Katole Vedant R, Kaple Meghali
Department of Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Mar 30;16(3):e57272. doi: 10.7759/cureus.57272. eCollection 2024 Mar.
Glioblastoma, the most common and aggressive form of primary brain tumor, poses significant challenges to patients, caregivers, and clinicians alike. Pediatric glioblastoma is a rare and aggressive brain tumor that presents unique challenges in treatment. It differs from its adult counterpart in terms of genetic and molecular characteristics. Its incidence is relatively low, but the prognosis remains grim due to its aggressive behavior. Diagnosis relies on imaging techniques and histopathological analysis. The rarity of the disease underscores the need for effective treatment strategies. In recent years, the quest to understand and manage pediatric glioblastoma has seen a significant shift towards unraveling the intricate landscape of biomarkers. Surgery remains a cornerstone of glioblastoma management, aiming to resect as much of the tumor as possible. Glioblastoma's infiltrative nature presents challenges in achieving a complete surgical resection. This comprehensive review delves into the realm of pediatric glioblastoma biomarkers, shedding light on their potential to not only revolutionize diagnostics but also shape therapeutic strategies. From personalized treatment selection to the development of targeted therapies, the potential impact of these biomarkers on clinical outcomes is undeniable. Moreover, this review underscores the substantial implications of biomarker-driven approaches for therapeutic interventions. All advancements in targeted therapies and immunotherapy hold promise for the treatment of pediatric glioblastoma. The genetic profiling of tumors allows for personalized approaches, potentially improving treatment efficacy. The ethical dilemmas surrounding pediatric cancer treatment, particularly balancing potential benefits with risks, are complex. Ongoing clinical trials and preclinical research suggest exciting avenues for future interventions.
胶质母细胞瘤是原发性脑肿瘤最常见且侵袭性最强的形式,给患者、护理人员和临床医生都带来了巨大挑战。儿童胶质母细胞瘤是一种罕见且侵袭性强的脑肿瘤,在治疗方面存在独特挑战。它在基因和分子特征方面与成人胶质母细胞瘤有所不同。其发病率相对较低,但由于其侵袭性,预后仍然严峻。诊断依赖于成像技术和组织病理学分析。该疾病的罕见性凸显了有效治疗策略的必要性。近年来,在理解和管理儿童胶质母细胞瘤方面,已朝着揭示复杂的生物标志物格局发生了重大转变。手术仍然是胶质母细胞瘤治疗的基石,旨在尽可能多地切除肿瘤。胶质母细胞瘤的浸润性给实现完全手术切除带来了挑战。这篇综述深入探讨了儿童胶质母细胞瘤生物标志物领域,揭示了它们不仅有可能彻底改变诊断,还能塑造治疗策略的潜力。从个性化治疗选择到靶向治疗的开发,这些生物标志物对临床结果的潜在影响是不可否认的。此外,本综述强调了生物标志物驱动方法对治疗干预的重大影响。靶向治疗和免疫治疗的所有进展都为儿童胶质母细胞瘤的治疗带来了希望。肿瘤的基因分析允许采用个性化方法,有可能提高治疗效果。围绕儿童癌症治疗的伦理困境,尤其是在潜在益处与风险之间取得平衡,是复杂的。正在进行的临床试验和临床前研究为未来的干预措施指明了令人兴奋的方向。