Neurooncology Unit, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Medical Oncology Department, Hospital Universitari I Politècnic la Fe, Valencia, Spain.
Clin Transl Oncol. 2018 Jan;20(1):3-15. doi: 10.1007/s12094-017-1790-3. Epub 2017 Nov 9.
Diffuse infiltrating low-grade gliomas include oligodendrogliomas and astrocytomas, and account for about 5% of all primary brain tumors. Treatment strategies for these low-grade gliomas in adults have recently changed. The 2016 World Health Organization (WHO) classification has updated the definition of these tumors to include their molecular characterization, including the presence of isocitrate dehydrogenase (IDH) mutation and 1p/19p codeletion. In this new classification, the histologic subtype of grade II-mixed oligoastrocytoma has also been eliminated. The precise optimal management of patients with low-grade glioma after resection remains to be determined. The risk-benefit ratio of adjuvant treatment must be weighed for each individual.
弥漫性浸润性低级别胶质瘤包括少突胶质细胞瘤和星形细胞瘤,占所有原发性脑肿瘤的 5%左右。最近,成人低级别胶质瘤的治疗策略发生了变化。2016 年世界卫生组织(WHO)分类更新了这些肿瘤的定义,包括其分子特征,包括异柠檬酸脱氢酶(IDH)突变和 1p/19p 缺失。在新的分类中,组织学亚型 II 级混合性少突星形细胞瘤也被消除了。切除后低级别胶质瘤患者的最佳治疗方案仍有待确定。必须权衡每个患者辅助治疗的风险-获益比。