Treatment of glioma

  Gliomas, tumors that occur in the neuroectoderm, are most commonly found in the brain and, to a lesser extent, in the spinal cord. The International Health Organization classifies them into four grades, with grades 3 and 4 being malignant. However, the prognosis is closely related to the site (whether it can be removed by surgery) and the response to treatment, in addition to the grade. The treatment for glioma at home and abroad is generally surgery, radiotherapy (including gamma knife), chemotherapy, and possible targeted therapy in the future.  Surgical treatment is the most critical, except for gliomas located in superficial, non-essential functional areas of the brain, which are more difficult to operate on, as it is not only necessary to remove as many tumors as possible, but also not to damage important neurovascular vessels. Removing as many tumors as possible requires experience and identification of tumor tissues, which requires years of surgical experience, otherwise the removed tumors will not be as good as the new growths and will add to the edema of the tumor tissues and aggravate the damage.  After the surgery, it is necessary to review the image to confirm the extent of resection, and those who reach total or basic total resection need adjuvant radiotherapy after the surgery, which requires the payment of radiotherapist. If there is residual mass tumor, then gamma knife + radiotherapy or conformal intensity modulation is recommended.  Chemotherapy is also important, but less important than surgery and radiotherapy.