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Journal of Neurosurgical Sciences 2020 Apr 29

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 intersocieties (SINch/AINO/SIN) document

Roberta RUDÁ 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, Giuseppe MINNITI 11, Ugo DE PAULA 12, Pierina NAVARRIA 13, Antonio NICOLATO 14, Andrea SALMAGGI 15, Andrea PACE 16, Alessandra FABI 17, Maria CAFFO 2, Giuseppe LOMBARDI 18, Carmine M. CARAPELLA 19, Giannantonio SPENA 20, Maurizio IACOANGELI 21, Marco FONTANELLA 22, Antonino F. GERMANÓ 2, Alessandro OLIVI 23, Lorenzo BELLO 24, Vincenzo ESPOSITO 25, 26, Miran SKRAP 3, Riccardo SOFFIETTI 1, on behalf of SINch Neuro-Oncology Section, AINO and SIN Neuro-Oncology Section

1 Department of Neuro-Oncology, City of Health and Science and University of Turin, Turin, Italy; 2 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 S.S. di Neuropatologia Oncologica, Divisione di Neurologia V - Neuropatologia, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy; 9 Department of Advanced Biomedical Sciences, University Federico II of Naples, Naples, Italy; 10 CeRiN (Centro di Riabilitazione Neurocognitiva), CIMeC (Centro Interdipartimentale Mente/Cervello), Universita' di Trento e Dipartimento di Psicologia, Universita' di Milano-Bicocca, Milan, Italy; 11 Radiation Oncology Unit, Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Siena, Italy; 12 UOC Radioterapia, Azienda Ospedaliera San Giovanni Addolorata, Rome, Italy; 13 Radiotherapy and Radiosurgery Department, Humanitas Cancer Center and Research Hospital, Rozzano, Milan, Italy; 14 Unit of Stereotaxic Neurosurgery, Department of Neurosciences, Hospital Trust of Verona, Verona, Italy; 15 Neurology Unit, Department of Neurosciences, A. Manzoni Hospital, Lecco, Italy; 16 IRCCS Regina Elena National Cancer Institute, Rome, Italy; 17 Division of Medical Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy; 18 Oncology 1, Department of Oncology, Veneto Institute of Oncology-IRCCS, Padua, Italy; 19 IRCCS Regina Elena National Cancer Institute, Rome, 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, Department of Neurosciences, Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli”, Rome, Italy; 24 Neurochirurgia Oncologica, Dipartimento di Oncologia ed Emato-Oncologia, Università degli Studi di Milano, Milan, Italy; 25 “Sapienza” University of Rome, Rome, Italy; 26 Department of Neurosurgery “Giampaolo Cantore”, I.R.C.S.S. Neuromed, Pozzilli, Isernia, Italy


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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 5 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: Low grade gliomas; Brain tumor; Guidelines

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