{"id":17236,"date":"2018-07-31T09:40:34","date_gmt":"2018-07-31T15:40:34","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=17236"},"modified":"2021-09-07T17:19:21","modified_gmt":"2021-09-07T23:19:21","slug":"nineteen-years-in-brain-tumor-patient-runs-for-his-life","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/nineteen-years-in-brain-tumor-patient-runs-for-his-life\/","title":{"rendered":"Nineteen years in, brain tumor patient runs for his life"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_17238\" aria-describedby=\"caption-attachment-17238\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-17238\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee.webp\" alt=\"Mike Moyles running in a marathon\" width=\"640\" height=\"428\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee-300x201.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee-1024x685.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee-768x514.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093111\/EXT_07XX18-MikeMoyles-running.jpgeee-200x134.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-17238\" class=\"wp-caption-text\">Mike Moyles during one of his many marathons (courtesy Mike Moyles)<\/figcaption><\/figure>\n<p>Mike Moyles sits in an exam room. He\u2019s not on the papered exam table, but in a chair that\u2019s a computer screen away from <a href=\"https:\/\/www.uchealth.org\/provider\/denise-damek-md-neurology\/\">Dr. Denise Damek<\/a>. Damek, a neuro-oncologist at UCHealth University of Colorado Hospital on the Anschutz Medical Campus, clicks and drags three sets of grayscale images on the screen. The images are of slices of Moyles\u2019s brain.<\/p>\n<p>One set was taken in February, one was taken in April, and one was taken early this July morning. Moyles, 45, drove up from his home in Colorado Springs before dawn, donned a mask that makes an MRI machine even more claustrophobic, and then, despite the scanner\u2019s racket, took a nap.<\/p>\n<figure id=\"attachment_17239\" aria-describedby=\"caption-attachment-17239\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17239\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee.webp\" alt=\"A neurologist leads patient Mike Moyles through a series of tests.\" width=\"300\" height=\"214\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee-300x214.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee-1024x731.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee-768x548.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee-150x107.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093202\/EXT_07XX18-MikeMoyles-exam.jpgeee-200x143.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17239\" class=\"wp-caption-text\">UCHealth neuro-oncologist Dr. Denise Damek leads Mike Moyles through a physical exam. He aced it.<\/figcaption><\/figure>\n<p>Moyles has, in the past 19 years, done this dozens of times. He has brain cancer. It started as a slow-growing (grade 2) astrocytoma brain tumor. Then, 18 months ago, a scan like today\u2019s showed that it had morphed into something called <a href=\"https:\/\/www.aans.org\/Patients\/Neurosurgical-Conditions-and-Treatments\/Glioblastoma-Multiforme\">glioblastoma multiforme<\/a> (GBM). An <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC33993\/\">article<\/a> published in a prominent journal some years back called GBM \u201cthe terminator,\u201d \u201cBecause most patients with GBMs die of their disease in less than a year and essentially none has long-term survival\u2026.\u201d<\/p>\n<p>Moyles has since 1999 gone through 29 rounds of chemotherapy, 42 rounds of radiation therapy, four brain surgeries to remove astrocytoma brain tumors, and four skull reconstructions (his hairline is indented and scarred; beneath, his forehead is acrylic). Through it all, he has maintained a fitness routine that has him in a perpetual state of marathon readiness. Despite such exams having become routine, he is on edge in this exam room, even if he hides it well.<\/p>\n<p>\u201cYou would think you would get used to it after 19 years,\u201d Moyles said earlier, before the exam room opened up. \u201cI never, ever get used to it. Still don\u2019t sleep the night before. Still pray the entire drive.\u201d<\/p>\n<p>His wife, Angie, usually comes along, but had a conflict. She texted him: \u201cI just want you to know that I\u2019m praying for you and I love you.\u201d<\/p>\n<p>Damek eases in with some general health questions. His triglyceride numbers were high last time they checked. Moyles admits to having \u201ca chocolate problem. It\u2019s diagnosed, but it\u2019s probably not in my record.