Surgical care for primary malignant spinal astrocytoma

Takeaway

  • The authors recommend that surgical resection in primary malignant spinal astrocytoma should be limited to tumor biopsy and debulking of tumors in patients with severe neurological deficits and progressive disease.

Why this matters

    Primary intramedullary spinal cord astrocytoma is a rare and serious tumor with a paucity of evidence to guide clinical care. Outcomes remain poor despite advancements in surgery, and there is a lack of clarity about whether surgical resection is the best option for patients.

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