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Low-grade glioma.

Priya Kumthekar1, Jeffrey Raizer, Simran Singh

  • 1Department of Neurology, Northwestern University, 710 North Lake Shore Drive, Abbott Hall, 11th Floor, Chicago, IL, 60611, USA, pkumthek@nmff.org.

Cancer Treatment and Research
|December 4, 2014
PubMed
Summary
This summary is machine-generated.

Early surgery and radiation improve survival for low-grade gliomas. Molecular markers like IDH1 mutations and 1p/19q codeletion influence treatment response and prognosis in these slow-growing brain tumors.

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Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Radiation Oncology

Background:

  • Low-grade gliomas (LGGs) are primary brain tumors with a median survival of 4.7-9.8 years.
  • They represent 10-20% of all primary brain tumors.
  • Treatment aims to maximize survival and quality of life (QOL).

Purpose of the Study:

  • To review current treatment strategies for low-grade gliomas.
  • To highlight the role of early surgical resection and adjuvant therapies.
  • To discuss the impact of molecular markers on treatment outcomes.

Main Methods:

  • Review of recent clinical data and trials on low-grade glioma management.
  • Analysis of treatment outcomes based on extent of resection (EOR), radiation doses, and chemotherapy regimens.
  • Correlation of molecular markers (1p/19q codeletion, IDH1 mutation) with treatment response.

Main Results:

  • Early surgical resection and achieving gross total resection (GTR) are associated with delayed recurrence and improved survival.
  • Adjuvant radiation therapy (45-50.4 Gy) and chemotherapy (temozolomide preferred) benefit high-risk patients.
  • 1p/19q codeletion and IDH1 mutations are significant predictors of treatment response and survival.

Conclusions:

  • Optimizing treatment for low-grade gliomas involves a multimodal approach.
  • Extent of resection, judicious use of radiation, and consideration of molecular markers are crucial.
  • Temozolomide is a well-tolerated and effective chemotherapy option.