Robin Adam M, Lee Ian, Kalkanis Steven N
Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Department of Neurosurgery, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Neurosurg Clin N Am. 2017 Jul;28(3):407-428. doi: 10.1016/j.nec.2017.02.007.
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.
多形性胶质母细胞瘤(GBM)复发后再次手术的作用目前尚不清楚。然而,多项研究表明,在疾病复发时进行再次手术可改善生存和生活质量。预后可能取决于几个因素,包括年龄、功能状态、初始切除状态、疾病位置和手术疗效。然而,有大量数据表明再次手术对生存无益处。这篇综合文献综述探讨了对于进展性或复发性GBM是否进行手术这一有争议的问题,旨在评估当前可得的证据并报告其结论。