Хирургическое лечение нейронально-глиальных опухолей у взрослых: современное состояние проблемы и обзор литературы

АКТУАЛЬНОСТЬ. Смешанные нейронально-глиальные опухоли (НГО) являются редкими опухолями цен-тральной нервной системы, которые состоят как из  нейронального, так и   глиального компонентов. Хирургическое лечение НГО прежде всего сосредоточено на   эпилептической природе болезни. В  рутинных онкологических операциях степень резекции опухоли определяется минимизацией вероятности рецидива. Оптимальная тактика хирургического лечения должна учитывать не только эпилептогенную природу заболевания, но и онкологический аспект — вероятность рецидивирования и  злокачественной трансформации. Тем не   менее, в  настоящее время все еще остается открытым вопрос о  тактике хирургического лечения НГО, до  конца не  сформулированы основные принципы выбора того или иного метода оперативного лечения. За   последнее десятилетие в  мировой литературе опубликованы единичные работы, посвященные систематическому обзору хирургического лечения НГО головного мозга. Большая часть этих работ посвящена лечению таких опухолей преимущественно у   детей. В   отечественной литературе отсутствуют публикации, посвященные хирургическому лечению НГО у   взрослых.  это побудило нас к написанию данного обзора литературы.

ЗАКЛЮЧЕНИЕ. Несмотря на   отсутствие четкой хирургической стратегии, появились первые этапы консенсуса, определяющего дифференцированный подход к  хирургическому лечению НГО головного мозга.

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