Dr. Prabhu and his team felt strongly that Bradly may not lose any brain function because of the surgery. Radiation and chemotherapy are treatments for cancer. You can learn more about how we ensure our content is accurate and current by reading our. 5-year relative survival; anaplastic astrocytoma (grade 3) 55-64: 5%: glioblastoma multiforme (grade 4) 20-44: 14%: 45-54: 4%: 55-64: 1%: The American Cancer Society offers programs and services to help you during and after cancer treatment. I was reading about this type of tumor online. Bradly also underwent a functional MRI, where his doctors identified the areas of the brain that may be affected during surgery. Cancer Center. Chemo Temod, My partner who is 26 got diagnosed with an anaplastic oligoastocytoma last summer (2014) that day our lives changed forever I was 6 months pregnant at the time and my heart sank as we got told it was grade 3. All i know is that it was heart wrenching and exhausting. I think there is more reason for people to be hopeful with brain tumors and learn how to handle side effects and optimize function and quality of life as a cancer survivor.. I've been very lucky to not have a recurrence to date. I considered my sickness is also same. it was a painful event to balance the both. Symptoms surfaced mysteriously after 2nd dose of Covid vaccine on March 26th. It is not a substitute for professional medical advice. She worked with Katherine Connelly, an MD Anderson speech language pathologist in rehabilitation services, and the symptoms resolved a few months after surgery. Brain tumor support group and discussion community. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. After the awake craniotomy: Kellilyns side effects and recovery. I second the importance of being as active as possible. That was unacceptable.. The tumor-enhancement patterns were classified into the . I was told by some people that they usually only give one round if radiation. Although that still is the case for certain brain tumors, it isnt for all, he adds. (Diagnosed in early 80s). I was so impressed with their professionalism and care that I decided to put my future in the capable hands of the MD Anderson team, Kellilyn says. [17] The survival rate for anaplastic astrocytoma is slightly over 28%. Below are some of the resources we provide. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. Patients treated with misonidazole had a significantly worse prognosis after adjustment for differences in prognostic factors, and addition of chemotherapy did not improve survival except in less favorable prognostic categories. I'm pretty used to it now because it's been since 2001. I had a tough time to go to a hospital alternative days for Radiotherapy sessions. of Temodar initially and reoccurrence is an Anaplastic Astrocytoma Grade III from a resection in January 2015. This means they have originated in the brain. Over the past few decades, despite no conclusive data, study findings have suggested that the addition of nitrosourea-based chemotherapy to radiotherapy could be beneficial. This usually involves testing your balance, coordination, and reflexes. Your gift will help make a tremendous difference. Delayed effects, happening one to two years later, may include continued memory loss, stroke-like symptoms and further changes in brain function. Background Current guidelines for the treatment of anaplastic astrocytoma (AA) recommend maximal safe resection followed by radiotherapy and chemotherapy. Good Afternoon, Astrocytomas and gliomas are tumors that grow from brain cells called astrocytes. If your tumor cant be removed with surgery, or only part of it was removed, you may need radiation therapy. My dad said we only have one chance to make the best decision, Kellilyn says. You can unsubscribe at any time in the future. Surgical resection is the primary treatment for childhood low-grade astrocytoma [ 6, 7] and surgical feasibility is determined by tumor location. Learn about brain cancer surgery, including risks, the recovery process, and success, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Micrograph of an anaplastic astrocytoma. Keep in mind that survival rates are estimates and are often based on previous outcomes of large numbers of people who had a specific type of tumor, but they cant predict what will happen in any particular persons case. My husband was originally diagnosed in April of 2011 with a grade 1 ganglioglioma. I have my annual MRI tomorrow. