Astrocytoma surgery: Difference between revisions

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Revision as of 15:59, 8 January 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Some studies suggest the resection of big tumors which are symptomatic or cause intracranial hypertension and monitor the small ones for further growth.

Other Studies proved that early resection of the tumor at the time of diagnosis can improve patients prognosis.(3-8 management of low grade)

Extensive resection is preferred over partial resection or biopsy.
Some types of diffuse astrocytomas which are IDH mutation positive are prone to growth back if small areas of tumor cell remain after surgery.
Because of infiltrative character of astrocytomas, complete resection may not be possible so we need chemotherapy or radiation for complete treatment.(5_9101112 management of low grade)

The relative contraindications of brain surgery are:

@@ Line 15: / Line 15: @@
 === Low grade astrocytoma ===
+* Extensive resection is preferred over partial resection or biopsy.
+* Some types of diffuse astrocytomas which are IDH mutation positive are prone to growth back if small areas of tumor cell remain after surgery.
+* Because of infiltrative character of astrocytomas, complete resection may not be possible so we need chemotherapy or radiation for complete treatment.(5_9101112 management of low grade)
 === High grade astrocytoma ===