RESUMO
The main treatment of asctrocytomas is surgery, which serves a double purpose: diagnosis and treatment. Surgery can be complemented with radiotherapy. With respect to chemotherapy, there continues to be a controversy as to whether it has the capacity to overcome the blood-brain barrier. An interesting option has been the implantation of biodegradable polymers of carmustine that are placed in the cavity left by the surgical procedure. With respect to the cerebral edema that can be associated with the carmustine implants, there can appear images in follow-up that are suggestive of relapse.
Assuntos
Astrocitoma/diagnóstico , Edema Encefálico/diagnóstico por imagem , Neoplasias Encefálicas/diagnóstico , Recidiva Local de Neoplasia/diagnóstico , Adulto , Antineoplásicos Alquilantes/administração & dosagem , Antineoplásicos Alquilantes/efeitos adversos , Astrocitoma/terapia , Edema Encefálico/induzido quimicamente , Neoplasias Encefálicas/terapia , Carmustina/administração & dosagem , Carmustina/efeitos adversos , Terapia Combinada , Ácidos Decanoicos/administração & dosagem , Ácidos Decanoicos/efeitos adversos , Feminino , Humanos , Imageamento por Ressonância Magnética , Recidiva Local de Neoplasia/tratamento farmacológico , Procedimentos Neurocirúrgicos , Poliésteres/administração & dosagem , Poliésteres/efeitos adversos , Tomografia por Emissão de Pósitrons , Radiografia , RadioterapiaRESUMO
The main treatment of asctrocytomas is surgery, which serves a double purpose: diagnosis and treatment. Surgery can be complemented with radiotherapy. With respect to chemotherapy, there continues to be a controversy as to whether it has the capacity to overcome the blood-brain barrier. An interesting option has been the implantation of biodegradable polymers of carmustine that are placed in the cavity left by the surgical procedure. With respect to the cerebral edema that can be associated with the carmustine implants, there can appear images in follow-up that are suggestive of relapse (AU)