\u201d<\/p>\n<p>Damek laughs, then reminds him that chocolate does have its fats. Moyles says he\u2019ll eat less chocolate and more asparagus and Brussels sprouts. Though, he adds, \u201cthat sounds harder than chemo.\u201d<\/p>\n<p>\u201cHow about tomatoes and broccoli?\u201d Damek says. Moyles laughs now. Then the unspoken question of the scan results fills the quiet.<\/p>\n<h3><strong>94 feet, 26.2 miles<\/strong><\/h3>\n<p>Mike Moyles\u2019s dad was an Air Force officer, as was his grandfather. Moyles has always wanted to be an Air Force officer, too. But not just an officer.<\/p>\n<p>\u201cI wanted to be a general,\u201d he says. \u201cI was seeing stars, and God help you if you got in my way. I was going to go under, over or through anyone I had to get what I wanted, and that was a star.\u201d<\/p>\n<p>He was on his way by 1999. The IT and satellite communications specialist was moving from post to post every couple of years, each with more responsibility. He had proposed to Angie and she had accepted. He was 27; life was on track.<\/p>\n<figure id=\"attachment_17240\" aria-describedby=\"caption-attachment-17240\" style=\"width: 242px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17240\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee.webp\" alt=\"A picture of Mike Moyles that shows his indented forehead.\" width=\"242\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee.webp 808w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee-242x300.webp 242w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee-768x950.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee-121x150.webp 121w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093318\/EXT_07XX18-MikeMoyles-forehead.jpgeee-200x248.webp 200w\" sizes=\"auto, (max-width: 242px) 100vw, 242px\" \/><figcaption id=\"caption-attachment-17240\" class=\"wp-caption-text\">Between the initial bone infection and the one following his December 2016 brain tumor surgery, Moyles spent more than two years without the protection of a forehead. (courtesy Mike Moyles).<\/figcaption><\/figure>\n<p>He was also an athlete \u2013 a shooting guard. In a December playoff game east of St. Louis, where he was stationed, he dove for a loose basketball at the exact moment an opponent did. Their heads collided. Moyles was unconscious for 30 seconds and had a hard time moving his right arm when he came to. There was an MRI the next day. Beyond the pinched nerve causing the arm problem and an obvious concussion, the collision on the court had done no additional damage. But there was what they call an \u201cincidental finding.\u201d Incidental does not mean trivial. They had found, incidentally, an astrocytoma brain tumor in his right frontal lobe.<\/p>\n<p>He and Angie married on April 29, 2000. Exactly a year later, he went in for his first brain surgery. They had gotten it, they told him. The Moyleses could go on their honeymoon, start a family, and Mike could continue working his way up the Air Force hierarchy without the distraction of a astrocytoma brain tumor.<\/p>\n<p>He went on temozolomide (trade name Temodar) chemotherapy. Playing contact sports was a no-go, ending his basketball career. Moyles, who was used to running, as he put it, \u201c94 feet\u201d (the length of a basketball court), got into running hundreds of times farther. It helped with the chemotherapy side effects. It also made him feel better physically and mentally.<\/p>\n<p>\u201cIt was a way to prove to myself, to the cancer, to my family, that I\u2019m back,\u201d he says.<\/p>\n<p>He didn\u2019t enjoy running at first. But as the mileage piled up, he came to view his exercise differently. First, there was the endorphin rush. Second, \u201cI became to equate exercise with cancer. If I didn\u2019t run, cancer had won that round.\u201d<\/p>\n<h3><strong>An astrocytoma brain tumor, but back with <\/strong>vengeance<\/h3>\n<p>The 90-day screenings continued, and the scans stayed clear. Until, four years later, they didn\u2019t. It was still an astrocytoma brain tumor, but it was bigger and growing faster. On April 29, 2005, his and Angie\u2019s fifth anniversary, he had his second brain surgery. He ran his first marathon in Spokane, Washington, in 2005, between his tenth and eleventh rounds of chemotherapy.<\/p>\n<p>There was a recurrence, more chemotherapy, and in January 2008, a third brain surgery \u2013 this time a lobectomy, to remove not only tumor, but also the surrounding right frontal lobe. It\u2019s the brain\u2019s emotional control center and the home to processing for reasoning, language, long-term memory, emotions, judgment, motor function and more. Damage to it can cause behavioral and emotional changes, memory loss, speech changes, and problem with movement, among other things. No small matter for a high-achieving Air Force officer. But as had been the case after previous surgeries, Moyles experienced no deficits \u2013 \u201cbesides the ones I already had,\u201d he joked. There were no obvious behavioral changes, either.