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Brain Tumors

PROGRAM DESCRIPTION
Washington University School of Medicine provides neuro-oncology services in a multidisciplinary environment that brings together neurosurgeons, radiation oncologists, neuroradiologists, medical oncologists and a dedicated neuroanesthesia team. Physicians meet weekly to review cases and develop individualized treatment plans.

We employ the most advanced therapeutic techniques, including Stealth computerized surgical navigation, intraoperative brain mapping, skull base surgery, the latest in implantable chemotherapy techniques and ongoing clinical trials of new treatment modalities along with Gamma Knife radiosurgery.

CONDITIONS AND TREATMENTS
Brain tumors encompass a wide spectrum of growths that occur either in the brain or in the structures that cover the surface of the brain. These tumors cause various symptoms and result in multiple neurological problems (headaches, seizures, personality changes, weakness or gait difficulty). Brain tumors are commonly diagnosed with neuro-imaging studies such as CT scans or MRIs. Once a tumor is discovered, most patients are seen by a neurosurgeon, neurologist or neuro-oncologist. Patients may be treated with surgery, chemotherapy, radiation, Gamma Knife radiosurgery or a combination of treatments.
Types of brain tumors may include:

Gliomas
Astrocytoma and glioblastoma multiforme (GBM)

Other Gliomas
Brain stem glioma, ependymoma, ganglioneuroma, juvenile pilocytic astrocytoma, mixed glioma, oligodendroglioma, and optic nerve glioma

Non-gliomas
Chordoma, craniopharyngioma, medulloblastoma, meningioma, pineal tumors, pituitary adenoma, primitive neuroectodermal tumors (PNET), schwannoma or acoustic neuroma, and vascular tumors

Other conditions related to the brain
CNS lymphoma, meningeal carcinomatosis, neurofibromatosis, pseudotumor cerebri and tuberous sclerosis

Metastatic brain tumors
Any tumors that spread to the brain from other parts of the body

Clinical trials at Siteman Cancer Center

FACULTY
Adult Neurosurgery Providers
Michael R. Chicoine, MD
Ralph G. Dacey Jr., MD
Joshua L. Dowling, MD
Albert H. Kim, MD, PhD
Eric C. Leuthardt, MD
Keith M. Rich, MD
Gregory J. Zipfel, MD 

Pediatric Neurosurgery Providers
Jeffrey R. Leonard, MD

Radiation Oncology Providers
Hiram Gay, MD
Jerry J. Jaboin, MD, PhD
Clifford G. Robinson, MD
Joseph R. Simpson, MD

Interventional Neuroradiology Providers
DeWitt T. Cross, MD
Colin P. Derdeyn, MD
Christopher J. Moran, MD

Medical Oncology Providers
David D. Tran, MD, PhD

Neuropathology Providers
Joseph C. Corbo, MD, PhD
Robert E. Schmidt, MD, PhD
Daniel W. McKeel Jr., MD
Richard J. Perrin, MD, PhD

CONFERENCES
The Neuro-oncology Tumor Board, which includes neurosurgeons, radiation oncologists, medical neuro-oncologists, neuroradiologists and neuropathologists, meets weekly. Clinical, surgical, radiological and pathological findings from patients and potential treatment plans are discussed. Physicians wishing to submit cases for review should contact the tumor board coordinator at (314) 362-3566.

MAKE AN APPOINTMENT
Adult Patients
Contact us at (314) 362-3577 (Option 2)

Adult Referring Physicians
Contact us at (314) 362-3577 (Option 1)

Pediatric Patients or Physicians
Contact us at (314) 454-2810

PATIENT OFFICE LOCATIONS
Adult Patients
Neuroscience Center
Center for Advanced Medicine
4921 Parkview Place, Suite 6C
St. Louis, Missouri 63110

Barnes-Jewish West County Office
1040 North Mason Road, Suite 211
Creve Coeur, Missouri 63141

Pediatric Patients
St. Louis Children’s Hospital
1 Children’s Place, Suite 4E
St. Louis, Missouri 63110

Helpful Maps

SPECIALTY LINKS
National Brain Tumor Society
American Brain Tumor Association