Glial neoplasms: classification, treatment, and pathways for the future.
OBJECTIVE
To provide a review of glial neoplasms including histologic classification, signs and symptoms, diagnostic evaluation, treatment options, and nursing care.


METHODS
Articles, books, proceedings of national meetings.


RESULTS
Glial neoplasms vary according to prognosis and treatment options based on histologic classifications. Prediction of deficits and potential complications of disease and treatment can prepare the patient and healthcare provider in management. Treatment options include surgery, radiation therapy, and chemotherapy or combinations of these options. New treatment regimes currently are being investigated.


CONCLUSIONS
Despite advances in the diagnosis and treatment of malignant gliomas, the outlook remains poor. As new combination treatment regimens become available, nursing care will significantly affect outcome and quality of life.


CONCLUSIONS
Goals of nursing care include prevention and education related to tumor- and treatment-related side effects, providing support and coordinating referrals to appropriate services during the disease process, and helping the patient and family cope with this devastating disease.
Armstrong
T S
TS
Department of Neurology, Emory University, Atlanta, GA, USA.
Gilbert
M R
MR
D001932:Brain Neoplasms / Q000145:classification / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005910:Glioma / Q000145:classification / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D015994:Incidence; D009730:Nursing Assessment; D010347:Patient Care Planning; D011379:Prognosis