Lessons Learnt From Glioblastoma Surviving 20 Years Progression Free: A Case Report

Glioblastoma (GBM), the commonest primary brain tumor, mostly dies in 2-3 years, despite all the latest advances. Shorter lifespan justifying subtotal resection for functional preservation, a common, but not optimum scenario for patients. A 22-year-old man with raised intracranial pressure and focal deficits underwent Gross total removal (GTR). Following irradiation, he has survived for over 20 years since his first brain CT, and the latest MRI has no recurrence. This case provides the possibility of giving HOPE of living long to the next suspected glioblastoma during consent or counseling and a reason to achieve GTR in most cases to find some of such lucky cases. The specimen should be preserved for newer tests in the future. Building meaningful relationships with patients is needed for long follow-ups.