Glioma and Glioblastoma Surgery in the DC Area
Gliomas arise from the brain’s supporting cells. They range from slow-growing low-grade tumors (astrocytoma, oligodendroglioma) to glioblastoma, the most aggressive type. Modern classification also relies on molecular markers (IDH, 1p/19q, MGMT), which now guide both prognosis and treatment.
Because gliomas grow within functioning brain, surgery is a balance between removing as much tumor as possible and protecting speech, movement and vision. Dr. Daggubati uses awake mapping, intraoperative navigation and fluorescence guidance where appropriate to push that balance safely toward more complete removal.
Symptoms
- Seizures (often the first sign of a low-grade glioma)
- Progressive headaches
- Focal weakness, numbness or speech difficulty
- Cognitive or personality changes
How it is diagnosed
MRI with contrast, often with advanced sequences. Tissue diagnosis from surgery or biopsy provides the molecular profile that determines the treatment pathway.
Treatment options
Without surgery
Radiation therapy and chemotherapy (temozolomide) are standard after surgery for higher-grade tumors. Tumor-treating fields and clinical trials may be options; we coordinate closely with neuro-oncology.
Surgical options Dr. Daggubati offers
- Maximal safe resection via minimally invasive craniotomy
- Awake craniotomy with speech and motor mapping
- LITT for deep-seated or recurrent glioma
Common questions
What does ‘maximal safe resection’ mean?
It means removing as much of the tumor as possible without causing a new neurological deficit. For gliomas, the extent of resection is linked to how long treatments remain effective, so we invest heavily in mapping and imaging to remove more, safely.
Can a glioma be cured?
Some low-grade tumors can be controlled for many years or decades. Glioblastoma is not currently curable, but surgery, radiation and chemotherapy together meaningfully extend survival and quality of life, and clinical trials are expanding options.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.