成年II级神经胶质肿瘤患者生存的预后因素

H. Onder, G. Kanyilmaz, M. Aktan, E. Karahacioǧlu
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引用次数: 1

摘要

目的:探讨低级别胶质瘤(LGGs)患者的生存状况,探讨临床病理预后因素对生存的预测作用。材料与方法:回顾性分析2003 - 2014年成人II级神经胶质肿瘤患者。研究了几个变量,以发现与总生存期(OS)和无进展生存期(PFS)相关的预后因素。结果:本研究纳入124例患者,中位数为40(范围;随访6-132个月。低pignatti风险评分患者的生存期长于高pignatti风险评分患者(p=0.01)。癫痫发作患者有较好的OS (p=0.03)。活检/部分切除患者的OS较差(p=0.02)。术后残留患者OS较差(p=0.03)。复发或进展患者的OS较差(p=0.01)。恶性转化肿瘤(p=0.01)和恶性胶质瘤亚型(p=0.003)术后OS较差。Pignatti风险评分和癫痫发作是PFS的独立预后因素。结论:手术范围和II级胶质瘤的复发或进展是影响OS预后的独立因素。Pignatti风险评分和癫痫发作是PFS的独立预后因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prognostic factors for survival in adult patients with grade II glial tumors
Aim: To investigate survival results of patients with low grade gliomas (LGGs) and to evaluate the predictive role of clinico-pathologic prognostic factors on survival. Material and Methods: Between 2003 and 2014, the adult patients with Grade II glial tumors were evaluated retrospectively. Several variables were investigated to find prognostic factors related to the overall survival (OS) and progression-free survival (PFS). Results: This study involved 124 patients with median 40 (range; 6-132) months follow up. Patients with low pignatti risk score had a longer OS than high pignatti risk score (p=0.01). Patients with seizure had a better OS (p=0.03). Patients with biopsy/partial resection had a poorer OS (p=0.02). Patients with residue after initial surgery had a worse OS (p=0.03). The patients with recurrence or progression had poorer OS (p=0.01). Tumor with malignant transformation (p=0.01) and glioblastoma subtype after second surgery (p=0.003) had a poorer OS. The Pignatti risk score and seizure were the independent prognostic factors for PFS. Conclusion: The extent of surgery and recurrence or progression of Grade II glioma were the independent prognostic factors for OS. The Pignatti risk score and seizure were the independent prognostic factors for PFS.
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