[The treatment of adult glioma is multiphasic]

The prognosis of glioma has improved. Even patients with glioblastoma surviving over two years is not rare. The quality of life has improved because of earlier diagnosis and more precise surgical and radiotherapy techniques. In grade 3-4 gliomas treatment modalities are combined. In grade 2 there are several options for postoperative treatment. Recurrencies are treated actively irrespective of the initial histological grade of the tumor. Chemotherapy is used both combined with radiotherapy and as a single treatment at recurrence. The best results are achieved with close co-operation among different specialities in neuro-oncology, most effectively in weekly meetings. Fluent flow of information between health care units promotes the best quality of life for glioma patients.