Like many patients who are affected by a brain tumor, Cory Gardner never saw his coming.
At age 46, Cory was in good health and physically active. In addition to completing three marathons on his own, he often served as a sighted guide during marathons and half marathons for runners who are blind or visually impaired.
Cory underwent surgery at Mass General two months later. Dr. Cahill knew it would be a complex procedure—even by the standards of brain surgery. But given that he and his multidisciplinary team routinely perform 75 to 100 operations a year to remove gliomas, he was prepared and confident.
The central portion of Cory's oligo was the size and shape of a lime, with wispy, tentacle-like extensions at the margins. Dr. Cahill's goal was to safely remove the main mass, leaving the remaining tendrils to be treated via radiation and chemotherapy.
Accessing and removing the tumor would be a delicate process. It was located underneath the part of the brain wiring that controls leg function. Each time Dr. Cahill took out a sliver of the tumor at the edge of this region, he and his colleagues tested leg function to confirm no damage had been done.
"An operation like this is a complicated three-way dance," Dr. Cahill said. "There's the neurosurgery team. There's the neurology team monitoring the patient's ability to move their leg. And there's the anesthesia team, who must give the right mix of medications to allow for proper monitoring of leg function. All of those disciplines contribute to a good result."
After waking up from the six-hour surgery, Cory immediately got an encouraging sign. "I remember being able to wiggle my left toes and this flood of relief going through me," he said. "I figured if this is where I'm at directly post-surgery, I'm going to be in good shape."
Cory, now 49, sees Dr. Wang for follow-up every few months. Thus far, he has had a clean bill of health. Unfortunately, oligos always have some cells that survive treatment, lie dormant, and can later become active. As a result, there's a risk his cancer will eventually return.
Dr. Wang remains optimistic. "There's a lot of promising research and trials taking place at Mass General Brigham," she said. "I'm hopeful that Cory will do very well for a long time—and that if the tumor does grow back, safe and effective new therapies will be available to treat it."
Cory is doing his best to adapt to his new reality. Since standing on his feet all day isn't possible anymore, he had to close his hair salon. He recently enrolled in college to study accounting and looks forward to launching a career in that field.
"I want people to know that getting a devastating diagnosis doesn't have to be the end of your story," he said. "It can be a different chapter of your life, and you just have to roll with the punches."