Abstract
The management of patients with cancer involving the central and peripheral nervous system is complex requiring a coordinated team of specialists. Multidisciplinary neuro-oncology team meeting started in Ivory Coast at March 2019. The staff concerns neurosurgeons, neuroradiologists, oncologists, radiotherapists and neuropathologists. The aim of this report was to describe our neuro-oncology staff meeting, to evaluate its impact on clinical management decisions and discuss perspectives. We did retrospective evaluation of the cases discussed at our neuro-oncology staff meetings, from March 2019 to March 2023. Demographic, clinical, radiological, pathological and other specifics data were extracted. We collected 150 patients, with a mean of 7.1 patients presented by meeting. The median age was 39.8 years, with a sex ratio of 1.3. Supratentorial tumors were the most common (50%), and the most common histological types were glial tumors3(29.33), carcinomas (26%) and meningiomas (10%). Therapeutic modalities were surgery, radiotherapy and chemotherapy. Postoperative radiotherapy was institued in 19.33% of patients. 23 patients died. Benefits of neuro-oncology staff meetings include efficient coordination of multiple providers, direction for complicated cases, open communication amoung care teams, education, increased adherence to published guidelines, and clinical trial access. Although the prognosis remains relatively poor in our countries, neuro-oncology staff meetings remain a hope for improving the prognosis and management of patients.