Oncofunctional Balance

GLIAL TUMOURS: EXPECTATIONS FROM TODAY PROMISES OF THE FUTURE, Hasan Çağlar Uğur,Eyüp bayatlı, Editör, Turkiye Klinikleri, Ankara, ss.33-37, 2024

There have been fundamental changes in glioma treatments and especially in the principles

of surgical approach in the last few decades. It is known that gliomas, especially diffuse low-grade

gliomas, are precancerous, infiltrative chronic diseases rather than a simple tumoral mass. Nowadays,

it has become indisputable that motor skills or speech ability are not enough to call the patient “functional”

and that high cognitive skills such as working memory, attention and management are required.

On the grounds that high cognitive skills should be protected at least as much as motor and sensory functions

during the surgical treatment process, the concept of “oncofunctional balance” has been brought

to attention. Cerebral functionality, which involves a dynamic process, requires personalized, detailed

calculated and planned surgical treatments. The balance between survival and quality of life is only

possible by reflecting the concept of connectome surgery.