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==Overview==
==Overview==
Treatment for glioma depends on the location and grade. The predominant therapy for glioma is [[surgical resection]]. Adjunctive [[chemotherapy]] and [[radiation]] may be required.<ref name=ddd>Treatment of glioblastoma multiforme. Dr Dylan Kurda and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/glioblastoma</ref>
Treatment for glioma depends on the location and grade. The predominant therapy for glioma is [[surgical resection]]. Adjunctive [[chemotherapy]] and [[radiation]] may be required.<ref name=ddd>Treatment of glioma. SurgWiki.com. http://www.surgwiki.com/wiki/Intracranial_tumours,_infection_and_aneurysms#Astrocytoma</ref>


==Medical Therapy==
==Medical Therapy==
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===Radiotherapy===
===Radiotherapy===
*After [[surgery]], [[radiotherapy]] is recommended among all patients who develop glioma.
*Post-operative [[radiation therapy]] is often used as an adjunct to [[surgery]] in the treatment of high-grade gliomas as it has shown to double the median survival for high-grade gliomas to 37 weeks (versus 17 weeks with surgery alone).
*Radiotherapy may not cure the cancer, but can control the tumor and delay recurrence.
*Radiotherapy may not cure the cancer, but can control the tumor and delay recurrence.
*Targeted three-dimensional conformal [[radiotherapy]] is preferred to whole brain radiotherapy.
*Targeted three-dimensional conformal [[radiotherapy]] is preferred to whole brain radiotherapy.
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===Chemotherapy===
===Chemotherapy===
*[[Chemotherapy]] is indicated as adjuvant therapy for glioma.
*[[Chemotherapy]] is indicated as adjuvant therapy for glioma.
*[[Temozolomide]] ([[Temodar]]) is the preferred drug for the treatment of glioma as it easily penetrates the blood brain barrier.
*[[Temozolomide]] ([[Temodar]]) is the preferred drug for the treatment of high-grade and recurring low-grade glioma, as it easily penetrates the blood brain barrier.
*Other chemotherapeutic drugs that may be used for the treatment of glioma include:
*Other chemotherapeutic drugs that may be used for the treatment of glioma include:
**[[Carmustine]]
**[[Carmustine]]
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Latest revision as of 23:38, 26 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Sujit Routray, M.D. [3]

Overview

Treatment for glioma depends on the location and grade. The predominant therapy for glioma is surgical resection. Adjunctive chemotherapy and radiation may be required.[1]

Medical Therapy

Treatment for glioma depends on the location and grade. The predominant therapy for glioma is surgical resection. Adjunctive chemotherapy and radiation may be required.[1]

Radiotherapy

  • Post-operative radiation therapy is often used as an adjunct to surgery in the treatment of high-grade gliomas as it has shown to double the median survival for high-grade gliomas to 37 weeks (versus 17 weeks with surgery alone).
  • Radiotherapy may not cure the cancer, but can control the tumor and delay recurrence.
  • Targeted three-dimensional conformal radiotherapy is preferred to whole brain radiotherapy.

Chemotherapy

References


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