INTRODUCTION

A head tumor may occur in any part of the head, but most commonly occur in the sinuses, ears or nasal cavity. Tumors may also occur inside the skull. These aare usually referred to as brain tumors. A head tumor may occur in any part of the head, but most commonly occur in the sinuses, ears or nasal cavity. Tumors may also occur inside the skull. These aare usually referred to as brain tumors. There are various types of headtumors including gliomas, which are the most common type of malignant tumor. An acoustic neuroma is another type of head tumor, which is a tumor on the nerve in the head that leads to the inner ear. This type of tumor interferes with hearing and is usually benign. Each type of head tumor is either classified as cancerous or benign. Benign headtumors do not usually cause life threatening problems and dont spread to other parts of the body. However, depending on where in the head the tumor is located; it can interfere with functions, such as hearing or breathing. The more serious type of tumor is a cancerous head tumor. It may start in the head and travel to other organs of the body. Cancerous tumors are also more likely to grow back after they are removed. A biopsy is usually required to determine if a tumor is cancerous or benign. Symptoms of a head tumor will vary depending on where it is located. For example, tumors in the sinuses may cause dizziness and visual problems. Headache is a common symptom in many types of headtumors. A diagnosis is usually made through a computed tomography (CT) scan or magnetic resonance imaging (MRI). Both of these tests provide an image of the head and brain and can detect a mass. A diagnosis may be determined by the location and size of the tumor. Treatment will be needed for most types of tumors in the head, even if they are benign. Depending on the location of a benign tumor, it may press on parts of the brain and cause disturbances. Surgery to remove the tumor is usually the treatment for most types of benign headtumors. Cancerous tumors also require treatment. Surgery may be an option depending on the location of the tumor. Certain tumors may be located in an area which are considered inoperable. Other than surgery, tumors may be treated with chemotherapy and radiation therapy. The prognosis with a head tumor varies greatly. Most benign tumors are able to be removed and do not grow back. The prognosis with a cancerous tumor in the head will depend on the location and size of the tumor, as well as how early it was diagnosed and treated. Estimated new cases and deaths from brain and other nervous system cancers in the United States in 2012:

New cases: 22,910 Deaths: 13,700

PATIENTS PROFILE Name: Mr. JR Address: Bonifacio City Sex: Male Age: 63 years old Religion: Catholic

PROGRESS NOTES: Mr. J was admitted last July 03, 2012 because he noticed a solid mass on his right parietal area, non- tender, non- movable. On his first day of admission he was on DAT diet and for elective craniotomy, excision of scalp extra cranial mass parietal. ECG and CXR PA were done by 07: 20pm. BUN, Crea, SGPT were also done. The next day, he was observed by Dr. Concepcion. VS were stabled and I and O were measured. July 06, 2012, Mr. J undergone chest CT and still on DAT diet. July 08, 2012, the CT scan was guided with lung biopsy and on hold as order. July 10, 2012, Mr. J was for whole Abd CT still he was stabled. July, 15, 2012 was his schedule for elective craniotomy at 7pm, 4 U of FWB, PLR 1L @ 31 gtts/ min using IV cannula on his metacarpal vein. Diphenhydramine and Nalbuphine were given. July 16, 2012, was observed and waiting to be discharge in ICU. Still on DAT diet, VS were taken, I and O were measured. The next day he was transferred to 3rd annex 314.