John Libbey Eurotext

Bulletin du Cancer

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2002 Standards, Options et Recommendations for management of adult patients with intracranial glioma (summary report) Volume 90, issue 10, Octobre 2003

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Context : The "Standards, Options and Recommendations" (SOR) project, which started in 1993, is a collaboration between the Federation of French Cancer Centers (FNCLCC), the 20 French Regional Cancer Centers, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and the outcome of cancer patients. Objective : To define clinical practice guidelines for the management of adult patients with intracranial glioma in collaboration with the Association of French‐speaking Neuro‐oncologists (Anocef) and the French society of neurosurgeons (SNCLF). These recommendations cover diagnosis, classification, treatment and follow‐up of patients with these tumors. Method : The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts who define the CPGs according to the definitions of the Standards, Options and Recommendations project. Once the guidelines has been defined, the document is submitted for review by independent reviewers. Results : This article is a summary version of the full document presenting the clinical practice guidelines with algorithms. The main recommandations concern the place of the surgery, radiotherapy, chimiotherapy, imagery and concomitant medical treatments in the specific treatment strategy of grade III and IV glioma, grade II glioma, gliomastosis cerebri, pilocytic astrocytoma, subependymoma, xanthoastrocytoma, intracranial ependymoma and brain stem glioma.