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REVIEW
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 53-60

Surgical resection of glioma involving eloquent brain areas: Tumor boundary, functional boundary, and plasticity consideration


Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China

Correspondence Address:
Dr. Xuejun Yang
Department of Neurosurgery, Tianjin Medical University General Hospital, 154 An-shan Road, Tianjin 300052
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/glioma.glioma_16_20

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Glioma is the most refractory intracranial tumor, and its diffuse infiltrative growth characteristics make total resection impossible in a biological sense, especially when tumors invade eloquent brain areas. Thus, identifying the equilibrium between tumor resection and functional preservation remains a challenge in glioma surgery. The accurate identification of tumor boundaries, precise mapping of functional boundaries, and an in-depth understanding of functional plasticity are key factors for accomplishing this challenge. This article reviews these three key points and highlights potential perspectives for the development of glioma surgery.


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