
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Oligodendroglioma surgery
Introduction
Overview
Overview
Surgery is the first-line treatment option for patients with oligodendroglioma. However, oligodendrogliomas cannot be completely resected because of their diffusely infiltrating nature. The aim of surgery is to make a definitive diagnosis, debulk the tumor to relieve elevated intracranial pressure and reduce the tumor mass as a precursor to adjuvant treatment. CSF shunting is usually reserved for patients with hydrocephalus and includes two types of shunts: external ventricular drain-temporary shunt and internal drain-permanent shunt.
Surgery
Surgery
Surgical Resection
- Surgical resection is the first-line treatment option for patients with oligodendroglioma.[1][2][3]
- Because of their diffusely infiltrating nature, oligodendrogliomas cannot be completely resected.
- The aim of surgery is to:[4]
- Make a definitive diagnosis
- Debulk the tumor to relieve elevated intracranial pressure
- Reduce the tumor mass as a precursor to adjuvant treatment
CSF Shunt
- CSF shunting is performed to relieve the pressure in the brain due to blockade in the flow of cerebrospinal fluid due to oligodendroglioma.[5]
References
References
- β Treatment of oligodendroglioma. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/oligodendroglioma/?region=on
- β Delev D, Heiland DH, Franco P, Reinacher P, Mader I, Staszewski O; et al. (2019). “Surgical management of lower-grade glioma in the spotlight of the 2016 WHO classification system”. J Neurooncol. 141 (1): 223β233. doi:10.1007/s11060-018-03030-w. PMIDΒ 30467813.
- β Kawaguchi T, Sonoda Y, Shibahara I, Saito R, Kanamori M, Kumabe T; et al. (2016). “Impact of gross total resection in patients with WHO grade III glioma harboring the IDH 1/2 mutation without the 1p/19q co-deletion”. J Neurooncol. 129 (3): 505β514. doi:10.1007/s11060-016-2201-2. PMIDΒ 27401154.
- β Eskandar EN, Loeffler JS, O’Neill AM, Hunter GJ, Louis DN (2004). “Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion”. N Engl J Med. 351 (18): 1875β82. doi:10.1056/NEJMcpc049025. PMIDΒ 15509821.
- β Stark AM, Hugo HH, Mehdorn HM, Knerlich-Lukoschus F (2009). “Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma”. Case Rep Med. 2009: 370901. doi:10.1155/2009/370901. PMCΒ 2797365. PMIDΒ 20052406.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Sujit Routray, M.D. [3]
