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Risk factors of extraneural spreading in astrocytomas and oligodendrogliomas in donors with gliomas: A systematic review

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World Journal of Transplantation 2022年第6期12卷 131-141页

作者： Serena Ammendola Valeria Barresi Elena Bariani Ilaria Girolami Antonia D’Errico Matteo Brunelli Massimo Cardillo Letizia Lombardini Amedeo Carraro Ugo Boggi Owen Cain Desley Neil Albino Eccher Section of Pathology Department of Diagnostics and Public HealthUniversity of VeronaVerona 37134Italy Division of Pathology Central HospitalBolzano 39100Italy Department of Experimental Diagnostic and Specialty Medicine(DIMES)University of BolognaBologna 40138Italy National Transplant Center Istituto Superiore di SanitàRome 00161Italy General Surgery and Liver Transplant Unit Verona University HospitalVerona 37126Italy Division of General and Transplant Surgery Pisa University HospitalPisa 56126Italy Department of Cellular Pathology University Hospitals Birmingham NHS Foundation TrustBirmingham B152GWUnited Kingdom Department of Pathology and Diagnostics Verona University HospitalVerona 37126Italy

BACKGROUND Patients with a history of primary brain tumors can be eligible for organ donation under extended *** risk assessment of tumor transmission via organ transplant in primary brain tumors is primarily based on the assessment of tumor histotype and *** surgeries,chemo-/radiotherapy,and ventriculoperitoneal shunt placement can lead to a disruption of the blood-brain barrier,concurring to an increase in the transmission *** To investigate the role of tumor transmission risk factors in donors with oligodendrogliomas and *** We searched PubMed and EMBASE databases for studies reporting extraneural spreading of oligoden-drogliomas and astrocytomas and extracted clinical-pathological data on the primary tumor histotype and grade,the elapsed time from the diagnosis to the onset of metastases,sites and number of metastases,prior surgeries,prior radiotherapy and/or chemotherapy,ventriculoatrial or ventriculo-peritoneal shunt placement,and the presence of isocitrate dehydrogenase 1/2 mutation and 1p/19q *** analysis was performed using R *** correlation between chemotherapy or radiotherapy and the presence of multiple extra-central nervous system metastases was analyzed usingχ2 and Fischer exact *** Kaplan-Meier method was used to evaluate the presence of a correlation between the metastasis-free time and:(1)Localization of metastases;(2)The occurrence of intracranial recurrences;and(3)The occurrence of multiple *** Data on a total of 157 patients were *** time from the initial diagnosis to metastatic spread ranged from 0 to 325 mo in patients with oligodendrogliomas and 0 to 267 mo in those with ***,19%and 39%of patients with oligodendroglioma and astrocytoma did not receive any adjuvant *** most frequent metastatic sites were bone,bone marrow,and lymph *** lungs and the liver were the most commonly involved visceral ***

关键词： Metastatic gliomas Extra-central nervous system metastases tumor transmission Expanded donor Risk factors Transplantation

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