Bauchet Luc, Ostrom Quinn T
Department of Neurosurgery, Montpellier University Medical Center, National Institute for Health and Medical Research (INSERM), U1051, Hôpital Gui de Chauliac, Centre Hospitalo-Universitaire, 80 Avenue Augustin Fliche, Montpellier, France.
Department of Medicine, Section of Epidemiology and Population Sciences, Dan Duncan Comprehensive Cancer Center, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030-3498, USA.
Neurosurg Clin N Am. 2019 Jan;30(1):1-16. doi: 10.1016/j.nec.2018.08.010.
Incidence, prevalence, and survival for diffuse low-grade gliomas and diffuse anaplastic gliomas (including grade II and grade III astrocytomas and oligodendrogliomas) varies by histologic type, age at diagnosis, sex, and race/ethnicity. Significant progress has been made in identifying potential risk factors for glioma, although more research is warranted. The strongest risk factors that have been identified thus far include allergies/atopic disease, ionizing radiation, and heritable genetic factors. Further analysis of large, multicenter epidemiologic studies, and well-annotated "omic" datasets, can potentially lead to further understanding of the relationship between gene and environment in the process of brain tumor development.
弥漫性低级别胶质瘤和弥漫性间变性胶质瘤(包括II级和III级星形细胞瘤和少突胶质细胞瘤)的发病率、患病率和生存率因组织学类型、诊断时年龄、性别以及种族/民族而异。在确定胶质瘤的潜在风险因素方面已取得显著进展,不过仍需开展更多研究。迄今为止确定的最强风险因素包括过敏/特应性疾病、电离辐射和遗传因素。对大型多中心流行病学研究以及注释完善的“组学”数据集进行进一步分析,可能会加深我们对脑肿瘤发生过程中基因与环境之间关系的理解。