Oligoastrocytoma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
[[Surgery]] is the first-line treatment option for patients with oligoastrocytoma.<ref name=rxcanada>Treatment of mixed gliomas. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/mixed-glioma/?region=on. Accessed on October 20, 2015</ref> [[Hydrocephalus surgery|CSF shunting]] is usually reserved for patients with [[hydrocephalus]].<ref name=" | [[Surgery]] is the first-line treatment option for patients with oligoastrocytoma.<ref name="pmid20425038">{{cite journal| author=Pouratian N, Schiff D| title=Management of low-grade glioma. | journal=Curr Neurol Neurosci Rep | year= 2010 | volume= 10 | issue= 3 | pages= 224-31 | pmid=20425038 | doi=10.1007/s11910-010-0105-7 | pmc=PMC2857752 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20425038 }} </ref><ref name="pmid18533376">{{cite journal| author=Chandana SR, Movva S, Arora M, Singh T| title=Primary brain tumors in adults. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 10 | pages= 1423-30 | pmid=18533376 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18533376 }} </ref><ref name=rxcanada>Treatment of mixed gliomas. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/mixed-glioma/?region=on. Accessed on October 20, 2015</ref><ref name="pmid15509821">{{cite journal| author=Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN| title=Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion. | journal=N Engl J Med | year= 2004 | volume= 351 | issue= 18 | pages= 1875-82 | pmid=15509821 | doi=10.1056/NEJMcpc049025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509821 }} </ref> [[Hydrocephalus surgery|CSF shunting]] is usually reserved for patients with [[hydrocephalus]].<ref name="pmid16048288">{{cite journal| author=Li KW, Roonprapunt C, Lawson HC, Abbott IR, Wisoff J, Epstein F et al.| title=Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. | journal=Neurosurg Focus | year= 2005 | volume= 18 | issue= 6A | pages= E2 | pmid=16048288 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16048288 }} </ref> | ||
==Surgery== | ==Surgery== | ||
===Surgical Resection=== | ===Surgical Resection=== | ||
*[[Surgery|Surgical resection]] is the first-line treatment option for patients with | *[[Surgery|Surgical resection]] is the first-line treatment option for patients with oligoastrocytoma.<ref name="pmid20425038">{{cite journal| author=Pouratian N, Schiff D| title=Management of low-grade glioma. | journal=Curr Neurol Neurosci Rep | year= 2010 | volume= 10 | issue= 3 | pages= 224-31 | pmid=20425038 | doi=10.1007/s11910-010-0105-7 | pmc=PMC2857752 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20425038 }} </ref><ref name="pmid18533376">{{cite journal| author=Chandana SR, Movva S, Arora M, Singh T| title=Primary brain tumors in adults. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 10 | pages= 1423-30 | pmid=18533376 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18533376 }} </ref><ref name=rxcanada>Treatment of mixed gliomas. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/mixed-glioma/?region=on. Accessed on October 20, 2015</ref> | ||
*The aim of surgery is to:<ref name="pmid15509821">{{cite journal| author=Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN| title=Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion. | journal=N Engl J Med | year= 2004 | volume= 351 | issue= 18 | pages= 1875-82 | pmid=15509821 | doi=10.1056/NEJMcpc049025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509821 }} </ref> | *The aim of surgery is to:<ref name="pmid15509821">{{cite journal| author=Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN| title=Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion. | journal=N Engl J Med | year= 2004 | volume= 351 | issue= 18 | pages= 1875-82 | pmid=15509821 | doi=10.1056/NEJMcpc049025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15509821 }} </ref> | ||
**Make a definitive diagnosis | **Make a definitive diagnosis | ||
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===CSF Shunt=== | ===CSF Shunt=== | ||
*[[Hydrocephalus surgery|CSF shunting]] is performed to relieve the pressure in the brain due to blockade in the flow of cerebrospinal fluid due to | *[[Hydrocephalus surgery|CSF shunting]] is performed to relieve the pressure in the brain due to blockade in the flow of cerebrospinal fluid due to oligoastrocytoma.<ref name="pmid16048288">{{cite journal| author=Li KW, Roonprapunt C, Lawson HC, Abbott IR, Wisoff J, Epstein F et al.| title=Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. | journal=Neurosurg Focus | year= 2005 | volume= 18 | issue= 6A | pages= E2 | pmid=16048288 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16048288 }} </ref> | ||
**External ventricular drain - temporary shunt | **External ventricular drain - temporary shunt | ||
**Internal drain - permanent shunt | **Internal drain - permanent shunt | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
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[[Category:Neurosurgery]] | [[Category:Neurosurgery]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
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Latest revision as of 14:43, 27 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Surgery is the first-line treatment option for patients with oligoastrocytoma.[1][2][3][4] CSF shunting is usually reserved for patients with hydrocephalus.[5]
Surgery
Surgical Resection
- Surgical resection is the first-line treatment option for patients with oligoastrocytoma.[1][2][3]
- The aim of surgery is to:[4]
- Make a definitive diagnosis
- Debulk the tumor to relieve elevated intracranial pressure
- Reduce the tumor mass as a precursor to adjuvant treatment
CSF Shunt
- CSF shunting is performed to relieve the pressure in the brain due to blockade in the flow of cerebrospinal fluid due to oligoastrocytoma.[5]
- External ventricular drain - temporary shunt
- Internal drain - permanent shunt
- Drains CSF into the patient’s abdomen where it is absorbed into the body
References
- ↑ 1.0 1.1 Pouratian N, Schiff D (2010). "Management of low-grade glioma". Curr Neurol Neurosci Rep. 10 (3): 224–31. doi:10.1007/s11910-010-0105-7. PMC 2857752. PMID 20425038.
- ↑ 2.0 2.1 Chandana SR, Movva S, Arora M, Singh T (2008). "Primary brain tumors in adults". Am Fam Physician. 77 (10): 1423–30. PMID 18533376.
- ↑ 3.0 3.1 Treatment of mixed gliomas. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/mixed-glioma/?region=on. Accessed on October 20, 2015
- ↑ 4.0 4.1 Eskandar EN, Loeffler JS, O'Neill AM, Hunter GJ, Louis DN (2004). "Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 33-2004. A 34-year-old man with a seizure and a frontal-lobe brain lesion". N Engl J Med. 351 (18): 1875–82. doi:10.1056/NEJMcpc049025. PMID 15509821.
- ↑ 5.0 5.1 Li KW, Roonprapunt C, Lawson HC, Abbott IR, Wisoff J, Epstein F; et al. (2005). "Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas". Neurosurg Focus. 18 (6A): E2. PMID 16048288.