Glioma medical therapy: Difference between revisions

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{{Glioma}}  
{{Glioma}}  
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}  
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}, {{SR}}


==Overview==
==Overview==
Treatments of glioma include surgery, [[radiation therapy]] and [[chemotherapy]].
Treatment for brain glioma depends on the location and grade. The predominant therapy for glioma is [[surgical resection]]. Adjunctive [[chemotherapy]] and [[radiation]] may be required.<ref name=ddd>Treatment of glioblastoma multiforme. Dr Dylan Kurda and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/glioblastoma</ref>
 
==Medical Therapy==
The predominant therapy for glioma is [[surgical resection]]. Adjunctive [[chemotherapy]] and [[radiation]] may be required.<ref name=ddd>Treatment of glioblastoma multiforme. Dr Dylan Kurda and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/glioblastoma</ref>
 
===Radiotherapy===
*After [[surgery]], [[radiotherapy]] is recommended among all patients who develop glioma.
*Radiotherapy may not cure the cancer, but can control the tumor and delay recurrence.
*Targeted three-dimensional conformal [[radiotherapy]] is preferred to whole brain radiotherapy.
*Total [[radiation]] dose of 60–65 Gy has been found to be optimal for treatment.
 
===Chemotherapy===
*[[Chemotherapy]] is indicated as adjuvant therapy for glioma.
*[[Temozolomide]] ([[Temodar]]) is the preferred drug for the treatment of glioma as it easily penetrates the blood brain barrier.
*Other chemotherapeutic drugs that may be used for the treatment of glioblastoma multiforme include:
**[[Carmustine]]
**[[Lomustine]]
**[[Vincristine]]
**[[Cisplatin]]
**[[Erlotinib]]


==Treatment==
Treatment for brain gliomas depends on the location and the grade. Often, treatment is a combined approach, using surgery, [[radiation therapy]], and [[chemotherapy]].
The radiation therapy is in the form of external beam radiation or the stereotactic approach using radiosurgery. Spinal cord tumors can be treated by surgery and radiation. [[Temozolomide]] is a chemotherapeutic drug that is able to cross the blood-brain barrier effectively and is being used in therapy.
==References==
==References==
{{reflist|2}}   
{{reflist|2}}   

Revision as of 14:18, 23 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Sujit Routray, M.D. [3]

Overview

Treatment for brain glioma depends on the location and grade. The predominant therapy for glioma is surgical resection. Adjunctive chemotherapy and radiation may be required.[1]

Medical Therapy

The predominant therapy for glioma is surgical resection. Adjunctive chemotherapy and radiation may be required.[1]

Radiotherapy

  • After surgery, radiotherapy is recommended among all patients who develop glioma.
  • Radiotherapy may not cure the cancer, but can control the tumor and delay recurrence.
  • Targeted three-dimensional conformal radiotherapy is preferred to whole brain radiotherapy.
  • Total radiation dose of 60–65 Gy has been found to be optimal for treatment.

Chemotherapy

References

  1. 1.0 1.1 Treatment of glioblastoma multiforme. Dr Dylan Kurda and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/glioblastoma


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