Abstract
5-aminolevulinic acid (ALA) is a precursor of haemoglobin which leads to the synthesis of porphyrins in malignant gliomas which then appears with red fluorescence under blue light. In the literature we see that there is class Ib evidence that 5-ALA guided surgery significantly increases the radicalism of surgery and gives rise to a marked improvement in 6-month progression-free survival and that there is now class II evidence confirming the value of maximal cytoreductive surgery. Furthermore, existing class II evidence indicates that there is a synergistic effect between aggressive cytoreductive surgery and radiochemotherapy.
Bidragets oversatte titel | Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant gliomas--a new treatment modality |
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Originalsprog | Dansk |
Tidsskrift | Ugeskrift for Laeger |
Vol/bind | 175 |
Udgave nummer | 9 |
Sider (fra-til) | 570-573 |
Antal sider | 4 |
ISSN | 0041-5782 |
Status | Udgivet - 25 feb. 2013 |
Emneord
- Aminolevulinic Acid
- Brain Neoplasms
- Disease-Free Survival
- Evidence-Based Medicine
- Fluorescent Dyes
- Glioma
- Humans
- Neurosurgical Procedures
- Photosensitizing Agents
- Treatment Outcome