Zusammenfassung
Der Stellenwert der Operation hängt von den biologischen Eigenschaften (Wachstumsgeschwindigkeit) des Neoplasmas, seiner Lokalisation, den Wirkungen auf das umgebende Parenchym (Symptomverursachung) und dem Hirndruck ab. Differentielle Therapie und Prognosestellung erfordern eine exakte histologische Klassifikation (Tabelle 4.1) (Jellinger 1986). Für die Gewinnung histologischen Materials und zur Hirndruckentlastung stehen zwischen Biopsie und makroskopischer sog. „Totalexstirpation“ etliche operative Vorgehensweisen offen.
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Vieregge, P. (1989). Neoplasmen des zentralen und peripheren Nervensystems. In: Spezielle neurologische Therapie. Kliniktaschenbücher. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00682-5_4
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