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Journal of Neurosurgical Sciences 2020 August;64(4):313-34

DOI: 10.23736/S0390-5616.20.04982-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Italian consensus and recommendations on diagnosis and treatment of low-grade gliomas. An intersociety (SINch/AINO/SIN) document

Roberta RUDÀ 1, Filippo F. ANGILERI 2 , Tamara IUS 3, Antonio SILVANI 4, Silvio SARUBBO 5, Alessandra SOLARI 6, Antonella CASTELLANO 7, Andrea FALINI 7, Bianca POLLO 8, Marialaura DEL BASSO DE CARO 9, Costanza PAPAGNO 10, 11, Giuseppe MINNITI 12, Ugo DE PAULA 13, Pierina NAVARRIA 14, Antonio NICOLATO 15, Andrea SALMAGGI 16, Andrea PACE 17, Alessandra FABI 18, Maria CAFFO 2, Giuseppe LOMBARDI 19, Carmine M. CARAPELLA 17, Giannantonio SPENA 20, Maurizio IACOANGELI 21, Marco FONTANELLA 22, Antonino F. GERMANÒ 2, Alessandro OLIVI 23, Lorenzo BELLO 24, Vincenzo ESPOSITO 25, 26, Miran SKRAP 3, Riccardo SOFFIETTI 1, on behalf of the SINch Neuro-Oncology Section, AINO and SIN Neuro-Oncology Section

1 Department of Neuro-Oncology, Città della Salute e della Scienza, University of Turin, Turin, Italy; 2 Section of Neurosurgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy; 3 Neurosurgery Unit, Department of Neurosciences, Santa Maria della Misericordia University Hospital, Udine, Italy; 4 Department of Neuro-Oncology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; 5 Department of Neurosurgery, Structural and Functional Connectivity Lab Project, “S. Chiara” Hospital, Trento, Italy; 6 Unit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; 7 Neuroradiology Unit, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy; 8 Section of Oncologic Neuropathology, Division of Neurology V - Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; 9 Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy; 10 Center of Neurocognitive Rehabilitation (CeRiN), Interdepartmental Center of Mind/Brain, University of Trento, Trento, Italy; 11 Department of Psychology, University of Milan-Bicocca, Milan, Italy; 12 Radiation Oncology Unit, Department of Medicine, Surgery and Neurosciences, Policlinico Le Scotte, University of Siena, Siena, Italy; 13 Unit of Radiotherapy, San Giovanni-Addolorata Hospital, Rome, Italy; 14 Department of Radiotherapy and Radiosurgery, Humanitas Cancer Center and Research Hospital, Rozzano, Milan, Italy; 15 Unit of Stereotaxic Neurosurgery, Department of Neurosciences, Hospital Trust of Verona, Verona, Italy; 16 Neurology Unit, Department of Neurosciences, A. Manzoni Hospital, Lecco, Italy; 17 IRCCS Regina Elena National Cancer Institute, Rome, Italy; 18 Division of Medical Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy; 19 Unit of Oncology 1, Department of Oncology, Veneto Institute of Oncology-IRCCS, Padua, Italy; 20 Neurosurgery Unit, Department of Neurosciences, A. Manzoni Hospital, Lecco, Italy; 21 Department of Neurosurgery, Marche Polytechnic University, Umberto I General University Hospital, Ancona, Italy; 22 Division of Neurosurgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy; 23 Neurosurgery Unit, Department of Neurosciences, Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli”, Rome, Italy; 24 Unit of Oncologic Neurosurgery, Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy; 25 Sapienza University, Rome, Italy; 26 Giampaolo Cantore Department of Neurosurgery, IRCCS Neuromed, Pozzilli, Isernia, Italy



In 2018, the SINch (Italian Society of Neurosurgery) Neuro-Oncology Section, AINO (Italian Association of Neuro-Oncology) and SIN (Italian Association of Neurology) Neuro-Oncology Section formed a collaborative Task Force to look at the diagnosis and treatment of low-grade gliomas (LGGs). The Task Force included neurologists, neurosurgeons, neuro-oncologists, pathologists, radiologists, radiation oncologists, medical oncologists, a neuropsychologist and a methodologist. For operational purposes, the Task Force was divided into five Working Groups: diagnosis, surgical treatment, adjuvant treatments, supportive therapies, and follow-up. The resulting guidance document is based on the available evidence and provides recommendations on diagnosis and treatment of LGG patients, considering all aspects of patient care along their disease trajectory.


KEY WORDS: Glioma; Consensus; Health planning guidelines

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