RESULTS OF COMBINED AND INTEGRATED TREATMENT OF BRAIN STEM TUMORS IN ADULTS

ORIGINAL ARTICLES. A. PROTOCOLS OF CLINICAL RESEARCH

https://doi.org/10.37469/0507-3758-2020-66-2-173-180

Published 01.02.2020

Vladimir Solodkiy⁺⁻
N. Vazhinskaya⁺⁻
Georgiy Panshin⁺⁻
Timur Izmaylov⁺⁻

Vladimir Solodkiy

Russian Scientific Center of Roengenoradiology of Russia

N. Vazhinskaya

Russian Scientific Center of Roengenoradiology of Russia

Georgiy Panshin

Russian Scientific Center of Roengenoradiology of Russia

Timur Izmaylov

Russian Scientific Center of Roengenoradiology of Russia

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Keywords

BRAIN STEM TUMORS
COMBINED AND COMPLEX TREATMENT

How to Cite

Solodkiy, V., Vazhinskaya, N., Panshin, G., & Izmaylov, T. (2020). RESULTS OF COMBINED AND INTEGRATED TREATMENT OF BRAIN STEM TUMORS IN ADULTS. Voprosy Onkologii, 66(2), 173–180. https://doi.org/10.37469/0507-3758-2020-66-2-173-180

Abstract

Objectives: Analysis results of combined and integrated treatment of brain stem gliomas tumors in adults. Materials and methods: Retrospective analysis was carried out on the basis of clinical material collected from 2010 to 2019 in the radiotherapy clinic of FSBU «RNCRR» of the Ministry of Health of the Russian Federation (RNCRR). A total of 43 people were included in the study. 18 (41.86%) patients underwent surgery or stereotactic biopsy in the first stage of treatment. In the future, all patients underwent remote radiotherapy and/or chemotherapy. According to the results of histologic verification of operated patients, brain gliomas were diagnosed in 100% of cases, with 10 people (23%) showing low grade gliomas (Grade I-II) and 8 (18.6%) showing high grade (Grade III-IV). Evaluation of treatment effectiveness, analysis of general and free survival cumulative disease by Kaplan-Mayer method using IBM SPSS Statistics software. Results: According to the study, the rate of free survival was 48.73 months, and the average general survival time was 51.54 months. Histologic type tumor did not significantly affect the rate of free survival (P. = 0.417), and the results of general survival were significantly higher in the group of patients with low grade gliomas compared to the group of patients with high grade tumors (P. = 0.036). Conclusion: Significant clinical factors must be taken into account when planning the treatment of brain stem tumors.

https://doi.org/10.37469/0507-3758-2020-66-2-173-180

##article.numberofdownloads## 41

##article.numberofviews## 139

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References

Дяченко А.А., Субботина А.В., Измайлов Т.Р. и др. Эпидемиология первичных опухолей головного мозга: (обзор литературы) // Вестник "Российского научного центра рентгенорадиологии. - 2013. - № 1.

Дяченко А.А., Субботина А.В., Измайлов Т.Р и др. Выживаемость больных первичными злокачественными новообразованиями центральной нервной системы в Архангельской области в 2000-2011 гг.: популяционное когортное исследование // Вестник "Российского научного центра рентгенорадиологии. - 2013. - № 13.

Каприн А.Д., Старинский В.В., Петрова Г.В. Злокачественные новообразования в России в 2018 году (заболеваемость и смертность). - М.: МНИОИ им. П.А. Герцена - филиал ФГБУ "ФМИЦ им. П.А. Герцена" Минздрава России, 2019.

Измайлов Т.Р., Паньшин Г.А., Даценко П.В. Развитие нейрохирургической службы в России // Вестник российского научного центра рентгенорадиологии Федерального агентства по высокотехнологичной медицинской помощи. - 2012. - № 1.

Измаилов Т.Р., Паньшин Г.А., Даценко П.В. Опухоли головного мозга. Общие принципы современной диагностики и лечения // Поволжский онкологический Вестник. - 2010. - № 3. - С. 9-14.

Salmaggi A., Fariselli L., Milanesi I. et al. // Journal of Neurology. - 2008. - Vol. 255( Issue 2). - P. 171177. - DOI: 10.1007/s00415-008-0589-0

Reyes-Botero G., Mokhtari K., Martin-Duverneuil N. et al. Adult brainstem gliomas // The Oncologist. 2012. - Vol. 17(3). - P. 388-397. - DOI: 10.1634/theoncologist.2011-0335

Guillamo J.S., Monjour A., Taillandier L. et al. Brainstem gliomas in adults: prognostic factors and classification // Brain. - 2001. - Vol. 124(Pt 12). - P. 2528-2539. - DOI: 10.1093/brain/124.12.2528

Rineer J., Schreiber D., Choi K. et al. 2010 Characterization and outcomes of infratentorial malignant glioma: A population-based study using the Surveillance Epidemiology and End-Results database // Radiother Oncol. - 2010. - Vol. 95(Issue 3). - P. 321-326. - DOI: 10.1016/j.radonc.2010.04.007

Sunju Byeon, Jae Kyung Myung, Se Hoon KimSeung-Ki Kim et al. Distinct genetic alterations in pediatric glioblastomas // Child's Nervous System. - 2012. - Vol. 28(Issue 7). - P. 1025-1032. - DOI: 10.1007/s00381-012-1773-1

Масу М.Е., Macy M.E., Birks D.K. et al. Clinical and molecular characteristics of congenital glioblastoma // Neuro Oncol. - 2012. - Vol. 14(7). - P. 931-941. - DOI: 10.1093/neuonc/nos125

Ohgaki H., Kleihues P. Genetic pathways to primary and secondary glioblastoma // Am. J. Pathol. - 2007. - Vol. 170(5). - P. 1445-1453. - DOI: 10.2353/aj-path.2007.070011

Rickert C.H., Strater R., Kaatsch P. et al. Pediatric highgrade astrocytomas show chromosomal imbalances distinct from adult cases // Am. J. Pathol. - 2001. - Vol. 158(4). - P. 1525-1532.

Samadani U., Judy K.D. Stereotactic brainstem biopsy is indicated for the diagnosis of a vast array of brainstem pathology // Stereotact. Funct. Neurosurg. - 2003. - Vol. 81. - P. 5-9.

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