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Clinical and molecular study of radiation-induced gliomas
K. Trkova, D. Sumerauer, A. Bubenikova, L. Krskova, A. Vicha, M. Koblizek, J. Zamecnik, B. Jurasek, M. Kyncl, B. Malinova, B. Ondrova, DTW. Jones, M. Sill, M. Strnadova, L. Stolova, A. Misove, V. Benes, M. Zapotocky
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
Grantová podpora
204220
Grantová Agentura, Univerzita Karlova
PRIMUS/19/MED/06
Grantová Agentura, Univerzita Karlova
LX22NPO5102
European Union
MH CZ-DRO,00064203
University Hospital Motol
NU21-07-00419
Ministerstvo Zdravotnictví Ceské Republiky
NU23-08-00460
Ministerstvo Zdravotnictví Ceské Republiky
NLK
Directory of Open Access Journals
od 2011
Free Medical Journals
od 2011
Nature Open Access
od 2011-12-01
PubMed Central
od 2011
Europe PubMed Central
od 2011
ProQuest Central
od 2011-01-01
Open Access Digital Library
od 2011-01-01
Open Access Digital Library
od 2011-01-01
Health & Medicine (ProQuest)
od 2011-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2011
Springer Nature OA/Free Journals
od 2011-12-01
- MeSH
- astrocytom * patologie MeSH
- gliom * genetika radioterapie MeSH
- lidé MeSH
- mutace MeSH
- nádory mozku * genetika radioterapie MeSH
- protoonkogenní proteiny B-Raf genetika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
In this study, we provide a comprehensive clinical and molecular biological characterization of radiation-induced gliomas (RIG), including a risk assessment for developing gliomas. A cohort of 12 patients who developed RIG 9.5 years (3-31 years) after previous cranial radiotherapy for brain tumors or T-cell acute lymphoblastic leukemia was established. The derived risk of RIG development based on our consecutive cohort of 371 irradiated patients was 1.6% at 10 years and 3.02% at 15 years. Patients with RIG glioma had a dismal prognosis with a median survival of 7.3 months. We described radiology features that might indicate the suspicion of RIG rather than the primary tumor recurrence. Typical molecular features identified by molecular biology examination included the absence of Histon3 mutation, methylation profile of pedHGG-RTK1 and the presence of recurrent PDGFRA amplification and CDKN2A/B deletion. Of the two long-term surviving patients, one had gliomatosis cerebri, and the other had pleomorphic xanthoastrocytoma with BRAF V600E mutation. In summary, our experience highlights the need for tissue diagnostics to allow detailed molecular biological characterization of the tumor, differentiation of the secondary tumor from the recurrence of the primary disease and potentially finding a therapeutic target.
Division of Pediatric Glioma Research Hopp Children's Cancer Center Heidelberg Germany
German Cancer Research Center Heidelberg Germany
Proton Therapy Center Czech Budínova 1a 180 00 Prague Czech Republic
Citace poskytuje Crossref.org
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