Oncofunctional Balance

Eyüp BAYATLIa

aAnkara University Faculty of Medicine, Department of Neurosurgery, Ankara, Türkiye

Bayatlı E. Oncofunctional balance. In: Uğur HÇ, Bayatlı E, eds. Glial Tumours: Expectations from Today-Promises of the Future. 1st ed. Ankara: Türkiye Klinikleri; 2024. p.33-7.

ABSTRACT

There have been fundamental changes in glioma treatments and especially in the princi- ples of surgical approach in the last few decades. It is known that gliomas, especially diffuse low-grade gliomas, are precancerous, infiltrative chronic diseases rather than a simple tumoral mass. Nowadays, it has become indisputable that motor skills or speech ability are not enough to call the patient “func- tional” and that high cognitive skills such as working memory, attention and management are required. On the grounds that high cognitive skills should be protected at least as much as motor and sensory func- tions during the surgical treatment process, the concept of “oncofunctional balance” has been brought to attention. Cerebral functionality, which involves a dynamic process, requires personalized, detailed calculated and planned surgical treatments. The balance between survival and quality of life is only possible by reflecting the concept of connectome surgery.

Keywords: Function; glioma; resection; survival; quality of life

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