Innovations in brain tumor surgery at Siteman Cancer Center

Siteman is a nationally famend chief in mind tumor therapy. Specialists at our Mind Tumor Heart have developed among the newest improvements in mind tumor surgical procedure to optimize affected person outcomes. 

Which sufferers may be in want of mind tumor surgical procedure?

Eric Leuthardt, MD, inserts a small laser probe with the help of an intraoperative robotic system.

Mind tumors – whether or not benign or malignant – could cause severe well being points and could also be life-threatening. Benign tumors don’t unfold and are non-cancerous. That mentioned, they will nonetheless develop and put strain on the within of the cranium. Malignant tumors, then again, are cancerous and develop rapidly, invading surrounding mind tissue. Benign tumors have clearly outlined edges and aren’t usually deep inside the mind tissue. Because of this, they’re simpler to take away so long as they’re in a spot {that a} neurosurgeon can simply attain.

Docs usually carry out surgical procedure to take away all or a part of a mind tumor. Nevertheless, there are circumstances wherein surgical procedure will not be the very best therapy choice. As an illustration, if the tumor is benign, small and never inflicting issues, your physician could merely advocate statement with common MRIs. Moreover, your physician could advocate different therapy choices if:

  • The tumor is near different important constructions
  • You may’t endure surgical procedure for different well being causes

Age and mind tumor surgical procedure

Pediatric mind tumor surgical procedure is totally different from mind tumor surgical procedure in adults. Most therapy plans for pediatric mind tumors require surgical procedure, or no less than a biopsy. Radiation remedy could observe surgical procedure, however therapy groups normally keep away from this for youngsters below the age of three. It is because radiation can intrude with mind improvement. Kids who undergo mind tumor therapy could expertise long-term cognitive and motor issues.

The sorts of mind tumors in adults differ from these present in kids. Most grownup mind tumors are metastatic (the results of most cancers that has unfold from elsewhere within the physique). In distinction, most pediatric mind tumors are major (originating within the mind and never all the time cancerous). Kids with mind tumors typically have a greater prognosis than adults with an analogous situation.

In case you have fears about your mind tumor surgical procedure, you’re not alone

In case you have discovered that you’ve got a mind tumor and your physician has advisable surgical procedure, you might be seemingly feeling a wave of feelings. Studying that you want to have mind surgical procedure could be notably scary and there are a lot of issues you might have. Some frequent fears mind tumor sufferers have previous to surgical procedure embody:

  • Scarring
  • Lack of hair
  • Lack of motor operate
  • Diminished psychological capability
  • Emotional and/or behavioral adjustments

It’s pure to have fears about mind tumor surgical procedure. In any case, the mind is what makes us who we’re. Whilst you could also be feeling afraid, you possibly can take consolation in figuring out that Washington College neurosurgeons are nationwide leaders in performing image-guided and minimally invasive procedures that reduce tissue injury and pose fewer dangers to sufferers. As a mind tumor affected person at Siteman, know that you can be in skilled palms.

“GPS for the mind, endoscopy, intraoperative MRI, plus all the latest imaging applied sciences. There isn’t any different division on the market that has all of those instruments below one roof.” – Dr. Albert Kim

The Siteman strategy to mind surgical procedure

Washington College Physicians at Siteman have pioneered progressive mind tumor surgical procedure methods. By combining their experience with state-of-the-art know-how, they offer sufferers the very best possibilities for constructive outcomes. Our consultants carry out the next mind surgical procedures:

  • Awake craniotomy: our neurosurgeons have developed superior mind mapping methods, together with intraoperative cortical stimulation mapping and cortical physiology. Surgical groups use these methods with awake craniotomy. Superior mind mapping makes it doable to carry out extra aggressive surgical procedure in delicate areas whereas preserving operate.
  • Intraoperative MRI: our neurosurgeons use intraoperative imaging and neuronavigational methods so as to carry out safer and extra exact maximal mind tumor resection. Neurosurgeons at Barnes-Jewish Hospital have carried out extra intraoperative MRIs than these at another hospital in america.
  • Fluorescence-guided surgical procedure: our neurosurgeons had been among the many first in america to make use of 5-ALA, a fluorescent agent that improves visualization of sure mind tumors. The key benefit of 5-ALA is that data is instantly and constantly out there to the surgical crew.

