Neuroradiologic evaluation, an important part of diagnosis and evaluation of the effectiveness of subsequent therapy, can be confounded by steroids administration used to alleviate symptoms of primary central nervous system lymphomas (PCNSL).

The involvement of an interdisciplinary team in the treatment of patients with CNS cancers is a key factor for appropriate management. Integrated histopathologic and molecular characterization of brain tumors such as gliomas should be standard practice, and research in this area is ongoing.
Histopathologic and molecular characterization of high-grade gliomas should now be standard practice, as specific markers used to define molecular subgroups among some anaplastic gliomas have been shown to have prognostic value. However, there are currently no targeted agents that have shown efficacy in the treatment of glioblastoma. The differential benefit from concurrent versus adjuvant temozolomide in patients with anaplastic gliomas continues to be unclear.
Histopathologic and molecular characterization of high-grade gliomas should now be standard practice, as specific markers used to define molecular subgroups among some anaplastic gliomas have been shown to have prognostic value. However, there are currently no targeted agents that have shown efficacy in the treatment of glioblastoma. The differential benefit from concurrent versus adjuvant temozolomide in patients with anaplastic gliomas continues to be unclear.

As a result of advances in diagnosis and treatment, many patients with brain metastases improve with proper management and do not die of progression from these metastatic lesions.

Development of new imaging and radiotherapy techniques available only at some facilities has led to a greater heterogeneity in treatment of meningioma across cancer care institutions.

Multidisciplinary Teamwork in Guiding Treatment Decisions and Management of Patients Undergoing Surgery or Radiation for Intracranial Tumors

Multidisciplinary Teamwork in Guiding Treatment Decisions and Management of Patients Undergoing Surgery or Radiation for Intracranial Tumors

For many years, the diagnosis and classification of gliomas have been based on histology. Although studies including large populations of patients demonstrated the prognostic value of histologic phenotype, variability in outcomes within histologic groups limited the utility of this system.

This information was originally presented at the NCCN 21st Annual Conference: Advancing the Standard of Cancer Care™ held in Hollywood, Florida, from March 31 – April 2, 2016.

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