Department of Medical Oncology, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
J Clin Neurosci. 2010 Apr;17(4):417-21. doi: 10.1016/j.jocn.2009.09.004. Epub 2010 Feb 18.
Glioblastoma multiforme (GBM) is an incurable disease that has a reputation as having one of the worst prognoses of all cancers. Recent advances in treatment have led to significant improvements in both progression-free and overall survival. Despite this, the wider medical community continues to perceive GBM as having an incomparably poor prognosis. This perception may stem from a lack of awareness regarding the significant survival advantage through the addition of concurrent and post-radiotherapy temozolomide, as well as unfair comparisons to cancers with curable early stages. In this analysis, we compared the efficacy data reported in pivotal studies for the incurable stage of common cancers to modern efficacy data for GBM. In particular, we compared median overall survival, median progression-free survival and 12-month and 5-year survival rates. Our results demonstrate that with modern treatment, GBM survival is now comparable to, if not better than, many other incurable cancers.
多形性胶质母细胞瘤(GBM)是一种无法治愈的疾病,被认为是所有癌症中预后最差的一种。最近在治疗方面的进展使无进展生存期和总生存期都有了显著的提高。尽管如此,更广泛的医学界仍然认为 GBM 的预后极差。这种看法可能源于对通过同时和放疗后添加替莫唑胺来显著提高生存率的认识不足,以及与早期可治愈的癌症进行不公平的比较。在这项分析中,我们将常见癌症不可治愈阶段的关键研究报告的疗效数据与 GBM 的现代疗效数据进行了比较。特别是,我们比较了中位总生存期、中位无进展生存期以及 12 个月和 5 年生存率。我们的结果表明,采用现代治疗方法,GBM 的生存率现在与许多其他不可治愈的癌症相当,甚至更好。