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弥漫性胶质瘤中的肿瘤功能平衡：过去十年概念的演变——以及下一步。

The onco-functional balance in diffuse gliomas: Evolution of the concept over the past decade - And the next steps.

作者信息

Duffau Hugues

机构信息

Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.

Team "Plasticity of Central Nervous System, Stem Cells and Low-grade gliomas," INSERM U1191, Institute of Functional Genomics, Montpellier, France.

出版信息

Brain Spine. 2024 Dec 27;5:104170. doi: 10.1016/j.bas.2024.104170. eCollection 2025.

DOI:10.1016/j.bas.2024.104170
PMID:39850593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11753966/
Abstract

•Defining the concept of "onco-functional" balance.•Detailing the clinical implications in brain tumor surgery.•Discussing the future of this philosophy.

摘要

•定义“肿瘤功能”平衡的概念。

•详述脑肿瘤手术中的临床意义。

•探讨这一理念的未来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/83782dc452a9/gr1c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/885022ded2f5/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/c75b7a4e8c13/gr1b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/83782dc452a9/gr1c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/885022ded2f5/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/c75b7a4e8c13/gr1b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/11753966/83782dc452a9/gr1c.jpg

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Brain Spine. 2024 Dec 27;5:104170. doi: 10.1016/j.bas.2024.104170. eCollection 2025.
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本文引用的文献

1
Functional and oncological outcomes following more than three consecutive surgical resections for multiple relapses of initially grade 2 IDH-mutated gliomas.对于最初为 IDH 突变型 2 级的胶质瘤多次复发并接受了 3 次以上连续手术切除后的功能和肿瘤学结果。
Acta Neurochir (Wien). 2024 Oct 28;166(1):425. doi: 10.1007/s00701-024-06321-6.
2
Long-term autonomy, professional activities, cognition, and overall survival after awake functional-based surgery in patients with IDH-mutant grade 2 gliomas: a retrospective cohort study.异柠檬酸脱氢酶（IDH）突变的2级神经胶质瘤患者行清醒功能区手术术后的长期自主性、专业活动、认知及总生存期：一项回顾性队列研究
Lancet Reg Health Eur. 2024 Sep 20;46:101078. doi: 10.1016/j.lanepe.2024.101078. eCollection 2024 Nov.
3
Long-term motor deficit in brain tumour surgery with preserved intra-operative motor-evoked potentials.保留术中运动诱发电位的脑肿瘤手术中的长期运动功能缺损
Brain Commun. 2021 Jan 23;3(1):fcaa226. doi: 10.1093/braincomms/fcaa226. eCollection 2021.
4
Revisiting the Functional Anatomy of the Human Brain: Toward a Meta-Networking Theory of Cerebral Functions.重新审视人类大脑的功能解剖学：迈向大脑功能的元网络理论。
Physiol Rev. 2020 Jul 1;100(3):1181-1228. doi: 10.1152/physrev.00033.2019. Epub 2020 Feb 20.
5
An attempt to conceptualize the individual onco-functional balance: Why a standardized treatment is an illusion for diffuse low-grade glioma patients.尝试概念化个体的肿瘤功能平衡：为什么标准化治疗对于弥漫性低级别胶质瘤患者是一种幻想。
Crit Rev Oncol Hematol. 2018 Feb;122:83-91. doi: 10.1016/j.critrevonc.2017.12.008. Epub 2017 Dec 13.
6
The "onco-functional balance" in surgery for diffuse low-grade glioma: integrating the extent of resection with quality of life.弥漫性低级别胶质瘤手术中的“肿瘤功能平衡”：将切除范围与生活质量相结合。
Acta Neurochir (Wien). 2013 Jun;155(6):951-7. doi: 10.1007/s00701-013-1653-9. Epub 2013 Feb 28.
7
Intraoperative subcortical electrical mapping of optic radiations in awake surgery for glioma involving visual pathways.术中皮质下视神经放射束电刺激在累及视路的胶质瘤清醒开颅术中的应用
J Neurosurg. 2012 Sep;117(3):466-73. doi: 10.3171/2012.6.JNS111981. Epub 2012 Jul 13.
8
Awake surgery for WHO Grade II gliomas within "noneloquent" areas in the left dominant hemisphere: toward a "supratotal" resection. Clinical article.左优势半球“非功能区”WHO Ⅱ级脑胶质瘤的唤醒手术：追求“超大体积”切除。临床文章。
J Neurosurg. 2011 Aug;115(2):232-9. doi: 10.3171/2011.3.JNS101333. Epub 2011 May 6.