<\/p>\n<p>He underwent 42 straight days of high-dose radiation therapy after the 2008 surgery, during which he was also doing chemotherapy. He was so weak, he could, as he put it, \u201cbarely pick up a can of soda.\u201d Still, Moyles dragged himself out on marathon training runs, knowing that exercise was how he would get his energy back. Damek says that while Moyles is certainly an outlier on the exercise front, the evidence shows that patients who are active despite their cancer do better overall.<\/p>\n<p>Angie gave birth to daughter Ellie two months after the surgery. His cancer was in remission. But an infection triggered by the radiation treatment took root in his skull, ultimately requiring a surgery to remove one-third of it \u2013 his entire forehead, essentially \u2013 and then, several months later, in 2010, a second surgery to replace the missing bone with an acrylic prosthetic.<\/p>\n<p>Moyles continued working. He had, despite it all, stayed on track, career-wise. The 90-day scans kept coming back clean. In 2015, he, Angie and Ellie moved to Colorado. Moyles, a full colonel now, became the military equivalent of a corporate chief technical officer for U.S. Northern Command in Colorado Springs. He remained driven professionally and in terms of his running. But the tumor\u2019s recurrence in 2005 and its aftermath had shifted his focus irrevocably.<\/p>\n<p>\u201cPromotion was meaningless now,\u201d he says. \u201cI restructured my whole life, very literally, around three things: faith, family, and fitness, in that order.\u201d<\/p>\n<figure id=\"attachment_17243\" aria-describedby=\"caption-attachment-17243\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17243\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee.webp\" alt=\"A doctor and a patient review MRI scans on a computer screen.\" width=\"300\" height=\"214\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee-300x214.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee-1024x731.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee-768x548.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee-150x107.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093859\/EXT_07XX18-MikeMoyles-scans.jpgeee-200x143.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17243\" class=\"wp-caption-text\">Moyles and Damek discuss his MRI scan results on July 2, 2018.<\/figcaption><\/figure>\n<p>Angie says their daughter\u2019s arrival marked the most noticeable change in her husband. The focus had been on that general\u2019s star and being \u201cthe best of the best at everything he did.\u201d When Ellie came along, it became, \u201cI\u2019m going to beat cancer at all costs to be there for her. I think that\u2019s really his underlying drive,\u201d she says.<\/p>\n<h3><strong>GBM<\/strong><\/h3>\n<p>Recognizing that he needed access to a wide spectrum of specialized care, Moyles turned to the University of Colorado Cancer Center at UCHealth, where the scans every 90 days continued. In June 2015, a section of brain glowed brightly. Brain should show up gray.<\/p>\n<p>Cancer had returned, and what had been an astrocytoma brain tumor had become a grade 4 GBM \u2013 a \u201cterminator\u201d brain tumor.<\/p>\n<p>He and Angie broke down right there in the exam room. \u201cWe completely lost it,\u201d Moyles says. But they regrouped. \u201cWe fight this the same way we fought the grade 2 tumors. How we fought for the last 18 years,\u201d they told each other.<\/p>\n<figure id=\"attachment_17241\" aria-describedby=\"caption-attachment-17241\" style=\"width: 252px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17241\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093412\/EXT_07XX18-MikeMoyles-MRI.jpgeee.webp\" alt=\"An MRI showing evidence of a brain tumor.\" width=\"252\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093412\/EXT_07XX18-MikeMoyles-MRI.jpgeee.webp 508w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093412\/EXT_07XX18-MikeMoyles-MRI.jpgeee-252x300.webp 252w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093412\/EXT_07XX18-MikeMoyles-MRI.jpgeee-126x150.webp 126w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/07\/31093412\/EXT_07XX18-MikeMoyles-MRI.jpgeee-200x238.webp 200w\" sizes=\"auto, (max-width: 252px) 100vw, 252px\" \/><figcaption id=\"caption-attachment-17241\" class=\"wp-caption-text\">The bright white blob is a glioblastoma multiforme as it appeared on a June 2015 MRI scan done at UCH. (courtesy Mike Moyles).