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September 1936

GLIOBLASTOMA: A POINT OF VIEW CONCERNING TREATMENT

Arch NeurPsych. 1936;36(3):542-546. doi:10.1001/archneurpsyc.1936.02260090095005
Abstract

This presentation refers particularly to the treatment of glioblastoma which can be verified at operation or, if necessary, definitely identified by an immediate microscopic examination. The conclusion which I have reached in regard to surgical treatment is at variance with the view held by some neurosurgeons in America and probably also by some in England. A few years ago I formed the opinion that operation was futile and better left undone if one could be reasonably certain of the diagnosis preoperatively. I think otherwise at the present time. The former impression developed because of a number of surgical experiences exemplified by the following case:

Case 1.  —A well educated man aged 45 had a short history of intracranial pressure. Operation showed that the frontal convolutions were flattened and pale, and a deep glioblastoma was verified by incising the cortex and removing a small amount of tumor. A sufficient mass of

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