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Surgical strategies for nonenhancing slow-growing gliomas with special reference to functional reorganization: Review with own experience
https://doi.org/10.24517/00013654
https://doi.org/10.24517/0001365403ddac57-e75e-43a7-a7fc-97c54a361be3
| 名前 / ファイル | ライセンス | アクション |
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ME-PR-HAYASHI-Y-438.pdf (335.1 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||
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| 公開日 | 2017-10-03 | |||||||||||
| タイトル | ||||||||||||
| タイトル | Surgical strategies for nonenhancing slow-growing gliomas with special reference to functional reorganization: Review with own experience | |||||||||||
| 言語 | ||||||||||||
| 言語 | jpn | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| ID登録 | ||||||||||||
| ID登録 | 10.24517/00013654 | |||||||||||
| ID登録タイプ | JaLC | |||||||||||
| 著者 |
Hayashi, Yutaka
× Hayashi, Yutaka× Nakada, Mitsutoshi× Konoshita, Masashi× Hamada, Jun-ichiro |
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| 著者別表示 |
林, 裕
× 林, 裕
× 中田, 光俊
× 濱田, 潤一郎
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| 書誌情報 |
Neurologia medico-chirurgica = 神経外科 巻 53, 号 7, p. 438-446, 発行日 2013-06-01 |
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| ISSN | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 1349-8029 | |||||||||||
| NCID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA1202239X | |||||||||||
| DOI | ||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | 10.2176/nmc.53.438 | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | 日本脳神経外科学会 = The Japan Neurosurgical Society | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Nonenhancing intrinsic brain tumors have been empirically treated with a strategy that has been adopted for World Health Organization (WHO) grade II gliomas (low-grade gliomas: LGGs), even though small parts of the tumors might have been diagnosed as WHO grade III gliomas after surgery. However, the best surgical strategy for nonenhancing gliomas, including LGGs, is still debatable. LGGs have the following features: slow growth, high possibility of histologically malignant transformation, and no clear border between the tumor and adjacent normal brain. We retrospectively examined 26 consecutive patients with nonenhancing gliomas who were surgically treated at Kanazawa University Hospital between January 2006 and May 2012, with special reference to functional reorganization, extent of resection (EOR), and functional mapping during awake surgery. These categories are closely related with the features of LGG, i.e. functional reorganization due to slow-growing nature, EOR with related malignant transformation, and functional mapping for delineating the unclear tumor border. Finally, we discuss surgical strategies for slow-growing gliomas that are represented by LGGs and nonenhancing gliomas. In conclusion, slow-growing gliomas tend to undergo functional reorganization, and the functional reorganization affects the presurgical evaluation for resectability based on tumor location related to eloquence. In the clinical setting, to definitely identify the reorganized functional regions, awake surgery is recommended. Therefore, awake surgery could increase the extent of the resection of the tumor without deficits, resulting in the delay of malignant transformation and increase in overall survival. | |||||||||||
| 権利 | ||||||||||||
| 権利情報 | Copyright © 日本脳神経外科学会 | The Japan Neurosurgical Society / 学会誌名（Neurologia medico-chirurgica）とJ-STAGEからの出典である | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
| 関連URI | ||||||||||||
| 識別子タイプ | URI | |||||||||||
| 関連識別子 | http://jns.umin.ac.jp/ | |||||||||||
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| 識別子タイプ | URI | |||||||||||
| 関連識別子 | https://www.jstage.jst.go.jp/browse/nmc/-char/ja/ | |||||||||||
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| 識別子タイプ | URI | |||||||||||
| 関連識別子 | http://ci.nii.ac.jp/naid/130003364274 | |||||||||||