<\/figcaption><\/figure>\n<p>Moyles went in for his brain tumor surgery in December 2016 and surgeons removed a tumor a bit larger than an inch across. At UCHealth, he went back on chemotherapy (he can no longer do radiation therapy, having hit his lifetime limit). They got the tumor out, but the bones around his prosthetic forehead became infected. UCHealth pathologist <a href=\"https:\/\/www.uchealth.org\/provider\/katherine-frasca-infectious-disease\/\">Dr. Katherine Frasca<\/a> characterized the microbe. It was clear that the prosthetic would have to come out, too. In February 2017, it did, in a surgery performed by UCHealth neurosurgeon <a href=\"https:\/\/www.uchealth.org\/provider\/d-ryan-ormond-md-neurological-surgery\/\">Dr. D. Ryan Ormond<\/a>. It would be 13 months before Ormond would replace it in March 2018. First, Moyles had to finish several rounds of chemotherapy; then the surrounding bone would need time to heal. Not a fan of the foam helmet he was given, Moyles generally just wore a hat \u2013 at home, on runs, even during a Spartan race \u2013 despite his forehead being, as he put it \u201cskin on brain.\u201d<\/p>\n<p>The 90-day scans in early February 2018 and then in April showed no signs of the brain tumor\u2019s return. Now, in early July, here in this exam room, he would find out if that was still the case.<\/p>\n<h3><strong>Skulls on screen<\/strong><\/h3>\n<p>The images on the exam room screen differ, but share a common trait \u2013 blank space formerly occupied by a right frontal lobe. \u201cNew is on top, April is in the middle, and February is on the bottom,\u201d Damek says, referring to the tiles of imager-sliced brain on the flat screen. Then the verdict.<\/p>\n<p>\u201cYour scan looks great.\u201d<\/p>\n<p>That is, there\u2019s no hint of GBM this time, either. Moyles is visibly relieved, slouching as if anxiety had been propping him up.<\/p>\n<p>\u201cI don\u2019t know why this stressed me out. I\u2019ve been doing this for 19 years,\u201d he says.<\/p>\n<p>\u201cIt\u2019s stressing you out because it\u2019s your first scan after stopping treatment,\u201d Damek says. \u201cEverybody does this.\u201d<\/p>\n<p>They get into a technical discussion about the nature of a GBMs and why they\u2019re so hard to treat (the \u201cmultiforme\u201d means the cells are not genetically uniform, so it\u2019s hard to find a common therapeutic target, Damek explains). They talk about an interesting treatment for GBM patients. Called <a href=\"https:\/\/www.optune.com\/\">Optune<\/a>, it involves using low-power electromagnetic waves via patches worn on the skull to interfere with GBM cells\u2019 division. He\u2019ll fill out the insurance paperwork, but he won\u2019t start it until later this summer: he, Angie and Ellie are going to France first. Having medically retired from the Air Force in October 2017, he won\u2019t have to count the days off.<\/p>\n<p>\u201cSo Paris!\u201d Damek says.<\/p>\n<p>\u201cI\u2019m a happy camper,\u201d Moyles says.<\/p>\n<p>Damek does a physical and cognitive exam, which Moyles breezes through, and is off to the next patient. Moyles heads to the Garden View Caf\u00e9 for lunch. He says they\u2019ll be staying in Colorado Springs in his retirement. Proximity to UCHealth was a decisive factor. \u201cWe knew we couldn\u2019t retire anywhere that didn\u2019t have absolutely top-shelf care in every aspect \u2013 infectious disease, neuro-oncology, oncology, radiology, neurosurgery, radiation oncology, plastics and reconstructive surgery,\u201d he says. \u201cThe care, the doctors, everything, it\u2019s a home run.\u201d<\/p>\n<p>He taps at an iPad and shares photos from his long fight with cancer. It\u2019s not over, he says.<\/p>\n<p>\u201cIt\u2019s coming back. Even now as I sit here, it\u2019s coming back,\u201d he says. \u201cI\u2019ve beaten it five times; I\u2019ll beat it again. I\u2019ll be battling this until I die. Until it kills me.\u201d<\/p>\n<p>The fight will go on. But in the meantime, there\u2019s life to be lived, with family, in Paris and beyond.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mike Moyles sits in an exam room. He\u2019s not on the papered exam table, but in a chair that\u2019s a computer screen away from Dr. Denise Damek. Damek, a neuro-oncologist at UCHealth University of Colorado Hospital on the Anschutz Medical Campus, clicks and drags three sets of grayscale images on the screen. The images are [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[4758,184],"class_list":["post-17236","post","type-post","status-publish","format-standard","hentry","category-innovative-care","tag-brain-tumor-treatment","tag-neurology"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>From an astrocytoma brain tumor to the terminator - 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