Butterfly gliomas: to biopsy or to ablate – a longitudinal cohort study - Report - MDSpire

Butterfly gliomas: to biopsy or to ablate – a longitudinal cohort study

  • By

  • Vratko Himic

  • Morgan Leigh Johnson

  • Anshul Ratnaparkhi

  • Roxanne C. Mayrand

  • Jay Chandar

  • Vaidya Govindarajan

  • Daniel C. Kreatsoulas

  • Arman Jahangiri

  • Zachary C. Gersey

  • Daniel M. Aaronson

  • Ricardo J. Komotar

  • Micheal E. Ivan

  • Ashish H. Shah

  • June 5, 2026

  • 0 min

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Clinical Report: Biopsy versus Ablation in Butterfly Gliomas

Overview

This study compares outcomes of biopsy and laser interstitial thermal therapy (LITT) in patients with butterfly gliomas, focusing on survival metrics, post-operative complications, and neurological function associated with each treatment modality.

Background

Butterfly gliomas are a rare and aggressive form of glioblastoma, often leading to poor prognosis and limited treatment options. Traditional approaches have focused on biopsy and chemoradiation. Recent studies have explored surgical resection as a treatment option, but the evidence is not conclusive.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Butterfly gliomas account for 3–14% of all glioblastomas and have a median survival of 3.2 to 6.3 months.
  • These tumors have historically been treated primarily with biopsy due to surgical inaccessibility.
  • Some studies suggest surgical resection may provide survival benefits over biopsy alone, but evidence is limited.
  • LITT has shown safety and feasibility in treating butterfly gliomas, although comparative data is limited.
  • The study aims to compare outcomes of biopsy versus LITT in terms of survival and complications.

Clinical Implications

Clinicians should consider the risks of neurological morbidity associated with traditional surgical approaches.

Conclusion

This study highlights the need for further investigation into treatment modalities for butterfly gliomas.

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  1. Surgical Intervention for Gliomas with IDH1/2 Wild-Type Infiltrating the Corpus Callosum, Journal of Neuro-Oncology, 2020 -- Title
  2. The Impact of Cytoreductive Surgery on Multifocal and Multicentric Glioblastomas, Journal of Neuro-Oncology, 2023 -- Title
  3. A Quantitative Voxel-Based Approach for Examining Spatial Patterns and Directionality of Glioblastoma Recurrence, Journal of Neuro-Oncology, 2026 -- Title
  4. Factors Influencing Long-Term Outcomes in Patients with IDH-Mutated Gliomas, Journal of Neuro-Oncology, 2024 -- Title
  5. Radiological, clinical, and molecular analyses reveal distinct subtypes of butterfly glioblastomas affecting the prognosis, Brainlife.org, 2024 -- Title
  6. ASTRO updates guideline on radiation therapy for high-grade diffuse glioma, American Society for Radiation Oncology (ASTRO), 2025 -- Title
  7. Surgery vs. Biopsy in the Treatment of Butterfly Glioblastoma: A Systematic Review and Meta-Analysis, PMC, 2021 -- Title
  8. Radiological, clinical, and molecular analyses reveal distinct subtypes of butterfly glioblastomas affecting the prognosis  
  9. ASTRO updates guideline on radiation therapy for high-grade diffuse glioma - American Society for Radiation Oncology (ASTRO)
  10. Surgery vs. Biopsy in the Treatment of Butterfly Glioblastoma: A Systematic Review and Meta-Analysis - PMC

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