Mutagenesis & Cancer Prevention Unit, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132 Genova, Italy.
Int J Mol Sci. 2023 Mar 28;24(7):6375. doi: 10.3390/ijms24076375.
High-grade gliomas (World Health Organization grades III and IV) are the most frequent and fatal brain tumors, with median overall survivals of 24-72 and 14-16 months, respectively. We reviewed the progress in the diagnosis and prognosis of high-grade gliomas published in the second half of 2021. A literature search was performed in PubMed using the general terms "radio* and gliom*" and a time limit from 1 July 2021 to 31 December 2021. Important advances were provided in both imaging and non-imaging diagnoses of these hard-to-treat cancers. Our prognostic capacity also increased during the second half of 2021. This review article demonstrates slow, but steady improvements, both scientifically and technically, which express an increased chance that patients with high-grade gliomas may be correctly diagnosed without invasive procedures. The prognosis of those patients strictly depends on the final results of that complex diagnostic process, with widely varying survival rates.
高级别胶质瘤(世界卫生组织分级 III 和 IV 级)是最常见和最致命的脑肿瘤,中位总生存期分别为 24-72 个月和 14-16 个月。我们回顾了 2021 年下半年发表的高级别胶质瘤的诊断和预后方面的进展。在 PubMed 中使用一般术语“radio* 和 gliom*”进行了文献检索,并将时间限制在 2021 年 7 月 1 日至 2021 年 12 月 31 日。在这些难以治疗的癌症的影像学和非影像学诊断方面都取得了重要进展。我们的预后能力在 2021 年下半年也有所提高。这篇综述文章表明,无论是在科学上还是技术上,都在缓慢但稳步地取得进展,这表明患有高级别胶质瘤的患者可能无需进行侵入性检查就能得到正确诊断的机会有所增加。这些患者的预后严格取决于这一复杂诊断过程的最终结果,生存率差异很大。