ما العلاج المناسب لهذا التقرير الرنين المغناطيسي (جراحي - اشعاعي - كيميائي )


there is evidence of abnormal signal intensity ill defined sol showing the following criteria
seen at left parito-occipital region
being hy perintense on t2wi and iso to hy pointense on T1W1 and FILIR after GD it shoe heterogneous peripheral enhancement
measuring about 4x5x3.5 cm
surrounded by vasogenic edema
has cystic degeneration
causing encroachment upon the left lateral ventricle and effacement of the cortical sulci and mild subfalcine herniation.
MRS showing elevated choline peak . reduced N A A with cho/ N A A = 7 denoting high grade glioma . also on the surronding edema there is raised choline peak.
normal posterior fossa structure
normal visualized brain stem and upper cervical cord

impression
mri and mrs finding suggestive of high grade glioma

نعم اثبتت الاشعة انه ورم خبيث ( سرطان )
ما العلاج ؟؟