8 doctors weighed in:
What is the best treatment for grade 4 glioblastoma multiforme (gbm)?
8 doctors weighed in

Dr. Chad Levitt
Radiation Oncology
4 doctors agree
In brief: 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.

In brief: 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.
Dr. Chad Levitt
Dr. Chad Levitt
Thank
Dr. Vinni Juneja
Internal Medicine - Hematology & Oncology
2 doctors agree
In brief: 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).

In brief: 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).
Dr. Vinni Juneja
Dr. Vinni Juneja
Thank
Dr. Jefferson Chen
Neurosurgery
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Jefferson Chen
Dr. Jefferson Chen
Thank
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