How do you balance the costs and benefits of treatment in young patients with low-grade gliomas?

Patients with low-grade gliomas have a better prognosis and can survive for a long time with standardized treatment, which requires attention to their quality of life. Especially for young people. Young people are the hope and main force of the society and family, and assume a more important role in social life, as well as the key period to realize personal value, is running. In addition to basic speech, physical activity, and vision, higher cognitive functions such as cognition, execution, decision-making, and emotion are all important foundations of social attributes. If a young person discovers a low-grade glioma either because of a physical exam or because of epilepsy, is the trajectory of his or her life about to change? What would be the impact of the several treatments for glioma on social attributes? Can you give yourself a chance to delay change or change less without decreasing survival? Of the several approaches to glioma, surgery and radiation therapy are localized treatments, both of which have some impact on brain tissue, and the extent of surgical resection and the outlining of the target area for radiation therapy need to take full account of functional preservation. Chemotherapy is whole brain treatment, which does not cause irreversible damage to brain tissue. Generally speaking, gliomas are divided into non-functional gliomas and functional gliomas. Non-functional gliomas are often found on screening, are generally small, are located in non-functional areas, and require low surgical technical support (any brain surgeon can do it), but at this time the goal of surgery should also be higher, and at this time they should not be resected only according to the imaging boundaries, but rather should be enlarged as appropriate, preserving the function but also promising to achieve the goal of healing. Functional gliomas Surgery for functional gliomas requires caution: the surgical platform needs to be high, the surgeon’s surgical concept needs to be high, and the patient’s functional preservation needs to be high. High demand for surgical platform: there must be appropriate equipment and technology to support the implementation of the surgery, high demand for the operator’s concept: the operator’s concept and connotation of the definition of the functional zone should be rich and individualized, and high demand for the preservation of patient’s function: it is necessary to resect as many tumors as possible under the prerequisite of preserving the patient’s function, and it is very likely that functional gliomas will be crippled without being cut to any extent. It is clear that you can expect to end up with a minimally invasive biopsy procedure, but you have to make a big scene. Glioma treatment is vast, standardization of all aspects is important, and choice is more important than effort.