Source:http://linkedlifedata.com/resource/pubmed/id/15730987
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
927
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pubmed:dateCreated |
2005-2-25
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pubmed:abstractText |
Low-grade gliomas account for 10-15% of all adult primary intracranial tumours. Currently, there is no consensus on the treatment strategy for low-grade gliomas. This study was designed to evaluate the treatment outcomes, prognostic factors and radiation-related late complications, as well as to assess whether or not post-operative radiotherapy has benefit on local control and overall survival in this population. We retrospectively reviewed 93 consecutive adult patients with supratentorial low-grade gliomas diagnosed at our institution from July 1985 to December 1997. All patients underwent surgical intervention and 60 of them received post-operative radiotherapy. With a median follow-up of 110 months for surviving patients, the 5-year overall and progression-free survival rates were 57% and 47%, respectively. 46 patients experienced local progression of disease during the follow-up period. In multivariate analysis, age at diagnosis, extent of surgery and post-operative Karnofsky performance status showed independent prognostic significance for progression-free and overall survival rates. Post-operative radiotherapy had independent prognostic value for progression-free survival. This analysis has changed our practice and we suggest that aggressive surgical resection and post-operative radiotherapy might be considered for patients with low-grade gliomas. Further efforts should be made to optimize radiotherapy techniques and to integrate new therapeutic modalities.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0007-1285
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
230-5
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pubmed:meshHeading |
pubmed-meshheading:15730987-Adult,
pubmed-meshheading:15730987-Aged,
pubmed-meshheading:15730987-Combined Modality Therapy,
pubmed-meshheading:15730987-Disease Progression,
pubmed-meshheading:15730987-Female,
pubmed-meshheading:15730987-Glioma,
pubmed-meshheading:15730987-Humans,
pubmed-meshheading:15730987-Male,
pubmed-meshheading:15730987-Middle Aged,
pubmed-meshheading:15730987-Prognosis,
pubmed-meshheading:15730987-Retrospective Studies,
pubmed-meshheading:15730987-Supratentorial Neoplasms,
pubmed-meshheading:15730987-Survival Analysis,
pubmed-meshheading:15730987-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
Treatment outcomes and prognostic factors in patients with supratentorial low-grade gliomas.
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pubmed:affiliation |
Department of Radiation Oncology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
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pubmed:publicationType |
Journal Article
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