Neuro-Oncological Surgery

St George’s offers a supra-network multidisciplinary service for the management of tumours in the central nervous system, serving a population of over four million.

We receive referrals from South West London and Surrey as well as surrounding counties. We also accept out-of-area referrals and referrals from overseas, reflecting the high level of specialist surgical management offered within the centre. We discuss nearly 6,000 cases in our MDTs per year and perform around 500 tumour operations per year.

The Neurological Cancer Service at St George’s offers diagnosis and surgical treatment for a range of brain and central nervous system (CNS) cancers and benign tumours including:

• Primary brain tumours, with sub-specialty interest in low grade glioma surgery
• Cerebral metastasis (surgery and radiosurgery)
• Skull base tumours including acoustic neuromas
• Pituitary tumours
• Spinal cord tumours
• Paediatric brain tumours

We have dedicated MDT meetings attended by specialist neuro-oncological surgeons, neuro-oncologists (from our partner oncology centres; Royal Marsden Hospital and St Luke’s Cancer Centre, Guildford), neurologists, neuropsychology and neuropathologists as well as specialist allied health professionals. We also host the supra-regional (Cyberknife) Radiosurgery MDT meeting on a weekly basis.

We have a specialist neuroradiology service performing CT, MRI and angiography. We also provide advanced 3T MRI scanning, including perfusion, diffusion MRI and spectroscopy. We have access to 24/7 interventional stroke services, a dedicated neuro-intensive care unit and benefit from on-site neuro-rehabilitation facilities. There is close surgical collaboration with ENT, maxillofacial and endocrinology services to manage skull base and pituitary tumours.