The Rise and Fall of "Biopsy and Radiate": A History of Surgical Nihilism in Glioma Treatment

被引:9
作者
Han, Seunggu J. [2 ]
Sughrue, Michael F. [1 ]
机构
[1] Univ Oklahoma, Comprehens Brain Tumor Ctr, Dept Neurol Surg, Oklahoma City, OK 73104 USA
[2] Univ San Francisco, Dept Neurol Surg, San Francisco, CA 94117 USA
关键词
Surgery; Glioma; Resection; VESTIBULAR SCHWANNOMA SURGERY; FACIAL-NERVE FUNCTION; LOW-GRADE GLIOMAS; MALIGNANT GLIOMA; GLIOBLASTOMA-MULTIFORME; AUDIOFACIAL MORBIDITY; CEREBRAL HEMISPHERE; RESECTION; EXTENT; PRESERVATION;
D O I
10.1016/j.nec.2012.02.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Many neurosurgeons take a nihilistic approach to surgical treatment of gliomas, stating the inability to achieve a cure. Where this idea comes from is somewhat nebulous to most neurosurgeons. A review of the scientific studies supporting the commonly held beliefs about gliomas shows that these ideas regarding the surgical treatment of gliomas are based on overgeneralizations of data from older studies. One should avoid the temptation to apply them to the greater concept of what gliomas are, how they behave, and what should be done, but rather we should continue to scientifically evaluate the role of surgical resection in glioma treatment.
引用
收藏
页码:207 / +
页数:9
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