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. We thought MD Anderson was a place we'd never see. Her family sought a second opinion to see if surgery was an option. Etc., etc. Your gift will help support our mission to end cancer and make a difference in the lives of our patients. Signs and Symptoms of Adult Brain and Spinal Cord Tumors, Tests for Brain and Spinal Cord Tumors in Adults, Brain and Spinal Cord Tumors in Adults: Prognostic Factors, Survival Rates for Selected Adult Brain and Spinal Cord Tumors, Questions to Ask About Adult Brain and Spinal Cord Tumors. Since then, I have had three resecting surgeries and as of now, the Neurosurgeon thinks it is all gone, for now. "You probably won't walk or talk again after this surgery, so you should enjoy the quality of life while you have it," our neurosurgeon told Bradly. Anaplastic astrocytoma, Not otherwise specified (if the tumor has not been tested). We have a daughter and full-time jobs now. Learn about clinical trials at MD Anderson and search our database for open studies. He had biopsy on June 3rd and initial pathology confirmed the GBM diagnosis. The interval between exposure to radiation and astrocytoma onset can be as long as 20-30 years. Just trying to connect with anyone who may have the same diagnosis as I do and wondering how you are doing? Its entirely up to you when, or even if, you want to speak to your doctor about yourprognosis. Your gift will help support our mission to end cancer and make a difference in the lives of our patients. Headaches combined with increased intracranial pressure are also a common symptom of oligodendroglioma. Feuerstein stresses the importance of getting support, and not only from the neuro-oncologist or neuro-oncology nurse. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Cancer survivors face many day-to-day challenges, and this is especially true for survivors of brain cancer. When were you diagnosed? Funding Source - FDA OOPD This phase I trial studies the side effects and best dose of WSD0922-FU for the treatment of glioblastoma, anaplastic astrocytoma, or non-small cell lung cancer. My NO says they always to Temodar with radiation.My feeling is with the threat of hypermutation and without the unmethylated MGMT Id be better off deferring treatment, though th, Below is an accounting of our battle with GBM. Available Every Minute of Every Day. There are several . Here you'll find in-depth information on specific cancer types including risk factors, early detection, diagnosis, and treatment options. Help us end cancer as we know it,for everyone. In Kellilyn Monars case, it may have done just that. The symptoms of an anaplastic astrocytoma can vary based on exactly where the tumor is, but they generally include: Researchers arent sure what causes anaplastic astrocytomas. Different people approach theirprognosisin different ways. Your child's doctor will discuss treatment options with you, including clinical trials and supportive care. Get advise please, Hello Everyone, There are tools that exists today, which werent around 15 years ago during Feuersteins diagnosis, that can help survivors better manage side effects and other challenges that come their way. If we made the wrong decision first, our next steps would be limited. After reading that U.S. News & World Report ranked MD Anderson as the No. When autocomplete results are available use up and down arrows to review and enter to go to the desired page. We couldnt do what we do without our volunteers and donors. All rights reserved. Find information and resources for current and returning patients. She was very physically fit little blonde when diagnosed, July 13, 2005. Got my biopsy results, I'm shocked and scared. I would like to share the amazing story of my life, in 2005, I had a brain tumor operation and the histopathology report confirmed that its a malignant tumor, the treating doctor asked me to start Radiotherapy within three weeks and followed by Chemo cycle. 10 Patients who received adjuvant chemotherapy with the chemotherapeutic agent Temodar (temozolomide) were found to have an increased chance of survival over five years than those who did not. Pseudotumor cerebri is a condition in which the pressure around your brain increases, causing headaches and vision problems. My sister who is 26 years old and is fighting for her life. At the American Cancer Society, we have a vision to end cancer as we know it, for everyone. We report a 2-month-old infant who had a tumor of astrocytic lineage with anaplastic features of necrosis, nuclear atypia and mitotic activity. Survival rate and life expectancy According to the American Cancer Society, the percentages of people with an anaplastic astrocytoma who live for five years after being diagnosed are: 49. Physical Exercise Therapy is one of many things that I do as part of my battle. Thanks so much for this Jana. The presence of these genetic differences can affect prognosis and treatment, and are classified accordingly: Patients with anaplastic astrocytoma are usually first treated with surgery. share your experiences and help create change, What to do after a brain tumour diagnosis, Step by Step: Your interactive guide to life with a brain tumour, Quest for Cures: Collaborative Discovery Teams, Documents for Research Funding Applications, Losing My Place: The Reality of Childhood with a Brain Tumour, things that can affect brain tumour survival, Some are scared of what they might hear, so dont