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[成人胶质瘤生物学、影像学及治疗进展]

[Advances in adults' gliomas biology, imaging and treatment].

作者信息

Ducray F, Dutertre G, Ricard D, Gontier E, Idbaih A, Massard C

机构信息

Université Claude-Bernard-Lyon-I, Service de Neuro-Oncologie, Groupe Hospitalier Est, 8 Avenue Rockefeller, 69373 Lyon, France.

出版信息

Bull Cancer. 2010 Jan;97(1):17-36. doi: 10.1684/bdc.2009.1019.

Abstract

A better understanding of gliomas biology is now leading to a combined histo-molecular classification of these tumors. In anaplastic gliomas ongoing studies depend on 1p/19q codeletion status and in glioblastomas on MGMT methylation status. Advanced brain tumor imaging elicits a better identification of gliomas evolutive potential of. In low-grade gliomas, the importance of maximal resection and the role of chemotherapy are being increasingly recognized. In anaplastic gliomas, phase III studies have clarified the respective roles of chemotherapy and radiotherapy. In glioblastomas concomitant chemoradiotherapy is the standard. Most targeted therapies, namely anti-EGFR therapies have failed to demonstrate efficacy but anti-angiogenics are promising. The aim of this review is to discuss the main advances in adults' gliomas biology, imaging and treatment.

摘要

如今,对胶质瘤生物学的更深入理解正促使对这些肿瘤进行组织学与分子学相结合的分类。在间变性胶质瘤中,正在进行的研究依赖于1p/19q共缺失状态,而在胶质母细胞瘤中则依赖于MGMT甲基化状态。先进的脑肿瘤成像能够更好地识别胶质瘤的进展潜力。在低级别胶质瘤中,最大程度切除的重要性以及化疗的作用正日益得到认可。在间变性胶质瘤中,III期研究已经阐明了化疗和放疗各自的作用。在胶质母细胞瘤中,同步放化疗是标准治疗方法。大多数靶向治疗,即抗表皮生长因子受体(EGFR)治疗未能显示出疗效,但抗血管生成治疗颇具前景。本综述的目的是讨论成人胶质瘤生物学、成像和治疗方面的主要进展。

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