How I do it: anatomical resection of a large diffusive recurrent high-grade glioma for preservation of the central core.

Abstract

Maximal safe surgical treatment of diffusive glioma without a clear boundary between the tumor and central core is challenging. We present a case of a large, diffusive, recurrent high-grade glioma with preservation of the central core following an anatomical resection protocol that aimed to maintain quality of life. Knowing the key anatomical landmarks and following the anatomical resection protocol are fundamental to surgical safety for treatment of glioma.