Reoperation for Recurrent Glioblastoma Multiforme

Neurosurg Clin N Am. 2017 Jul;28(3):407-428. doi: 10.1016/j.nec.2017.02.007.

Abstract

The role of reoperation for glioblastoma multiforme (GBM) recurrence is currently unknown. However, multiple studies have indicated that survival and quality of life are improved with a repeat operation at the time of disease recurrence. Prognosis is likely interdependent on several factors, including age, functional status, initial resection status, disease location, and surgical efficacy. However, there are significant data indicating no survival benefit for reoperation. This comprehensive literature review considering the controversial question of whether to operate for progressive or recurrent GBM seeks to evaluate the current available evidence and report on its conclusions.

Keywords: Extent of resection; Glioblastoma multiforme; Recurrence; Reoperation; Resection; Survival.

Publication types

  • Review

MeSH terms

  • Brain Neoplasms / mortality
  • Brain Neoplasms / surgery*
  • Glioblastoma / mortality
  • Glioblastoma / surgery*
  • Humans
  • Neoplasm Recurrence, Local / mortality
  • Neoplasm Recurrence, Local / surgery*
  • Prognosis
  • Quality of Life
  • Reoperation*