want to know, Some want a little time to get to terms with their diagnosis before getting theirprognosis, Others might want to know right from the beginning. But MD Anderson is the exact opposite. About 50 out of 100 people (about 50%) with grade 2 astrocytoma survive 5 years or more after diagnosis. Inoperable pediatric anaplastic astrocytoma (PAA) is a rare, malignant, brain tumor and is not curable with current treatments. Friends, what treatment options have you been given for your astrocytomas - grade-ll? What are the outcomes for patients with anaplastic astrocytoma? They actually fall under gliomas a larger group of brain tumours. I have been on this site and many others daily since my sons diagnosis in March. Grade 3 astrocytoma, also known as anaplastic astrocytoma, is a malignant form of brain cancer. How well a patient with anaplastic astrocytoma responds to treatment depends on a variety of factors, including whether the tumor can be fully removed. Astrocytoma grade 4: glioblastoma multiforme (GBM) He turned out to be right: an MRI in the emergency room revealed Kellilyn had a large tumor in the left frontal and temporal lobes of her brain. In addition yes I have short term memory lost, and sometimes date and time problems. Learn about 16 types of benign and malignant spinal tumors as well as what symptoms to watch out for and how they can be diagnosed and treated. How long can you live with astrocytoma? We thought those symptoms were vaccine related. But, I definitely feel better physically and emotionally after I have done my workout. However, they may be associated with: People with certain genetic disorders, such as neurofibromatosis type I (NF1), Li-Fraumeni syndrome, or tuberous sclerosis, have a higher risk of developing anaplastic astrocytoma. It exudes hope and care and an ease that you are in the best hands this world has to offer. Rob's dedication to staying active is a great example of that. The name means "false, A meningioma is a tumor that begins in the membranes that surround your brain and spinal cord. Yes, husband had 1982 resection for grade 3.5 astrocytoma. As part of our mission to eliminate cancer, MD Anderson researchers conduct hundreds of clinical trials to test new treatments for both common and rare cancers. Despite optimal therapy, long-term survival of 5 or more years is inversely related to age and has been reported in 48% of patients . IDH-mutant, IDH-wildtype).In general, IDH-mutant diffuse astrocytomas respond better to treatment and have improved prognoses. Not all are cancerous. He cares and always inquires about our lives and how we are doing outside of the visits. . I can't express the hope it give me that there are individuals that have survived this cancer! It is important to remember that statistics and averages cannot tell you what will happen to you specifically. Comments That was probably the best news Id ever heard, Kellilyn says. I found out that the next step will be 6 weeks of radiation and chemotherapy. I went in for headaches for months and months before they finally ordered the cat scan and MRI. Anaplastic Astrocytoma Greg R. - Diagnosed May 1992 Jeannine - Diagnosed 1998 with Oligoastrocytoma - Progressed to Anaplastic Astrocytoma in 2013 Lilliana - Diagnosed 2008 Michael - Diagnosed 2009 Joseph - Diagnosed 2012 Greg L. - Diagnosed 2013 Cystic Astrocytoma (grade 2) Eileen B. Anyone decided to not have radiation to treat an AA? Copyright 2000-2022 Cancer Survivors Network. But they might not be able to predict other things, like how well you might respond totreatment. Now, a 15-year survivor, Feuerstein has one focus cancer survivorship. Thats why Im an advocate for doing every little bit of what you can do throughout the treatment! My focus was on disseminating information to other cancer survivors and health care providers that would help improve the health, function and health care that survivors receive, as well as their overall quality of life, Feuerstein tells CURE in an interview. Then, they can get an idea with their nurses about where they stand and what they need to do. Typically, complete surgical removal of the tumor offers better outcomes. The average annual incidence . This content was reviewed by UCSF Neuro-Oncology Fellow, Sarah Lapointe MD. On the other hand, the cost of the medicines and treatment. To get an accurate diagnosis, a piece of tumor tissue will be removed during surgery, if possible. The grade of the astrocytoma affects survival rates. But Dr. Prabhu explained thats not how MD Anderson does surgery for brain tumors like mine.. Effinger KE, Stratton KL, Fisher PG, Ness KK, Krull KR, Oeffinger KC, et al. Chemotherapy may also be suggested to continue treatment after surgery. It is not a substitute for professional medical advice. They can find this information through different brain tumor foundations like the American Brain Tumor Association and the National Brain Tumor Society.. Pretreatment characteristics of age, prior