Surgery for glioblastoma multiforme: striking a balance

doi:10.1016/j.wneu.2011.06.053

Comment

. 2011 Dec;76(6):528-30.

doi: 10.1016/j.wneu.2011.06.053.

Surgery for glioblastoma multiforme: striking a balance

Raymund L Yong¹, Russell R Lonser

Affiliations

PMID: 22251498
PMCID: PMC3261421
DOI: 10.1016/j.wneu.2011.06.053

Comment

Surgery for glioblastoma multiforme: striking a balance

Raymund L Yong et al. World Neurosurg. 2011 Dec.

. 2011 Dec;76(6):528-30.

doi: 10.1016/j.wneu.2011.06.053.

Authors

Raymund L Yong¹, Russell R Lonser

Affiliation

¹ Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.

PMID: 22251498
PMCID: PMC3261421
DOI: 10.1016/j.wneu.2011.06.053

No abstract available

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Figures

**Figure 1**
Conceptual framework for the relationship between risk and benefit for cytoreductive glioblastoma surgery according to tumor resectability and preoperative prognosis. Black curves indicate expected average months of survival gained from tumor cytoreduction if the extent of resection (EOR) threshold is assumed to be approximately 80%. Red curves indicate expected average months of survival lost due to general perioperative complications and surgically acquired neurological deficits. Shaded area indicates the range of EOR within which a net survival benefit exists. Arrows indicate EOR at which benefit is maximal for each scenario. Question marks indicate scenarios where projected net benefit may not be clinically meaningful.

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Comment on

The risk of getting worse: surgically acquired deficits, perioperative complications, and functional outcomes after primary resection of glioblastoma.
Gulati S, Jakola AS, Nerland US, Weber C, Solheim O. Gulati S, et al. World Neurosurg. 2011 Dec;76(6):572-9. doi: 10.1016/j.wneu.2011.06.014. World Neurosurg. 2011. PMID: 22251506

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References

1. Brown PD, Ballman KV, Rummans TA, Maurer MJ, Sloan JA, Boeve BF, Gupta L, Tang-Wai DF, Arusell RM, Clark MM, Buckner JC. Prospective study of quality of life in adults with newly diagnosed high-grade gliomas. J Neurooncol. 2006;76:283–291. - PubMed
1. Chaichana KL, Halthore AN, Parker SL, Olivi A, Weingart JD, Brem H, Quinones-Hinojosa A. Factors involved in maintaining prolonged functional independence following supratentorial glioblastoma resection. Clinical article. J Neurosurg. 2011;114:604–612. - PMC - PubMed
1. Ciric I, Ammirati M, Vick N, Mikhael M. Supratentorial gliomas: surgical considerations and immediate postoperative results. Gross total resection versus partial resection. Neurosurgery. 1987;21:21–26. - PubMed
1. Fadul C, Wood J, Thaler H, Galicich J, Patterson RH, Jr, Posner JB. Morbidity and mortality of craniotomy for excision of supratentorial gliomas. Neurology. 1988;38:1374–1379. - PubMed
1. Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001;95:190–198. - PubMed

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[1] Brown PD, Ballman KV, Rummans TA, Maurer MJ, Sloan JA, Boeve BF, Gupta L, Tang-Wai DF, Arusell RM, Clark MM, Buckner JC. Prospective study of quality of life in adults with newly diagnosed high-grade gliomas. J Neurooncol. 2006;76:283–291. - PubMed

[2] Brown PD, Ballman KV, Rummans TA, Maurer MJ, Sloan JA, Boeve BF, Gupta L, Tang-Wai DF, Arusell RM, Clark MM, Buckner JC. Prospective study of quality of life in adults with newly diagnosed high-grade gliomas. J Neurooncol. 2006;76:283–291. - PubMed

[3] Chaichana KL, Halthore AN, Parker SL, Olivi A, Weingart JD, Brem H, Quinones-Hinojosa A. Factors involved in maintaining prolonged functional independence following supratentorial glioblastoma resection. Clinical article. J Neurosurg. 2011;114:604–612. - PMC - PubMed

[4] Chaichana KL, Halthore AN, Parker SL, Olivi A, Weingart JD, Brem H, Quinones-Hinojosa A. Factors involved in maintaining prolonged functional independence following supratentorial glioblastoma resection. Clinical article. J Neurosurg. 2011;114:604–612. - PMC - PubMed

[5] Ciric I, Ammirati M, Vick N, Mikhael M. Supratentorial gliomas: surgical considerations and immediate postoperative results. Gross total resection versus partial resection. Neurosurgery. 1987;21:21–26. - PubMed

[6] Ciric I, Ammirati M, Vick N, Mikhael M. Supratentorial gliomas: surgical considerations and immediate postoperative results. Gross total resection versus partial resection. Neurosurgery. 1987;21:21–26. - PubMed

[7] Fadul C, Wood J, Thaler H, Galicich J, Patterson RH, Jr, Posner JB. Morbidity and mortality of craniotomy for excision of supratentorial gliomas. Neurology. 1988;38:1374–1379. - PubMed

[8] Fadul C, Wood J, Thaler H, Galicich J, Patterson RH, Jr, Posner JB. Morbidity and mortality of craniotomy for excision of supratentorial gliomas. Neurology. 1988;38:1374–1379. - PubMed

[9] Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001;95:190–198. - PubMed

[10] Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D, Sawaya R. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001;95:190–198. - PubMed

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Surgery for glioblastoma multiforme: striking a balance

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Surgery for glioblastoma multiforme: striking a balance

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