Department of Neurology/Neurosurgery, Wexner Medical Center at The Ohio State University Medical Center, 456 West 10th Avenue, Suite 1200, Columbus, OH, 43210, USA,
Curr Treat Options Neurol. 2012 Aug;14(4):369-80. doi: 10.1007/s11940-012-0185-6.
Advancement in the understanding of biologic mechanisms of low-grade glioma pathophysiology has allowed the modern era of patient-specific genetic profiling, molecular biology, and neuroimaging to design new methods of surgery, radiation, and chemotherapy in hopes of preventing malignant transformation and improving outcomes. Recent innovations in the understanding of MGMT promoter methylation, IDH1 and IDH2 mutations, temozolomide chemotherapy, vascular monoclonal antibody treatment, use of radiation therapy, choice of antiepileptic drugs, surgical resection, and neuroimaging of low-grade gliomas are reviewed.
对低级别胶质瘤病理生理学的生物学机制的认识的提高,使得在现代能够对患者进行特定的基因分析、分子生物学和神经影像学检查,从而设计新的手术、放疗和化疗方法,以期预防恶性转化并改善预后。本文对 MGMT 启动子甲基化、IDH1 和 IDH2 突变、替莫唑胺化疗、血管单克隆抗体治疗、放疗的应用、抗癫痫药物的选择、手术切除以及低级别胶质瘤的神经影像学等方面的最新认识进行了综述。