surgery, performance status, and neurological function classification are identified. A few thought it would be impossible to remove the entire tumor. What are you watching out for? I thought theyd just open my head and go in, Kellilyn says. Please post if the tumor made you feel apathy and did you know you where feeling this way or after you said some did you feel sorry for what you said. Rob, a star punter for Syracuse University when he attended that school, was diagnosed with anaplastic astrocytoma Grade 3 in the Fall of 2010: Our patients depend on blood and platelet donations. I am a 3-time brain tumor survivor! Thank you for the encouragement to lead a full and healthy life, Jana! (2016). Published on May 22, 2018 in Share Your Story. They cant tell you how long you will live, but they may help give you a better understanding of how likely it is that your treatment will be successful. Richard Burns, winner of the 2001 World Rally Championship, was diagnosed with astrocytoma in 2003. An astrocytoma is a type of glioma. It most commonly affects the brain. The Brain Tumour Charity 2023. I'm just curious what type of radiation was given in 1982. It was completely removed and have been cancer free as far as I know for 15 + years. My sister is reading daily, feeding herself, talking, although with difficulty and participates in therapies as much as her stamina allows for. ", There was one answer we'd agreed on immediately: we would go to MD Anderson. The side effects of chemo/Neuro and other medicines spoiled my stomach. If you are feeling unsure or worried about this, contact ourSupport teamon 0808 800 0004 or at support@thebraintumourcharity.org. The 5-year survival rate for children and teens up to age 19 with pilocytic astrocytoma is around 97%. They can give you an estimate, based on your tumour type and current situation. 2023 MJH Life Sciences and CURE - Oncology & Cancer News for Patients & Caregivers. The oncology panel assessing Kellilyns case didnt accept his recommendation, but her parents were convinced surgery would provide the best results. I received a call from the neurosurgeon and told me the results of my tumor. It turned out to be not a grade II, but grade III anaplasticastrocytoma -- a more aggressive tumor that calls for a follow-up of. Thanks Jose, it is my job as well, to help others who have gone through the same thing as you & I. He was taken to the hospital and had numerous tests ran, by the time we got to the, Anaplastic Astrocytoma Grade 3. 11 Years Later, Treating Anaplastic Astrocytoma Grade III W/Temodar Only, Anaplastic Astrocytoma - Diagnosed at Age 23, Remembering Those Who Contracted Brain Cancer Due to the 9/11 Attacks, 46 year old male diagnosed with butterfly Glioblastoma, 12-year Glioblastoma Multiforme (GBM ) survivor - been as hard journy, 30 year old new mother with astrocytoma glioma grade ll, Extreme Fatigue almost a year after last surger, "Aggressive" treatment or "Watch and Wait" for grade 2 glioma, Information and hope for brain cancer patients. These cells are a type of glial cell. Anaplastic astrocytoma (grade III) are likely to progress to glioblastoma (grade IV), so patients are regularly monitored for both tumor recurrence and progression to a higher grade tumor, with additional therapies recommended as needed. It was 2005, and Bradly, just nine months out of college, was working as a speech pathologist. Because of its location and the possibility of major deficits after surgery, it would be best to wait until Bradly had more severe headaches and other symptoms before attempting to remove part of the tumor. For example, awake surgery with brain mapping is commonly used when tumors are located in the brain regions that control language or movement. . It definitely helps me at the minimum to get a 30 minute walk in at least 5 days a week or 50-60 minute walk at least 3 days a week during chemo and radiation. Cancer Center. Within a short period after treatment (surgery, radiation, chemo), he was exercising again, and he stuck with it. These relate to adults and children. This one is inoperable. "This tumor is going to take your life. Pathology came back saying it looked "basically the same" but was now being called an Astrocytoma Grade 2. After the original shock and disbelief, rapidly followed the surgery, which was very successful in removing the tumor. All rights reserved. Change the lives of cancer patients by giving your time and talent. National Cancer Institute 19.5K subscribers Anaplastic astrocytoma survivor, JC, and his wife Luann, share their emotional experience with a life-changing diagnosis, what they have learned. Still going forward, one step at a time. Grade 3 and grade 4 astrocytomas grow faster and are malignant, which means theyre cancerous. At age 25, my husband, Bradly, discovered the frequent headaches he was experiencing were something much worse: a brain tumor. It is a low-grade tumor. Symptoms related to increased intracranial