What is the best treatment for grade 4 glioblastoma multiforme (gbm)?

Sgy,Xrt,ctx. Remove as much as possible and then follow up with radiation and pill form chemotherapy. Some additional infusion all ctx can be used also. Temazolamide and about six weeks of radiation are standard. Avastin (bevacizumab) shows promise as well.
Depends. If surgery is possible, that is the best, followed by radiation with temodar (temozolomide) (chemotherapy), followed by temodar (temozolomide) and Avastin (chemotherapy). Alternatively enrollment in a clinical trial for post surgery treatment may be better (or worse).
Multimodal treatment. The treatment depends on the location and size and neurological status. In the ideal situation, the best treatment is > 90% surgical resection followed by concurrent radiation therapy and chemotherapy (temodar). This is then followed and at the time of recurrence, fda approved treatments include Avastin (bevacizumab) and novocure(electric field therapy).Clinical trial are also helpful and should be investigated.

Related Questions

Are any new treatments for glioblastoma multiforme coming out?

Yes. They are studying a vaccine for glioblastoma. Results are pending but preliminary results are encouraging. Bevacizumab has been in use for about 3-4 years with impressive results. There are some phase 1 trials currently accruing at the nci. Hopefully this helped. Read more...

What is the best treatment for glioblastoma multiforme?

Chemo-radiation. Gbm is usually diagnosied by surgical removal of as much of the tumor that can be taken safely, followed by a combination of oral chemotherapy and brain radiation therapy. However, the results are suboptimal and if a clinical trial is available in your area that should be considered. Read more...
Multimodal treatment. The best treatment at this time for glioblastoma multiforme (gbm) is maximal safe surgical resection, followed by concurrent radiation and chemotherapy for the first 6 weeks. After that patients are usually placed on chemotherapy cycles for 6 months or until there is recurrence. At the time of recurrence additional surgery, different chemo, clinical trials or electric field therapy are options. Read more...