Treatment of a glioma varies with tumor size and position in the brain. Treatment measures usually include some combination of surgery, corticosteroid medications, anticonvulsants, chemotherapy, and radiation therapy.
Treatment for glioma includes:
- Narcotic pain medication
- Surgery for glioma
- Radiation therapy for glioma:
- Exposing cancer cells to radiation can kill them.
- Chemotherapy for glioma:
- The administration of medicines that kill cancer cells.
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Glioma Questions For Doctor
The following are some important questions to ask before and after the treatment of glioma.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- Will I need occupational therapy?
- Will I need speech therapy?
- What else can I do to reduce my risk for complications?
- Are my children at risk for this condition?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Glioma Radiation Therapy
Radiation therapy for glioma uses a highly-focused dose of radiation directed at a small area of the brain tumor. It requires specialized scanning equipment, and 3-dimensional imaging. Another name for this method is a gamma knife.
Gamma knife devices allow doctors to deliver a precise dose of radiation to the tumor, with a minimal effect on surrounding brain tissue.
Complications of radiation therapy may include:
Physicians from the following specialties evaluate and treat gliomas:
Whenever possible, treatment should include surgery to remove the entire glioma. Following surgery, radiotherapy or chemotherapy may be used to decrease the risk of recurrence.
Some tumors are deeply embedded in the brain and surrounded by vital structures or blood vessels. This makes many tumors impossible to remove without damaging other parts of the brain.
Some gliomas may require the placement of a ventriculoperitoneal (VP) shunt to correct hydrocephalus (increased fluid pressure inside the brain). A VP shunt is a tube that drains extra fluid from around the brain, into the abdominal cavity. The tube runs from the head to the abdomen, under the skin.
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- Laperriere N, Zuraw L, Cairncross G; Cancer Care Ontario Practice Guidelines Initiative Neuro-Oncology Disease Site Group. Radiotherapy for newly diagnosed malignant glioma in adults: a systematic review. Radiother Oncol. 2002 Sep;64(3):259-73. 
- Salvati M, Caroli E, Orlando ER, Frati A, Artizzu S, Ferrante L. Multicentric glioma: our experience in 25 patients and critical review of the literature. Neurosurg Rev. 2003 Oct;26(4):275-9. 
- Stewart LA. Chemotherapy in adult high-grade glioma: a systematic review and meta-analysis of individual patient data from 12 randomised trials. Lancet. 2002 Mar 23;359(9311):1011-8.