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Brain Stem Gliomas surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Surgical intervention is not recommended for the management of diffuse brainstem gliomas. Surgery with or without radiotherapy and chemotherapy is the mainstay of treatment for focal, dorsal exophytic and cervicomedullary brainstem gliomas.

Surgery

As a general rule, dorsal exophytic tumors and cervicomedullary tumors tend to do best with surgery, whereas it has no role in the management of diffuse brainstem gliomas.[1][2]

Surgical resection with or without radiation therapy and chemotherapy can be used in the treatment of:

  • Newly diagnosed focal brainstem gliomas
  • Recurrent focal brainstem gliomas
  • Dorsal exophytic brainstem gliomas
  • Cervicomedullary brainstem gliomas

References

  1. Rx of Brainstem gliomas. Dr Yuranga Weerakkody and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/brainstem-glioma
  2. Rx of brainstem gliomas. National Cancer Institute. http://www.cancer.gov/types/brain/hp/child-glioma-treatment-pdq#section/_45


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