Radical surgery after chemotherapy: a new therapeutic strategy to envision in grade II glioma.

Abstract:

:While surgery is proned in low-grade glioma (LGG), the invasion of functional areas frequently prevents a complete resection. We report the first case of a patient operated on for a left frontal LGG, diagnosed because of seizures, with partial resection due to an invasion of the controlateral hemisphere. Chemotherapy enabled a regression of this controlateral extension. Postchemotherapy surgery performed with intraoperative functional mapping then allowed a complete resection, without sequelae. The patient has a normal socio-professional life, with no seizure. No other treatment was given. There was no recurrence, with a follow-up of 2 years since the second surgery (3.5 years since the first symptom). We propose a new therapeutic strategy in unresectable LGG, with preoperative chemotherapy, to make a radical surgery possible in a second step, while preserving the quality of life.

journal_name

J Neurooncol

authors

Duffau H,Taillandier L,Capelle L

doi

10.1007/s11060-006-9168-3

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

171-6

issue

2

eissn

0167-594X

issn

1573-7373

journal_volume

80

pub_type

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