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Radiation Oncology • Neuro-Oncology
What treatment volume should be included for a resected glioma with a large hygroma adjacent to the resection cavity?
Would you include the hygroma in your cavity volume? Does your decision change if you are treating a low grade vs high grade glioma? Are there other clinical, radiological or pathological factors you would consider when making your treatment decision?
Answer from: Radiation Oncologist at Academic Institution
In general, post-operative hydroma is considered as part of surgical cavity/postoperative change. As a result, it is included in the radiation target volume. The histological grade generally doesn't impact the decision, unless, it is a WHO grade I pilocytic astrocytoma. In such case, we could consid...
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