Kaplan–Meier survival plots for patients diagnosed with GBM. Curves
A, B, and C are historical
data from Jelsma and Bucy (8) published in 1967 before the availability
of MRI scans: biopsy only (A), extensive resection
(undefined) (B), and extensive resection followed by
radiation therapy (C). Curve D is current
data from the M. D. Anderson Cancer Center on patients with >95%
resection (by volumetric MRI measurements) followed by both radiation
therapy and chemotherapy. Although there are essentially no long-term
survivors, removal of tumor mass clearly increases longevity.