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Updates on management of gliomas in the molecular age

World Journal of Clinical Oncology 2024年第2期15卷 178-194页

作者： Ali Ahmed Mohamed Rakan Alshaibi Steven Faragalla Youssef Mohamed Brandon Lucke-Wold Charles E.Schmidt College of Medicine Florida Atlantic UniversityBoca RatonFL 33431United States Herbert Wertheim College of Medicine Florida International UniversityMiamiFL 33199United States College of Osteopathic Medicine Kansas City UniversityJoplinMO 64804United States Department of Neurosurgery University of FloridaGainesvilleFL 32611United States

Gliomas are primary brain tumors derived from glial cells of the central nervous system,afflicting both adults and children with distinct characteristics and therapeutic *** developments have ushered in novel clinical and molecular prognostic factors,reshaping treatment paradigms based on classi-fication and grading,determined by histological attributes and cellular *** review article delves into the diverse treatment modalities tailored to the specific grades and molecular classifications of gliomas that are currently being discussed and used clinically in the year *** adults,the therapeutic triad typically consists of surgical resection,chemotherapy,and *** contrast,pediatric gliomas,due to their diversity,require a more tailored *** complete tumor excision can be curative based on the location and grade of the glioma,certain non-resectable cases demand a chemotherapy approach usually involving,vincristine and ***-tionally,if surgery or chemotherapy strategies are unsuccessful,Vinblastine can be *** recent advancements in treatment methodologies,there remains a need of exploration in the literature,particularly concerning the efficacy of treatment regimens for isocitrate dehydrogenase type mutant astrocytomas and fine-tuned therapeutic approaches tailored for pediatric *** review article explores into the therapeutic modalities employed for both adult and pediatric gliomas in the context of their molecular classification.

关键词： Gliomas Chemotherapy Radiotherapy Isocitrate dehydrogenase type mutant pediatric gliomas Astrocytoma Oligodendroglioma 1p/19q-codeleted

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Current challenges in the treatment of gliomas:The molecular era

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World Journal of Clinical Oncology 2024年第8期15卷 982-986页

作者： Castalia Fernández Juan Zafra-Martín Felipe Couñago Department of Radiation Oncology GenesisCare MadridMadrid 28043Spain Department of Radiation Oncology Hospital Universitario Vithas La MilagrosaGenesisCareMadrid 28010Spain Department of Radiation Oncology Hospital Universitario San Francisco de AsísGenesisCareMadrid 28002Spain Department of Radiation Oncology Hospital Universitario Virgen de la VictoriaMálaga 29010Spain

Gliomas originate from glial cells in the central nervous *** 80%-85%of malignant brain tumors in adults are *** most common central nervous system tumor in children is low-grade pediatric *** was determined by histological features until 2016 when the World Health Organization classification integrated molecular data with anatomopathological information to achieve a more integral *** characterization has led to better diagnostic and prognostic staging,which in turn has increased the precision of *** efforts are focused on more effective therapies to prolong survival and improve the quality of life of adult and pediatric patients with ***,improvements in survival have been ***,clinical guidelines,as well as the article by Mohamed et al accompanying this editorial piece,are adapting treatment recommendations(surgery,chemotherapy,and radiotherapy)according to diagnosis and prognosis guided by molecular ***,this paves the way for the design of clinical trials with new therapies,which is especially important in pediatric gliomas.

关键词： Gliomas Chemotherapy Radiotherapy Isocitrate dehydrogenase-type mutant pediatric gliomas Astrocytoma Oligodendroglioma 1p/19q-codeleted

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