Low grade gliomas guide-lines elaborated by the tumor section of Spanish Society of Neurosurgery

Sonia Tejada Solís , Josep González Sánchez , Irene Iglesias Lozano , Gerard Plans Ahicart , Angel Pérez Núñez , Leonor Meana Carballo , Jose Luis Gil Salú , Alejandro Fernández Coello , Juan Carlos García Romero , Angel Rodríguez de Lope Llorca , Sara García Duque , Ricardo Díez Valle , Jose Luis Narros Giménez , Ricardo Prat Acín , Working Group of the SENEC
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Abstract

Adult low-grade gliomas (Low Grade Gliomas, LGG) are tumors that originate from the glial cells of the brain and whose management involves great controversy, starting from the diagnosis, to the treatment and subsequent follow-up. For this reason, the Tumor Group of the Spanish Society of Neurosurgery (GT-SENEC) has held a consensus meeting, in which the most relevant neurosurgical issues have been discussed, reaching recommendations based on the best scientific evidence. In order to obtain the maximum benefit from these treatments, an individualised assessment of each patient should be made by a multidisciplinary team.

Experts in each LGG treatment field have briefly described it based in their experience and the reviewed of the literature.

Each area has been summarized and focused on the best published evidence.

LGG have been surrounded by treatment controversy, although during the last years more accurate data has been published in order to reach treatment consensus. Neurosurgeons must know treatment options, indications and risks to participate actively in the decision making and to offer the best surgical treatment in every case.

西班牙神经外科学会肿瘤科制定的低级别胶质瘤指南
成人低级别胶质瘤(low grade Gliomass,LGG)是起源于大脑神经胶质细胞的肿瘤,其治疗从诊断到治疗以及随后的随访都存在很大争议。为此,西班牙神经外科学会肿瘤小组召开了一次协商一致会议,讨论了最相关的神经外科问题,并根据最佳科学证据提出了建议。为了从这些治疗中获得最大效益,应由多学科团队对每位患者进行个性化评估。每个LGG治疗领域的专家都根据他们的经验和文献综述对其进行了简要描述。对每个领域都进行了总结,并将重点放在已发表的最佳证据上。LGG一直被治疗争议所包围,尽管在过去几年中,为了达成治疗共识,已经公布了更准确的数据。神经外科医生必须了解治疗方案、适应症和风险,才能积极参与决策,并在每种情况下提供最佳的手术治疗。
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