hospitals and clinics of the University of Kentucky. But it is so much more. It is more than 10,000 dedicated health care professionals committed to providing advanced subspecialty care for the most critically injured and ill patients from the Commonwealth and beyond. It also is the home of the state’s only National Cancer Institute (NCI)-designated cancer center, a Level IV Neonatal Intensive Care Unit that cares for the tiniest and sickest newborns, the region’s only Level 1 trauma center and Kentucky’s top hospital ranked by U.S. News & World Report. As an academic research institution, we are continuously pursuing the next generation of cures, treatments, protocols and policies. Our discoveries have the potential to change what’s medically possible within our lifetimes. Our educators and thought leaders are transforming the health care landscape as our six health professions colleges teach the next generation of doctors, nurses, pharmacists and other health care professionals, spreading the highest standards of care. UK HealthCare is the power of advanced medicine committed to creating a healthier Kentucky, now and for generations to come. To read the original article click here.

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Natural Dietary Treatments for Fibroids

AHA Publisher — Thu, 13 May 2021 07:00:09 +0000

Michael Greger M.D. FACLM via Nutrition Facts – The same diet that helps regulate hormones in women may also reduce exposure to endocrine-disrupting pollutants. Fibroids are the most common benign tumors in women. They can grow to a foot in diameter and affect the majority of women before they hit menopause. Although fibroids tend to be asymptomatic, when symptoms do occur, they tend to manifest as heavy menstrual bleeding—so much so that women may get anemic and experience a lot of pain. So, what can women do? I discuss this in my video The Best Diet for Fibroids. Up to half go into surgery and get their entire uterus removed. “Although hysterectomy is generally considered a safe operation, complications occur in a significant proportion of patients” and, obviously, you can’t have kids any more. The alternative is a variety of hormone-modulating drugs, which can shrink the fibroids and provide relief, but many of these drugs have significant side effects, like bone loss, so you really don’t want to be taking them for more than a few months. What’s the bottom line? “There is currently no evidence to support the routine use of medical treatment in women with uterine fibroids.” No wonder many women turn to “complementary and alternative treatments…including exercise, diet, herbs, and acupuncture.” Women who exercise seven or more hours a week do seem to have lower risk of having fibroids than women who exercise less than around 20 minutes a day, but exercise has never been put to the test for treating fibroids. Likewise, to date, there isn’t a single randomized controlled trial of acupuncture for the treatment of fibroids to help guide us. In terms of herbs, there are two Asian herbal preparations that show promise—a five-herb combo called Guizhi Fuling and a Malaysian ten-herb formula that contains “secret ingredients” that must not be that secret since they’re just listed in the study, as you can see at 1:50 in my video—and they seemed to work as well as a leading drug. The problem is that traditional Asian herbal remedies may contain a few extra ingredients, like arsenic, mercury, and lead, which have been detected in most of the samples tested from Asian market and health food store shelves, and not just a little. Some, apparently, had really toxic amounts. So, these two Asian herbal preparations “may reduce fibroid size, but there is insufficient evidence to support the efficacy or safety of these treatments.” And, certainly, don’t try to apply caustic herbs internally, as this can lead to scarring, stenosis, and ulceration. Well, what about diet? In one of the largest studies of diet and fibroids, fibroid tumors were “associated with beef and ham consumption, whereas high intake of green vegetables seems to have a protective effect.” The researchers figured that the “association between levels of estrogen, diet, and breast and endometrial [uterine lining] cancers also may help us understand” why. Indeed, “[f]or breast and endometrial cancers, a direct association with the frequency of consumption of meat and ham was observed…whereas protection was conferred by high intake of vegetables and fruits.” Thus, there may be these shared risk factors between estrogen-responsive malignant tumors, like breast cancer, and estrogen-responsive benign tumors, like fibroids. We know the presence of fibroids seems to correlate with an increase in the amount of estrogens flowing through your body, for example, and that women eating vegetarian diets have significantly lower levels of excess estrogen. Researchers are using this knowledge to try to explain why there are lower rates of endometrial cancer—that is, lining-of-the-uterus cancer—and possibly breast cancer among vegetarian women, but it could also help explain the fibroid findings. “The incidence of breast cancer among vegetarian American women (Seventh Day Adventists) is 60 to 80 per cent of the incidence among American women in general, and the incidence among women in Africa and Asia is even lower.” Why might vegetarian women have lower estrogen levels? A famous study in the New England Journal of Medicine concluded that it was their “increased fecal output, which leads to increased fecal excretion of estrogen,” resulting in lower blood levels. Double the fecal output, in fact, as you can see at 4:07 in my video. And, you can put it to the test. Maybe the same reason African-American women have more fibroids is the same reason they have worse breast cancer survival: too much estrogen in their bloodstream due to a less than optimal diet. So, researchers designed a study to see what would happen if they were switched to a more plant-based, higher fiber diet. Compared with the Caucasian women, the African-American women started out with much higher estrogen levels, again helping to explain their increased mortality from breast cancer. But, after they were put on a healthier diet, all of their levels came down, “suggest[ing] that a substantial reduction in breast cancer risk can be achieved” by adopting a diet centered around more whole plant foods. The same also appears to be true for fibroids, especially eating lots of cruciferous vegetables—broccoli, cabbage, and Chinese cabbage—as well as tomatoes and apples. Women who underwent premature puberty, starting their periods before age 11, may also be at increased risk of fibroids later in life, and we know that higher childhood red meat intake is associated with earlier age of starting one’s period, though total protein and animal protein in general may contribute. For example, girls who eat meat tend to start their periods