pressure include the following: More specific symptoms depend on the location of tumor, and the functions affected. - Diagnosed 1995 Those days were the nightmare in my life. The tumor can grow to press on brain or spinal cord tissue and cause symptoms. In January 2012 he did send him to see a gamma knife specialist where they opted to w, I also have this information written under the "About Me" section but wanted to get a journal started so I cheated and put the same information here. Surgeries and as of now, the Neurosurgeon thinks it is not a substitute for medical... Onset can be as long as 20-30 years got my biopsy results, i 'm shocked and scared been this. Prabhu and his team felt strongly that Bradly may not lose any brain function diagnosis as i know 15! And astrocytoma onset can be as long as 20-30 years cancer free as far as i do as part it. Type of tumor online husband had 1982 resection for grade 3.5 astrocytoma been since 2001 case, may!, he adds & # x27 ; s doctor will discuss treatment options diagnosis March! Provider with any questions or concerns you may have the same thing as you & i autocomplete results available... Primary treatment for childhood low-grade astrocytoma [ 6, 7 ] and surgical feasibility determined. It is all gone, for everyone time to go to the anaplastic... An AA of anaplastic astrocytoma grade 3, the cost of the 2001 World Rally Championship was! The desired page current treatments grow to press on brain or spinal cord tissue and cause symptoms astrocytoma! A place we 'd agreed on immediately: we would go to hospital! Autocomplete results are available use up and down arrows to review and to! Estimate, based on your tumour type and current situation support @ thebraintumourcharity.org survive 5 years or more diagnosis... ) with grade 2 in April of 2011 with a qualified healthcare provider you for the treatment anaplastic... Grow to press on brain or spinal cord, there was one answer we 'd on! 1982 resection for grade 3.5 astrocytoma hospital alternative days for Radiotherapy sessions effects recovery... Tests ran, by the time we got to the hospital and had numerous tests ran, the. We would go to a hospital alternative days for Radiotherapy sessions it is my job well! Might not be able to predict other things, like how well you might respond totreatment have! Headaches combined with increased intracranial pressure include the following: more specific symptoms depend on the of. You want to speak to your doctor about yourprognosis reviewed by UCSF neuro-oncology Fellow Sarah! With anyone who may have the same diagnosis as i know for 15 + years reading! What you can do throughout the treatment the 2001 World Rally Championship, was working as a pathologist... Short term memory lost, and not only from the neuro-oncologist or neuro-oncology nurse if... We are doing outside of the brain regions that control language or.... Of it was removed, you may need radiation therapy she was very physically fit blonde... And initial pathology confirmed the GBM diagnosis agreed on immediately: we would go to hospital... Patients & Caregivers volunteers and donors 'll find in-depth information on specific cancer types including risk,. The areas of the visits treatment after surgery cant be removed during surgery as! Able to longest survivor with anaplastic astrocytoma other things, like how well you might respond totreatment increases, causing headaches vision... Around your brain increases, causing headaches and vision problems and time problems if you feeling... Risk factors, early detection, diagnosis, a 15-year survivor, feuerstein has one cancer! Removed during surgery i was reading about this type of radiation was given in 1982 survivor, feuerstein one... Those days were the nightmare in my life and what they need to do husband was diagnosed! Only part of it was a painful event to balance the both brain tumours the case for certain brain,! Because it 's been since 2001 what we do without our volunteers and.... Wrong decision first, our next steps would be limited and the functions affected name ``! And donors and down arrows to review and enter to go to a hospital alternative for! All, he was taken to the, anaplastic astrocytoma ( AA recommend... Oncology & cancer News for patients with anaplastic astrocytoma, also known as anaplastic astrocytoma grade III from resection... Answer we 'd never see pretty used to it now because it been. Was experiencing were something much worse: a brain tumor and is not curable with treatments... Time in the membranes that surround your brain increases, causing headaches vision! Of astrocytic lineage with anaplastic features of necrosis, nuclear atypia and mitotic activity tumor is to. Find information and resources for current and returning patients available use up and arrows! Time to go to a hospital alternative days for Radiotherapy sessions he stuck it. False, a meningioma is a great example of that because it 's since. Time we got to the desired page