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Article
Evidence-based advances in glioma management
International Journal of Surgery Short Reports
  • Muhammad Adeel Samad, Aga Khan University
  • Karim Rizwan Nathani, Aga Khan University
  • Usama Khalid Choudry, Aga Khan University
  • Muhammad Waqas, Aga Khan University
  • Saad Akhtar, Aga Khan University
  • Ather Enam, Aga Khan University
Publication Date
1-1-2018
Document Type
Article
Disciplines
Abstract

Glioma is primary brain tumors of the glial origin. Glioblastoma multiforme traditionally classified as Grade IV glial tumor carries the worst prognosis. Over the past decades, focus of the diagnosis and management has gradually shifted toward molecular and genetic profiling. This has been accompanied by advancement in radiology, radiation, and medical oncology. Despite significant progress in the individual disciplines, the overall prognosis has not increased significantly. There is consensus on the need of maximum safe resection for most of these tumors. Details of anatomy and white matter tracts obtained through preoperative imaging. These detailed radiological modalities allow the surgeons to plan a safe trajectory to the lesion, avoiding neurological complications. Five aminolevulinic acid and fluorescein guidance help increasing the extent of resection. Awake craniotomy with brain mapping has regained popularity for the safe resection of low-grade glioma, especially those located in eloquent areas. In this review article, we have discussed various aspect of glioma management including diagnosis and surgical resection.

Citation Information
Muhammad Adeel Samad, Karim Rizwan Nathani, Usama Khalid Choudry, Muhammad Waqas, et al.. "Evidence-based advances in glioma management" International Journal of Surgery Short Reports Vol. 3 Iss. 1 (2018) p. 36 - 42
Available at: http://works.bepress.com/ather_enam/99/