Oligodendroglioma surgery
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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 not the first-line treatment option for patients with oligodendroglioma. CSF shunting is usually reserved for patients with hydrocephalus.
Surgery
Surgery is not the first-line treatment option for patients with oligodendroglioma.[1]
- Because of their diffusely infiltrating nature, oligodendrogliomas cannot be completely resected and are not curable by surgical excision.
- The aim of surgery is to:[2]
- Make a definitive diagnosis
- Debulk the tumor to relieve elevated intracranial pressure
- Reduce the tumor mass as a precursor to adjuvant treatment
CSF shunting is performed to relieve the pressure in the brain due to blockade in the flow of cerebrospinal fluid due to oligodendroglioma.
- External ventricular drain
- Temporary shunt
- Internal drain
- Permanent shunt
- Drains CSF into the patient’s abdomen, where it is absorbed into the body
References
- ↑ Treatment of oligodendroglioma. Canadian Cancer Society 2015. http://www.cancer.ca/en/cancer-information/cancer-type/brain-spinal/brain-and-spinal-tumours/oligodendroglioma/?region=on
- ↑ 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.