Loading…

Updates on Surgical Management and Advances for Brain Tumors

Purpose of Review This review summarizes the modern approach to surgical management of malignant brain tumors, highlighting new technology and multimodal treatment paradigms. Recent Findings Outcomes in patients with glioblastoma are strongly correlated with extent of initial surgical resection. Int...

Full description

Saved in:
Bibliographic Details
Published in:Current oncology reports 2021-03, Vol.23 (3), p.35-35, Article 35
Main Authors: Rivera, Maricruz, Norman, Sofya, Sehgal, Ryka, Juthani, Rupa
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose of Review This review summarizes the modern approach to surgical management of malignant brain tumors, highlighting new technology and multimodal treatment paradigms. Recent Findings Outcomes in patients with glioblastoma are strongly correlated with extent of initial surgical resection. Intraoperative MRI, 5-ALA, and neuronavigation are surgical tools that can help achieve a maximal safe resection. Stereotactic radiosurgery and brachytherapy can be used to enhance local control for brain metastases in conjunction with surgery, while combinatorial approaches are increasingly employed in patients with multiple metastases. Advances in surgical techniques allow for minimally invasive approaches, including the use of tubular retractors, endoscopes, and laser interstitial thermal therapy. Summary Primary and metastatic brain tumors require a multimodal, multidisciplinary approach to treatment. Surgical resection can be paired with radiation for metastases to maximize tumor control, expanding systemic options. Technological innovations have improved the safety of surgical resection, while expanding the surgical options and indications for treatment.
ISSN:1523-3790
1534-6269
DOI:10.1007/s11912-020-01005-7