Background: The incidence of Central Nervous System (CNS) neoplasias ranges
from 3.8 to 5.1 cases per 100,000 inhabitants. In the presence of recurren
ce, the treatment is problematic; chemotherapy is experimental primarily be
cause the response is palliative and of limited duration. Materials and Met
hods: This article analytes the new drugs that have been introduced for the
treatment of these patients in recent years, the objective response the TT
P and the MST. Results: The most encouraging results to date come from stud
ies of temozolomide, which is one of the most active and best tolerated dru
gs in recent years. Conclusion: New approaches to chemotherapy treatment ar
e necessary. Enrollment of patients into rigorous, well-conducted, clinical
trials, both at tumor diagnosis and after armor recurrence will generate n
ew information regarding investigational therapies and may offer improved t
herapies for patients with malignant gliomas.