The treatment of low-grade gliomas remains one of the most uncertain and controversial areas of modern neurosurgery. It is an increasingly important area because the widespread availability of MRI scanning has meant that more and more cases are being diagnosed. A small number of patients can be cured by complete surgical resection, and modern neurosurgical techniques, combined with awake craniotomy and intraoperative histology, have probably increased this number. Nevertheless, the majority of patients cannot be cured and the decision as to how best to treat them can be very difficult, especially since low-grade gliomas are very variable in their size, location, histology and biological behavior. Treatment decisions need to be made jointly by neurosurgeons and neuro-oncologists. Careful follow-up and explanation to the patient are often just as important as any treatment undertaken.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.