Tumor Board: A Team Approach


The medical and surgical management of brain tumors requires the kind of team approach that is available at the Brain Tumor Center at the University of Cincinnati Gardner Neuroscience Institute. Ongoing collaboration among expert team members, combined with state-of-the-art technology, ensures the best possible treatment for patients with primary or metastatic brain tumors.

Learn more about our “Tumor Board” approach on YouTube >>

The UC Brain Tumor Center team includes multiple physicians, a nurse practitioner, and nurses. The physicians include specialists in radiation oncology, neurosurgery, neuro-oncology, otolaryngology, neuro-ophthalmology, physical medicine and rehabilitation, restorative medicine, neuropathology, and neuroradiology.

The entire process of assessing and treating a patient with a brain tumor typically begins when a patient sends clinical records, x-rays, or MRI scans to be reviewed by the Brain Tumor Center team. The team then conducts a preliminary review to determine which of the specialists the patient should see.

Each Wednesday, patients who are ready to move forward are addressed at the Brain Tumor Center’s Multidisciplinary Tumor Board Conference. The brain tumor team gathers at 10 a.m. for this weekly neuro-oncology conference, a fascinating roundtable featuring about 15 different physician specialists, including representatives from neurosurgery, radiation oncology, neuro-oncology, otolaryngology-head and neck surgery, neuro-ophthalmology, endocrinology, neuropathology, neuroradiology, and restorative medicine. During the conference, the cases of individual patients are presented one after another.

A neuroradiologist begins each presentation by reviewing the patient’s films and stating the type of tumor the patient has, whether it has recurred, and whether any other abnormality is present. If pathology slides are available from a previous surgery, a neuropathologist presents them and explains the findings. Then, in a systematic fashion, the Tumor Board moderator solicits recommendations from representatives of each of the Center’s primary specialties. A neurosurgeon advises whether surgical intervention is possible; a radiation oncologist advises whether the patient should receive radiation; and a neuro-oncologist states whether chemotherapy is appropriate. At the conclusion of the discussion, a recommendation is always given: a strategy for treatment or a decision to perform another test. On many occasions, more than one option is presented.

The value of bringing together so many experts cannot be overestimated. In several instances, the team has determined that patients who were told they had a brain tumor in fact did not have a tumor. These patients clearly benefited from the combined expertise of many specialists, rather than having their treatment hinge on a single radiologist’s report or an individual neurosurgeon’s decision, made in isolation, in a vacuum.

After developing potential management plans for numerous patients, the team goes directly, almost seamlessly, to the Neuro-Oncology Multidisciplinary Clinic, which is held at 1 p.m. on Wednesdays at the Barrett Center at the University of Cincinnati Medical Center and at 9 a.m. on Fridays at University Pointe in West Chester, Ohio. At these clinics patients have the opportunity to see a neurosurgeon, a radiation oncologist, a neuro-oncologist, or a nurse specially trained in patient education without ever changing exam rooms.

The Multidisciplinary Clinic is of great value for patients who come from a five-state area, because their course of treatment may or may not mirror the diagnoses and assumptions of their referring physicians. For example, if an out-of-town neurosurgeon sends a patient to the Brain Tumor Center for potential surgery, but the center’s experts decide the patient is a candidate for radiation, the patient can see a radiation oncologist that day instead of being asked to make a return trip.

In summary, a team approach to brain tumors helps ensure the best possible treatment strategy and outcome for patients. Those who seek treatment from the UC Brain Tumor Center’s team have access not only to a first or second opinion, but also to a fourth, fifth, and sixth. In such a setting—with so many minds engaged in a patient’s well being—all creative options will most certainly be explored. As a result, patients need not worry about the quality of their care. They can focus instead on their families, their futures, and their health.

  • Print This Page
  • Make an Appointment: Schedule Now
  • Sign up for our newsletter!
  • Hope Stories

    • Brian’s Story: Meningioma

      Brian's Story: Meningioma “Carefree” is the word Brian uses to describe his life back then. He was 39 years old, happily married and the father of three children under the age of 5. “Life was busy, but that felt normal,” he says, reflecting. “The only...
    • Jim’s Story: Acromegaly / Pituitary Tumor

      Jim's Story: Acromegaly / Pituitary Tumor Four years later, Jim’s story just keeps getting better. Because four years after being treated for a pituitary tumor at the UC Brain Tumor Center, Jim continues to feel better and better. The size of his head has gone down....
    • Lynne’s Story: Brain Metastasis

      Lynne's Story: Brain MetastasisSemiretired and working part-time at a restaurant, Lynne knew something was amiss when she looked at the cash register and then struggled to make her hands produce the correct amount of change. Could she have suffered a stroke? Lynne pushed the...
    • Bob’s Story: Recurrent Glioblastoma

      Bob's Story: Recurrent Glioblastoma Glioblastomas come back. Sometimes sooner, sometimes later, but they always come back. “That’s the...
    • Troy’s Story: Proton Therapy for Brain Cancer

      Troy's Story: Proton Therapy for Brain Cancer Troy Witt, 65, a London, Kentucky resident and a self-proclaimed "country boy,” says he loves his family, fishing, woodworking and riding on his tractor. But all of these activities have been put on hold since spring 2016 when Witt’s...
    • Troy’s Testimonial: ‘Out of 5 Stars, They Get 6’

      Troy’s Testimonial: ‘Out of 5 Stars, They Get 6’ Troy Sheldon has something to say, and he’d like...
    • Jerry’s Story: Spinal Tumor

      Jerry's Story: Spinal Tumor On an ordinary day in February 2009, John M. Tew, MD, got one of the true surprises of his career. He was seeing patients in his Mayfield Clinic office on the University of Cincinnati medical campus when an unexpected guest...