Early Treatment Improves Prognosis

Treatment for brain and spinal tumors can involve surgery, radiation therapy, systemic therapy such as chemotherapy—or any combination of these. While early treatment can improve the chances of a good outcome, treatment options and prognosis are based on tumor type, the location and size of the tumor, tumor grade (how abnormal the cells are), as well as the patient’s age, medical history, and general health.

Because of their complexity, brain and spinal tumors are best treated using a multidisciplinary team approach. The Maimonides Cancer Center offers the most up-to-date treatment approaches for surgery, radiation therapy, and systemic therapy, and all of our specialists work closely together to develop a unified treatment plan that incorporates the best thinking of the entire team.

Surgery

Most primary brain tumor patients undergo surgery to remove as much of the tumor as possible. While some tumors may be completely removed, other tumors might have entered the surrounding brain tissue or are located in highly sensitive areas. In these cases, our neurosurgeons and pediatric neurosurgeons have the expertise and technology necessary to remove as much of the tumor as safely possible in order to reduce the tumor’s size and perhaps decrease pressure and ease symptoms.

In our state-of-the-art surgical procedure suite, we offer a full range of the latest surgical techniques and procedures to treat patients, including the most advanced surgical navigation system for intraoperative guidance. Our surgeons utilize minimally invasive surgical techniques whenever possible to decrease scars, pain, and the time spent in the hospital.

Radiation Therapy

Radiation therapy may be used to treat certain brain and spinal tumors, either as the primary treatment or as a follow-up after surgery to kill any remaining tumor cells. At the Maimonides Cancer Center, our dedicated radiation oncologists and medical physicists and therapists are committed to providing every patient with care that is state-of-the-art, evidence-based, and individualized for each patient.

Members of this radiation oncology team have extensive experience in the latest techniques that ensure the highest chance of obtaining a cure, while minimizing the risks for radiation side effects. All of our radiation treatments for brain and spinal tumors are image-guided. By utilizing advanced imaging technology to create high-quality three-dimensional images, our radiation oncologists can pinpoint the exact size, location, and coordinates of the tumor, and then ensure that the radiation beams precisely target the tumor and spare the normal tissues any unnecessary toxicity.
 
Maimonides Cancer Center features the most sophisticated treatment planning equipment and the most up-to-date technology available for radiation delivery, including Intensity Modulated Radiation Therapy (IMRT), Image Guided Radiation Therapy (IGRT), 3-Dimensional Conformal Radiotherapy (3D-CRT), Stereotactic Radiosurgery, and Whole Brain Radiation Therapy. All of these advanced therapies are delivered in a radiation therapy unit that has received recognition as one of the safest and most accurate units in the country.

Systemic Therapy

Chemotherapy may be used along with surgery or radiation treatment for brain tumors. While many chemotherapy drugs have limited effectiveness due to the blood-brain barrier—the tight junctions in the brain capillaries that prevent drugs from getting from the bloodstream to the brain—research is underway to discover new ways to get chemotherapy to the brain tumor.

Both highly skilled and highly compassionate, our renowned medical oncology team offers our patients the benefit of their specialized knowledge and expert treatment of brain tumors. Our medical oncologists are specialists at matching the disease with the best systemic therapies, which include chemotherapies and the latest targeted therapies.