Surgery Indications (When to consider surgery?)

  1. Patients with neurological symptoms and/or deficits
  1. Patients with large (>3-4 cm) tumors
  1. Young patients (<60) with any size tumors
  1. Patients with tumors with no calcification, T2 hyperintensity, significant peritumoral edema (see the “Natural History” Section)
  1. Patients with tumors in locations carrying reasonable surgical risks
  1. Patients who are healthy
  1. Patients with tumors which grew after a period of initial observation
  1. Patients favoring surgery over observation or radiation after thorough discussion

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