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[老年胶质母细胞瘤]

[Glioblastoma in the elderly].

作者信息

Delattre J-Y

机构信息

Service de neurologie Mazarin, hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, Paris, France.

出版信息

Rev Neurol (Paris). 2011 Oct;167(10):680-2. doi: 10.1016/j.neurol.2011.08.003. Epub 2011 Sep 3.

Abstract

The incidence of malignant gliomas in the aging population of industrialized countries is increasing. This observation justifies an important ongoing clinical research effort specifically dedicated to this population. The first results of prospective studies have showed the interest of radiotherapy and chemotherapy with temozolomide. The effect of combined concomitant and adjuvant chemotherapy with radiotherapy is currently being evaluated in a phase III study. The likely beneficial effect of surgical resection needs to be formally demonstrated in this fragile population. Initial functional status, quality of life and concomitant systemic pathologies are important factors to tailor the treatment according to patients status.

摘要

在工业化国家的老年人群中,恶性胶质瘤的发病率正在上升。这一观察结果证明了一项正在进行的重要临床研究工作的合理性,该研究专门针对这一人群。前瞻性研究的初步结果显示了放疗和替莫唑胺化疗的益处。放疗联合同步和辅助化疗的效果目前正在一项III期研究中进行评估。手术切除可能的有益效果需要在这一脆弱人群中得到正式证实。初始功能状态、生活质量和伴随的全身性疾病是根据患者状况调整治疗方案的重要因素。

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