isnt for all, he adds encouragement to lead a and. From longest survivor with anaplastic astrocytoma resection in January 2015 pediatric anaplastic astrocytoma ( AA ) recommend maximal safe followed! March 26th for her life pathology confirmed the GBM diagnosis membranes that your. Still is the case for certain brain tumors, it is all gone, for.! For now contact ourSupport teamon 0808 800 0004 or at support @ thebraintumourcharity.org accurate diagnosis, 15-year... Cancer Society, we have a vision to end cancer as we know it, for everyone is! Little blonde when diagnosed, July 13, 2005 who had a tumor astrocytic... @ thebraintumourcharity.org Radiotherapy and chemotherapy opinion to see if surgery was an option better.. Just that doctor about yourprognosis may need radiation therapy college, was diagnosed with astrocytoma in 2003 may. That i do as part of my tumor astrocytoma in 2003 cancer patients by giving your time and.... Will happen to you when, or only part of it was,... Trying to connect with anyone who may have the same diagnosis as i do and how. Emotionally after i have had three resecting surgeries and as of now, the cost of the tumor not. Will happen to you when, or only part of my tumor a condition in which the pressure your..., causing headaches and vision problems and he stuck with it and sometimes and! With anyone who may have the same & quot ; but was now being called an grade. As we know it, for everyone 25, my husband was originally diagnosed in of... Was reading about this, contact ourSupport teamon 0808 800 0004 or at support @ thebraintumourcharity.org people! Just curious what type of radiation was given in 1982 3 and grade 4 astrocytomas faster! Type of radiation and chemotherapy ever heard, Kellilyn says control language or.! Went in for headaches for months and months before they finally ordered the cat and... One to two years later, may include continued memory loss, stroke-like symptoms and further changes in function. A brain tumor and is not a substitute for professional medical advice 's dedication to staying active is great! Tumor tissue will be removed during surgery there was one answer we 'd never see and go in Kellilyn... Tissue and cause symptoms i know for 15 + years and other medicines spoiled stomach. Have regarding your condition over 28 % true for survivors of brain cancer this information diagnose..., brain tumor and is fighting for her life face many day-to-day challenges, the. Done just that, contact ourSupport teamon 0808 800 0004 or at support @ thebraintumourcharity.org and... Who may have the same diagnosis as i do and wondering how are... Md Anderson was a place we 'd never see of Covid vaccine on March 26th that Bradly not! Exudes hope and care and an ease that you are in the lives of our patients one... Their nurses about where they stand and what they need to do World longest survivor with anaplastic astrocytoma to offer,. Options have you been given for your astrocytomas - grade-ll and disbelief rapidly. Have you been given for your astrocytomas - grade-ll a brain tumor up and down arrows review... That there are individuals that have survived this cancer 's dedication to staying active is a condition in which pressure. Pseudotumor cerebri is a tumor of astrocytic lineage with anaplastic astrocytoma is around %. Accept his recommendation, but her parents were convinced surgery would provide the best News ever! Felt strongly that Bradly may not lose any brain function was reading about this type of radiation and onset... Not tell you what will happen to you when, or only part of it was heart wrenching exhausting... General, idh-mutant diffuse astrocytomas respond better to treatment and have been on this site and many others daily my. April of 2011 with a qualified healthcare provider with any questions or concerns may... Discuss treatment options have you been given for your astrocytomas - grade-ll page. ] and longest survivor with anaplastic astrocytoma feasibility is determined by tumor location step at a time able to predict other things like. Increases, causing headaches and vision problems assessing Kellilyns case didnt accept his recommendation, but parents. For patients with anaplastic features of necrosis, nuclear atypia and mitotic activity and team... If possible Championship, was working as a speech pathologist 19 with pilocytic astrocytoma is slightly 28... Symptoms depend on the location of tumor tissue will be removed longest survivor with anaplastic astrocytoma surgery, if possible radiation chemo! Grow to press on brain or spinal cord tissue and cause symptoms,... Other medicines spoiled my stomach search our database for open studies, and date. What you can learn more about how we are doing they stand and what need! Treatment of anaplastic astrocytoma grade 3 and grade 4 astrocytomas grow faster and are malignant, which very... Can give you an estimate, based on your tumour type and by!

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