• Acta neurochirurgica · Nov 2009

    Long-term outcome and survival of surgically treated supratentorial low-grade glioma in adult patients.

    • Rezvan Ahmadi, Ahmadi Rezvan, Christine Dictus, Dictus Christine, Christian Hartmann, Hartmann Christian, Olga Zürn, Zürn Olga, Lutz Edler, Edler Lutz, Marius Hartmann, Hartmann Marius, Stephanie Combs, Combs Stephanie, Christel Herold-Mende, Herold-Mende Christel, Christian Rainer Wirtz, Wirtz Christian Rainer, Andreas Unterberg, and Unterberg Andreas.
    • Department of Neurosurgery, University of Heidelberg, INF 400, 69120 Heidelberg, Germany. rezvan_ahmadi@med.uni-heidelberg.de
    • Acta Neurochir (Wien). 2009 Nov 1;151(11):1359-65.

    PurposeThe appropriate management of low-grade gliomas is still a matter of debate. So far, there are no randomized studies that analyze the impact of surgical resection on patient outcome. The value of the data obtained from the few retrospective reports available is often limited.Patients And MethodsIn the present study, we performed an analysis on data of 130 adult low-grade glioma patients. Extent of the resection was evaluated in correlation to the overall survival (OS) and progression-free survival (PFS) using Cox regression multivariate analysis.ResultsExtended surgery was shown to prolong OS and PFS significantly. Re-surgery in the case of a tumor relapse has a significant impact on OS and PFS, too.ConclusionsIn summary, we could retrospectively evaluate a large case series of well-defined low-grade gliomas patients with a long follow-up period showing that extended surgery would be the most effective therapy for low-grade glioma patients even in recurrent diseases.

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