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Advances and Technical Standards in Neurosurgery pp 189–234Cite as

Indications for Surgery in the Management of Gliomas

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Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 17))

Abstract

The conventional wisdom among neurosurgeons and oncologists is that gliomas are not curable by surgery—nor by any other therapeutic approach—and yet that surgical resection is a necessary step in their treatment. It is not our intention to challenge this opinion, but to illustrate its daily application in the vast variety of individual gliomas in individual patients. If surgery were curative, the indication would be rather straightforward: we should only have to weigh the risks against the certainty of the cure. Surgery being palliative, its indication ought to be more carefully assessed: what does palliation mean in this patient? At what cost, to what extent and for how long will the disease be controlled? It is the aim of this paper to analyze possible answer to these questions leading to the decision for or against surgery in an individual patient presenting with a likely diagnosis of glioma.

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Authors and Affiliations

  1. Clinique Universitaire de Neurochirurgie, Hôpital Pellegrin, Bordeaux, France

    F. Cohadon

  2. Laboratoire de Neurochirurgie Expérimentale et Neurobiologie, Université de Bordeaux II, Bordeaux, France

    F. Cohadon

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  1. F. Cohadon
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Editors and Affiliations

  1. London, England

    L. Symon

  2. Gent, Belgium

    L. Calliauw

  3. Bordeaux, France

    F. Cohadon

  4. Rome, Italy

    B. Guidetti

  5. Homburg/Saar, Germany

    F. Loew

  6. Oslo, Norway

    H. Nornes

  7. Budapest, Hungary

    E. Pásztor

  8. Paris, France

    B. Pertuiset

  9. Southampton, England

    J. D. Pickard

  10. Zurich, Switzerland

    M. G. Yaşargil

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Cohadon, F. (1990). Indications for Surgery in the Management of Gliomas. In: Symon, L., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 17. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6925-4_6

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