Neurological Surgical Oncology

Embark on a journey through the intricate landscape of neurological surgical oncology, where skilled neurosurgeons address the challenges posed by various types and stages of neurological cancers with precision and expertise. From the complexity of glioblastomas to the subtleties of meningiomas, each condition presents its unique challenges to be addressed with care.

• Gliomas: Affect the glial cells of the brain and spinal cord, with treatment options including surgery (tumor resection or debulking), chemotherapy (oral or intravenous agents), radiation therapy (external beam or stereotactic radiosurgery), targeted therapy (such as tyrosine kinase inhibitors or anti-angiogenic agents), and sometimes immunotherapy or tumor-treating fields (TTF), depending on the tumor's histology, location, and molecular profile.
• Meningiomas: Arise from the meninges, the protective membranes covering the brain and spinal cord, with treatment options including surgery (complete resection or debulking), radiation therapy (external beam or stereotactic radiosurgery), observation (for asymptomatic or low-grade tumors), and sometimes adjuvant therapy (such as chemotherapy or targeted therapy), depending on the tumor's size, location, and proximity to critical structures.
• Pituitary Tumors: Arise from the pituitary gland, with treatment options including surgery (transsphenoidal resection or endoscopic surgery), radiation therapy (external beam or stereotactic radiosurgery), medical therapy (dopamine agonists, somatostatin analogs, or growth hormone receptor antagonists), and sometimes observation (for asymptomatic or non-functioning tumors), depending on the tumor's functionality, size, and hormone secretion patterns.
• Spinal Cord Tumors: Arise within or adjacent to the spinal cord, with treatment options including surgery (tumor resection or decompression), radiation therapy (external beam or stereotactic radiosurgery), chemotherapy (systemic or intrathecal agents), and sometimes targeted therapy or immunotherapy, depending on the tumor's histology, location, and extent of compression or invasion.
• Peripheral Nerve Tumors: Arise from the peripheral nerves, with treatment options including surgery (nerve-sparing resection or neurolysis), radiation therapy (external beam or brachytherapy), observation (for asymptomatic or benign lesions), and sometimes adjuvant therapy (such as chemotherapy or targeted therapy), depending on the tumor's size, location, and involvement of adjacent structures.