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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...

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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
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creator Rivera, Maricruz
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Juthani, Rupa
description 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.
doi_str_mv 10.1007/s11912-020-01005-7
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subjects Brachytherapy
Brain cancer
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Brain tumors
Combined Modality Therapy
Endoscopes
Glioblastoma
Glioblastoma - diagnostic imaging
Glioblastoma - pathology
Glioblastoma - surgery
Glioma
Humans
Laser Therapy - methods
Magnetic resonance imaging
Medicine
Medicine & Public Health
Metastases
Metastasis
Neuro-oncology (KS Nevel
Neurosurgical Procedures - methods
Oncology
Patients
Radiosurgery
Radiosurgery - methods
Section Editor
Surgery
Topical Collection on Neuro-oncology
Tumors
title Updates on Surgical Management and Advances for Brain Tumors
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