Sawaya Raymond
AANS/CNS Section on Tumors, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
J Neurooncol. 2004 Aug-Sep;69(1-3):19-23. doi: 10.1023/b:neon.0000041880.12276.33.
The development of neurosurgical oncology as a subspecialty is closely tied to the development of neurosurgery as a whole. Therefore, the progress that has taken place in the diagnosis and the surgical management of neurosurgical disorders has been widely applied to oncologic disorders affecting the nervous system. The challenges and opportunities that characterize the specialty are grouped into five general categories. These are issues that are related to (1) the management of a large and diverse patient population, (2) the proper training of neurosurgeons to develop the set of required technical skills, (3) the lack of disease curability and its associated opportunity for research endeavors, (4) the importance of the multidisciplinary coordination of care in a horizontal matrix model, and (5) the psychosocial dimensions that are a part of the complexity of human nature. Based on a current assessment of the subspecialty, a perspective on the unfolding future is obtained. This future can be characterized by a stronger workforce, a broader connectivity and representations, and an improved scientific inquiry.
神经外科肿瘤学作为一个亚专业的发展与神经外科整体的发展紧密相连。因此，神经外科疾病诊断和手术治疗方面取得的进展已广泛应用于影响神经系统的肿瘤性疾病。该专业的挑战和机遇可归纳为五大类。这些问题涉及：（1）对大量不同患者群体的管理；（2）对神经外科医生进行适当培训以培养所需的一系列技术技能；（3）疾病难以治愈及其相关的研究机会；（4）在横向矩阵模式下多学科协作护理的重要性；（5）作为人性复杂性一部分的社会心理层面。基于对该亚专业的当前评估，得出了对未来发展的展望。未来的特点可能是拥有更强大的专业队伍、更广泛的联系和代表性以及改进的科学探究。
