Abstract
The development of new methods of diagnostic imaging, improvement in surgical techniques and perioperative care and advances in adjuvant therapy in recent years have failed to improve the overall prognosis for gliomas. Although malignant in behaviour, these tumours rarely, if ever, metastasize outside the central nervous system (CNS) and by the time of diagnosis the majority are still macroscopically confined to their site of origin. Hence, surgical resection would appear to be the logical method of treatment. However, in most cases complete resection is not possible because of the infiltrative nature of the tumour and proximity of important areas of brain. For these reasons it appears unlikely that surgery will ever be the definitive treatment for this disease. However, in current clinical practice it is of established value in providing a pathological diagnosis, safe and rapid palliation and prolongation of symptom-free survival and, by reduction of tumour volume, assisting adjuvant therapy.
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Ashraf, J., Bradford, R. (1995). Surgery for Primary Malignant Brain Tumours. In: Thomas, D.G.T., Graham, D.I. (eds) Malignant Brain Tumours. Springer, London. https://doi.org/10.1007/978-1-4471-1877-0_11
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DOI: https://doi.org/10.1007/978-1-4471-1877-0_11
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