Gemma Tumors: Insights and Concerns from Neurosurgery - Neurosurgery

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Could you please specify your question, so I can assist you better?


What is a meningioma? I was hospitalized at Chi Mei Hospital for 12 days at the end of March due to a colon ulcer.
During my stay, I frequently experienced headaches and consulted a doctor who arranged for a CT scan of my head.
It was discovered that I have a meningioma measuring about 2-3 centimeters in the frontal area.
The doctor mentioned that it is not pressing on any nerves and may not grow.
At that time, I insisted on having surgery to remove the tumor, but after discussions with my parents and the doctor, I decided to forgo the surgery.
The doctor advised me to have a follow-up examination in six months to check for any changes in the tumor before considering surgery.
However, I continue to experience intermittent headaches and dizziness, making it difficult for me to concentrate on my studies, which is very distressing.
Please help me with this, thank you! ^^

Ming Feng, 20~29 year old female. Ask Date: 2003/07/31

Dr. Hong Xuyi reply Neurosurgery


Hello: In response to your question, please discuss directly with your physician at the neurosurgery outpatient clinic, or confirm the name of the tumor you mentioned for better clarification.

Reply Date: 2003/07/31

More Info


Gemma tumors, or more commonly referred to as "germ cell tumors," are a type of tumor that arises from germ cells, which are the cells responsible for reproduction. These tumors can occur in various parts of the body, including the brain, and can be benign or malignant. In your case, it seems that the tumor found in your forehead region is likely a benign type, especially since your doctor mentioned that it is not pressing on any nerves and may not grow further.

The fact that you experienced headaches and dizziness could be related to the presence of the tumor, but it's also important to consider other factors that could contribute to these symptoms. Headaches can arise from a variety of causes, including tension, migraines, or even other underlying conditions. The location of the tumor and its size (2-3 cm) may also play a role in your symptoms, but since it is not affecting critical structures, the risk of severe complications appears to be low.

Your decision to delay surgery is understandable, especially given the advice from your parents and doctors. Surgery can carry risks, including infection, bleeding, and potential damage to surrounding tissues. The recommendation to monitor the tumor with follow-up imaging in six months is a common approach, especially for tumors that are asymptomatic or not causing significant issues. This allows for careful observation of any changes in size or characteristics of the tumor.

In terms of managing your symptoms, it may be beneficial to explore various strategies to alleviate headaches and improve your concentration. Stress management techniques, such as mindfulness, meditation, or yoga, can be helpful. Additionally, maintaining a regular sleep schedule, staying hydrated, and engaging in light physical activity may also contribute to overall well-being.

If your headaches persist or worsen, it is crucial to communicate this with your healthcare provider. They may recommend further evaluation or alternative treatments to help manage your symptoms. It is also essential to keep an open line of communication with your doctor regarding any changes in your condition or concerns about the tumor.

In summary, while the presence of a Gemma tumor can understandably cause anxiety and concern, the current assessment suggests that it is not immediately dangerous. Regular monitoring and symptom management are key components of your care plan. If you have further questions or if your symptoms change, do not hesitate to reach out to your healthcare team for guidance and support.

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