Minimally invasive mind tumor surgical procedure

Mind tumor sufferers get better quicker, have fewer scars and expertise much less ache with minimally invasive procedures than they’d with different sorts of surgical procedure. These procedures contain using novel applied sciences to scale back the dimensions and variety of incisions whereas enhancing precision and accuracy. Siteman affords a number of sorts of minimally invasive surgical procedure:

  • Keyhole surgical procedure: the precept of keyhole surgical procedure is to make use of the smallest doable incision to evaluate tumors. The surgical crew could make the incision on the eyebrow or eyelid and might achieve this in a cosmetically pleasing approach, even for deep-seated or massive tumors. Our neurosurgeons usually mix these keyhole approaches with skinny tubular scopes (known as endoscopes). This will increase visualization of the tumor and demanding mind constructions. Restoration is often quicker with these approaches in comparison with conventional surgical procedures.
  • Robotic-assisted surgical procedure: our neurosurgeons use the superior ROSA ONE ® Mind to carry out protected and exact surgical procedures by a tiny 4.5 mm gap within the cranium. Superior robotic techniques present higher management and precision whereas reaching very small areas deep contained in the mind.
  • Transsphenoidal surgical procedure: the Washington College Pituitary Heart offers sufferers with entry to multidisciplinary specialists and essentially the most superior know-how out there to deal with pituitary tumors. Our neurosurgeons are expert at inserting endoscopes into the nostril to rigorously take away tumors. No incisions are concerned and the process doesn’t go away any scars on the affected person’s face or head.
  • Gamma Knife radiosurgery: Siteman homes the one Gamma Knife in jap Missouri. Our neurosurgeons carry out procedures utilizing the Gamma Knife Icon, the latest and most refined machine out there. The process requires just one to 5 therapy classes at most. Due to this, mind tumor sufferers come to us from everywhere in the area. Our neurosurgeons have carried out greater than 5,000 procedures thus far.
  • MRI-guided neurosurgical laser ablation: Washington College neurosurgeon Eric Leuthardt, MD, director of the Mind Laser Heart and director of the Heart for Innovation in Neuroscience and Know-how, pioneered using the Monteris NeuroBlate® System. This FDA-approved system is an MRI-guided, high-intensity laser probe particularly designed for the therapy of hard-to-access or surgically inoperable mind tumors. The system’s hallmark characteristic is its capacity to make use of MRI to information the probe and exactly goal laser-generated warmth straight right into a tumor. This process kills most cancers cells whereas sparing surrounding mind tissue. Restoration is mostly a lot faster than with open surgical procedure.

Mind tumor therapy crew

Siteman’s mind tumor therapy crew contains Washington College consultants from a variety of disciplines. Their multidisciplinary strategy is what permits them to create the most secure, handiest and most personalised mind tumor therapy plans. Our specialists mix their various experience to make sure that every mind tumor affected person receives solely essentially the most distinctive care.

Meet among the docs on the mind tumor therapy crew:

Albert Kim, MD, PhD


Dr. Kim is Director of the Siteman Mind Tumor Heart, Surgical Director of the Pituitary Heart, Professor of Neurosurgery, Genetics and Developmental Biology at Washington College College of Drugs, and Co-Chief of the Neurorestorative Remedy Group on the Hope Heart for Neurological Problems. His medical experience is mind tumors, skull-base tumors, laser interstitial thermal remedy and Gamma Knife radiation remedy. Dr. Kim is a nationally acknowledged mind tumor surgeon and researcher who makes use of multidisciplinary approaches, from genetics and biochemistry to cell biology and preclinical in vivo mind tumor fashions, to find new mind tumor therapies.


Eric Leuthardt, MD

Eric Leuthardt, MD

Dr. Leuthardt is Director of the Siteman Mind Laser Heart, Director of the Heart for Innovation in Neuroscience and Know-how, Chief of the Division of Neurotechnology, and Professor of Neurological Surgical procedure and Neuroscience at Washington College College of Drugs. His medical experience is neuro-oncology, mind tumors, minimally invasive laser surgical procedure, mind tumors requiring motor and awake speech mapping, surgical therapy of epilepsy and Gamma Knife radiation remedy. Dr. Leuthardt is nationally famend for his experience as each a doctor and a researcher. He has acquired quite a few accolades for his work within the subject of neuroprosthetics and neurosurgical units, establishing him as a distinguished scientist, neurosurgeon and inventor.


You’ve been identified with a mind tumor. Now what?

In case you have acquired a mind tumor prognosis, you might be feeling a substantial amount of worry, anger and unhappiness. Siteman suppliers are right here to assist you each step of the way in which all through your most cancers journey. With our distinctive physicians, psychological companies and survivorship care, we’re dedicated to caring in your physique, thoughts and wellness, even after therapy ends.

In case you are experiencing signs and are apprehensive that they may level to a mind tumor, please make an appointment along with your major care supplier. In case you have acquired a mind tumor prognosis and are searching for a second opinion, or in case you are exploring therapy choices, Siteman is right here for you. Please name us at 800-600-3606 to schedule an appointment.

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