Evidence map›Paper›PMID 39081094›Full record

ArticleJournal of Korean Neurosurgical Society2025

Effect of Intraoperative Ventricular Opening on Recurrence Patterns Following Bis-Chloroethyl-Nitrosourea Wafer Implantation for Newly Diagnosed Glioblastoma.

Ryosuke Matsuda, Ryosuke Maeoka, Takayuki Morimoto, Tsutomu Nakazawa, Noriaki Tokuda, Masashi Kotsugi, Yasuhiro Takeshima, Kentaro Tamura, Shuichi Yamada, Fumihiko Nishimura and 2 more

Abstract read
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Article in Journal of Korean Neurosurgical Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ryosuke MatsudaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Ryosuke MaeokaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Takayuki MorimotoDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Tsutomu NakazawaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Noriaki TokudaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Masashi KotsugiDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Yasuhiro TakeshimaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Kentaro TamuraDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Shuichi YamadaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Fumihiko NishimuraDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Young-Soo ParkDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.
Ichiro NakagawaDepartment of Neurosurgery, Nara Medical University, Kashihara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of ventricular opening (VO) on recurrence patterns in patients with newly diagnosed glioblastoma (GBM) treated with bis-chloroethyl-nitrosourea (BCNU) wafer implantation.

methodsThis single-center retrospective study included 40 patients with newly diagnosed GBM who received BCNU wafer implantation after tumor resection between March 2013 and February 2022. The patients were categorized into two groups based on whether VO occurred during the GBM resection. While 18 patients had VO, 22 did not have VO. In cases with VO, the ventricular wall defect is closed with gelatin or oxidized regenerated cellulose and fibrin glue before BCNU wafer implantation. Recurrence patterns-classified as local, diffuse, distant, or multifocal-and time to recurrence were compared between patients with and without VO.

resultsThe median follow-up period for the entire cohort was 32.2 months (interquartile range, 16.7-38 months). Median survival time was comparable between patients with VO and patients without VO (38 vs. 26 months, p=0.53). Recurrence occurred in 31/40 patients (77.5%) in entire cohort. The incidence of recurrence was comparable between patients with VO and patients without VO (14 [77.8%] vs. 17 [77.3%], p=1.0). No significant differences were seen between the two groups in time to recurrence (p=0.59) or recurrence patterns (p=0.35).

conclusionVentricular opening during surgery with BCNU wafer implantation does not seem to influence the recurrence patterns. Ventricular opening does not induce distant recurrence if appropriate ventricular closure is performed.

Indexed as

CarmustineGliadelGlioblastomaRecurrenceVentricles

Identifiers

PMID39081094
PMCPMC11725460

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