How to treat glioma

Glioma is actually also called glioma. The incidence of this disease has become quite high now, and the cause of the disease is not so clear. Many times, patients are caused by genetics or infection. Usually there are more genetic factors. After the disease occurs, patients will not obviously feel too many symptoms of the disease, but abnormal conditions will be found during examination. If this is the case, it is best for patients to take appropriate treatment measures when they are asymptomatic. This will prevent their disease from continuing to develop, and will not cause more serious damage to other tissues in the brain, and can prevent the tumor from growing.

The treatment of glioma is mainly surgical. However, due to the invasive growth of the tumor and the lack of obvious boundaries with the brain tissue, it is difficult to completely remove the tumor except for those in the early stage when the tumor is small and located in the appropriate part. Therefore, comprehensive treatment is generally advocated, that is, postoperative radiotherapy, chemotherapy, etc., which can delay recurrence and prolong survival. We should strive to make early diagnosis and timely treatment to improve the treatment effect.

1. Surgery

The principle is to remove as much of the tumor as possible while preserving neurological function. If the tumor is small in the early stage, we should try to remove the tumor completely. For larger tumors located in the frontal lobe or temporal lobe, a lobectomy can be performed to remove the tumor. If the tumor involves more than two lobes of the cerebral hemisphere and causes hemiplegia but has not invaded the basal ganglia, thalamus, and contralateral side, hemispherectomy can also be performed.

For patients whose tumors are located in the motor and speech areas but without obvious hemiplegia or aphasia, attention should be paid to maintaining neurological function and appropriate tumor removal to avoid serious sequelae. Can be performed simultaneously with temporalis muscle or craniectomy decompression. Alternatively, decompression surgery may be performed after a biopsy alone. If a thalamic tumor compresses and blocks the third ventricle, a shunt surgery can be performed; otherwise, decompression surgery can be performed.

Ventricular tumors can be treated by cutting through brain tissue from non-important functional areas to enter the ventricles, removing the tumor as much as possible and relieving ventricular obstruction. Care should be taken to avoid damaging the hypothalamus or brainstem adjacent to the tumor to prevent danger. Except for small nodular or cystic brainstem tumors that can be resected, those with increased intracranial pressure can undergo shunt surgery. For patients with critical conditions, supratentorial tumors should first be treated with dehydration drugs, and at the same time, examinations and diagnosis should be carried out as soon as possible, followed by surgical treatment. Posterior cranial fossa tumors can be treated with ventricular drainage first, and then surgical treatment can be performed after the condition improves and stabilizes.