about six months earlier than vegetarian girls. Those who eat meat analogues like veggie burgers and veggie dogs start their periods nine months later on average, and a similar puberty normalizing influence was found with consumption of whole plants foods, such as beans. It could also be the endocrine-disrupting pollutants that build up the food chain. Researchers tooksamples of internal abdominal fat from women and found there appeared to be a correlation between the presence of fibroids with the levels of a number of PCBs in their fat. So, does that mean fish-eaters have higher risk of fibroids? Researchers did find a small increase in risk associated with the intake of long-chain omega-3 fats, mostly from “dark-meat fish consumption,” by which they meant fish like sardines and salmon. This could be because of “the endocrine-disrupting chemicals commonly shown in fish,” or it could just be a statistical fluke. It would be consistent with the increased risk seen among “sport-fish consumers.” Recognizing that diet and endocrine-disrupting persistent organic pollutants have been associated with a variety of gynecologic conditions, including fibroids, researchers looked at consumers of fish fished out of the Great Lakes and found a 20 percent increased risk for every ten years they had been eating the fish. In the most comprehensive study to date, researchers compared pollutant levels in fat samples from women with fibroids to fat liposuctioned out of women without fibroids. They didn’t just find higher levels of PCBs in fibroid sufferers, but also long-banned pesticides, like DDT and hexachlorocyclohexane, PAHs, which are polycyclic aromatic hydrocarbons formed when coal is burned, tobacco is smoked, and meat is grilled, as well as heavy metals, arsenic, cadmium, lead, and mercury. These levels correlated not only to fibroids, but also to seafood consumption or excess body fat. So, the researchers determined that “shedding excess weight and limiting seafood consumption would confer a protective effect” on fibroid tumor development by minimizing exposure to environmental pollutants as much as possible. Okay, so a plant-based diet may be best, but is there a plant in particular that has been shown to be particularly powerful? Plant-based compounds with disease-preventive properties, dietary phytochemicals are found in whole grains, fruits, vegetables, beans, split peas, chickpeas, and lentils, herbs, spices, nuts, and certain beverages. As I discuss in my video The Best Food for Fibroids, we know they can help regulate the initiation, promotion, and spread of cancerous tumors, so what about benign tumors like fibroids? Most anti-cancer drugs on the market now were originally derived from plants or plant products, so why not try to use plants to target the inflammation or blood supply of fibroids? Might fibroids be a consequence of chronic inflammation within the body? We know that women with fibroids are more likely to eat more beef and ham, and fewer fruits and green vegetables, but whole plant foods don’t just have anti-inflammatory effects but antioxidant effects as well. “If the generation of free radicals exceeds the protective effects of antioxidants, oxidative damage will occur,” which has been implicated in a variety of disease states, including gynecological conditions such as fibroids. If you collect fresh fibroids, as well as normal uterine tissue from hysterectomy surgeries, the fibroid cells have significantly fewer antioxidant enzymes, as you can see at 1:20 in my video, so might antioxidant-rich foods help? Well, if you drip some strawberries onto cells in a petri dish, you can apparently kill of some fibroid tumor cells, while leaving normal uterus cells alone. But, what good does that do us? That’s only relevant if we can show those strawberry compounds get absorbed through our gut and achieve high enough concentrations in uterine tissue. The same with curcumin, the component of the spice turmeric. One of its so-called “miraculous” properties is suppressing the growth of uterine fibroid cells, but, again, that was just in vitro. Yes, an inhibitory effect was found and at concentrations that don’t compromise the growth of normal, regular uterine tissue, but my patients are people, not petri dishes. It’s pretty neat to find out what happens to human fibroid cells as you drip higher and higher concentrations of green tea compounds on them in a test tube, as you can see for yourself at 2:19 in my video, but I care less about what happens in vitro or in mice, whether or not they have any clothes on—one study looked at “a nude mice model”—but there were no randomized, controlled clinical studies until 2013. Subjects were randomized to green tea extract or placebo for four months. In the placebo group, fibroid volume increased by 24 percent. That’s what fibroids do; they continue to grow. However, those randomized to the green tea group showed a reduction in total fibroid volume—and not just by a little. There was a dramatic decrease, shrinking by almost a third, which is a highly significant difference, as you can see at 3:02 in my video. Okay, but did the women feel any better? Yes, they experienced a dramatic decrease in symptom severity, as well. Month after month, nothing much happened in the placebo group, but those taking the pills that looked the same but happened to contain green tea compounds had consistent improvement and felt lessening symptoms, each month better than the last, as well as an improved health-related quality of life, month after month, that was significantly better than control. What’s more, their blood counts got better too. With all that continued excess blood loss every month, the blood levels kept decreasing in the placebo group, but they reversed in the green tea group. So, anemia also significantly improved, because average blood flow significantly diminished. And, all this—the fibroid shrinkage, less pain, better periods—was achieved with “no adverse effects.” So, not only were the results comparable to those for the drugs that are commonly used—again, without the side effects—but the results were also comparable to uterine artery embolization, where they try to cut the blood supply to the fibroid, which is great—unless they accidentally cut the blood supply to the rest of the uterus and cause uterine necrosis, one of many reported major complications. Others include death, not only of the fibroid, but also of the patient, along with other potential complications that may arise from accidentally clogging off non-target arteries. In my book, a side-effect-free solution as good as a more invasive procedure is potentially better than. The researchers conclude that green tea compounds show “promise as a safe and effective therapeutic agent for women with symptomatic UFs [uterine fibroids]. Such a simple, inexpensive, and orally administered therapy...

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