Wroe S J, Foy P M, Shaw M D, Williams I R, Chadwick D W, West C, Towns G
Br Med J (Clin Res Ed). 1986 Oct 18;293(6553):1015-8. doi: 10.1136/bmj.293.6553.1015.
The management and outcome in 205 patients diagnosed as having cerebral gliomas over five years were reviewed. Patients referred to neurologists and neurosurgeons had similar clinical features and similar results on computed tomography. Patients referred to neurologists underwent burr hole biopsy less often and had better short term morbidity than patients referred to neurosurgeons, although final outcome was the same in both groups. Few patients underwent other surgical procedures. Referral for radiotherapy was usually by neurosurgeons, although this did not significantly affect long term survival. The implications for the management of patients with primary malignant brain tumours and the need for prospective studies are discussed.
对205例在五年内被诊断为患有脑胶质瘤的患者的治疗及预后进行了回顾。转诊至神经科医生和神经外科医生处的患者具有相似的临床特征，在计算机断层扫描上结果也相似。转诊至神经科医生处的患者接受环钻活检的频率较低，短期发病率也低于转诊至神经外科医生处的患者，尽管两组的最终预后相同。很少有患者接受其他外科手术。放疗转诊通常由神经外科医生进行，尽管这对长期生存没有显著影响。讨论了对原发性恶性脑肿瘤患者管理的影响以及前瞻性研究的必要性。
