“…Thus, the therapeutic strategy proposed for our patient was similar to that described by Gururangan, in more recent publications 23 focused on treatment of GBM in adults (ie, the combination of local carmustine and oral temozolomide following maximal resection), and based on our own management of older patients. 23,27 This combination clearly seems to offer benefits without significant sequelae, at least for patients suited for gross macroscopic excision (ie, those with good Karnofsky status scores, and of young age) in whom long-term survival has been achieved with a high safety profile. 7,23 For patients with relapsed or progressive disease the options are limited.…”