brain cyst

[speed7]

Hi There,
I have had a stereotactic biopsy 3 years ago on a cyst in my brain located in the right paretial lobe. They said it was located in a area of my brain which I dont use.   I was pretty much asymptomatic accept for the occaisonal headache. After the biopsy it was drained and the fluid was tested as having no abnormal cells.    My neurologist now calls this a cyst.  I am bieng monitored often with CT scans and recently after 3 years of following up with a ct scan, there is a little bit of fluid accumilating.  Can this fill up again?  Is there any chance of this becoming malignant over time?  Most importantly will I have to have this drained every so often?  I am hoping in the future there will be advances in microsurgery where they can remove the wall of the cyst altogether so it can fill up again?

[speed7]

Thanks for your expertise.  Yes the neurosurgeon did say he didnt want to go in too deep an left the wall intact while draining the fluid in the cyst and sampling a piece of the wall for analysis.  It would be nice to know what options are available now ?  I heard they used to use shunting before but maybe the options available now might be alot better than shunting?  

[Dr Vinod]

3 years ago the neurosugeon did best what he could do to immediately relieve you from the space occupying lesion in your brain, he was conservative and did not want to cut any brain tissue and you did not have any malignant cells and as there is no risk for malignancy.
In 3 years surgeries have advanced and the neurosurgeon will give you options, and remember the case differs from person to person and in surgeries the neurosurgeon should get the advantage of cutting only the cyst and this decision will be taken by your neurosurgeon only.
As for as malignancy concerned as you do not have any symptoms and it can only be confirmed by biospy or sending the fluid to pathology lab is the only way for diagnosis.
Take care!
3 years ago the neurosugeon did best what he could do to immediately relieve you from the space occupying lesion in your brain, he was conservative and did not want to cut any brain tissue and you did not have any malignant cells and as there is no risk for malignancy.
In 3 years surgeries have advanced and the neurosurgeon will give you options, and remember the case differs from person to person and in surgeries the neurosurgeon should get the advantage of cutting only the cyst and this decision will be taken by your neurosurgeon only.
As for as malignancy concerned as you do not have any symptoms and it can only be confirmed by biospy or sending the fluid to pathology lab is the only way for diagnosis.
Take care!