Primary brain tumours in adults

被引:669
作者
Behin, A [1 ]
Hoang-Xuan, K [1 ]
Carpentier, AF [1 ]
Delattre, JY [1 ]
机构
[1] GH Pitie Salpetriere, Federat Neurol Mazarin, F-75013 Paris, France
关键词
D O I
10.1016/S0140-6736(03)12328-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The most frequent primary brain tumours in adults are gliomas and primary CNS lymphomas. In gliomas, molecular genetic analysis plays an increasing part in classification and treatment planning, a feature well illustrated by the chemosensitive oligodendrogliomas. Unfortunately, management of glioblastoma is still mainly palliative. Incidence of primary CNS lymphoma has increased strikingly in the past 20 years; substantial progress has been achieved in patients who are immunocompetent with the addition of methotrexate-based chemotherapy to radiotherapy, but the potential neurotoxic effects of this combination in elderly patients is worrisome.
引用
收藏
页码:323 / 331
页数:9
相关论文
共 100 条
[1]   Long-term survival in primary CNS lymphoma [J].
Abrey, LE ;
DeAngelis, LM ;
Yahalom, J .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (03) :859-863
[2]   Treatment for primary CNS lymphoma: The next step [J].
Abrey, LE ;
Yahalom, J ;
DeAngelis, LM .
JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (17) :3144-3150
[3]  
Afra D, 2002, LANCET, V359, P1011
[4]  
[Anonymous], 2000, World Health Organisation Classification of Tumours: Pathology and genetics of tumours of the nervous system
[5]   LEPTOMENINGEAL TUMOR IN PRIMARY CENTRAL-NERVOUS-SYSTEM LYMPHOMA - RECOGNITION, SIGNIFICANCE, AND IMPLICATIONS [J].
BALMACEDA, C ;
GAYNOR, JJ ;
SUN, M ;
GLUCK, JT ;
DEANGELIS, LM .
ANNALS OF NEUROLOGY, 1995, 38 (02) :202-209
[6]   Pretreatment factors predict overall survival for patients with low-grade glioma: A recursive partitioning analysis [J].
Bauman, G ;
Lote, K ;
Larson, D ;
Stalpers, L ;
Leighton, C ;
Fisher, B ;
Wara, W ;
MacDonald, D ;
Stitt, L ;
Cairncross, JG .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1999, 45 (04) :923-929
[7]  
Bauman G, 1999, CAN J NEUROL SCI, V26, P18
[8]   Importance of radiotherapy in the outcome of patients with primary CNS lymphoma:: An analysis of the CHOD/BVAM regimen followed by two different radiotherapy treatments [J].
Bessell, EM ;
López-Guillermo, A ;
Villá, S ;
Verger, E ;
Nomdedeu, B ;
Petit, J ;
Byrne, P ;
Montserrat, E ;
Graus, F .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (01) :231-236
[9]   CHOD/BVAM regimen plus radiotherapy in patients with primary CNS non-Hodgkin's lymphoma [J].
Bessell, EM ;
Graus, F ;
López-Guillermo, A ;
Villá, S ;
Verger, E ;
Petit, J ;
Holland, I ;
Byrne, P .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2001, 50 (02) :457-464
[10]   High-dose methotrexate for the treatment of primary cerebral lymphomas: Analysis of survival and late neurologic toxicity in a retrospective series [J].
Blay, JY ;
Conroy, T ;
Chevreau, C ;
Thyss, A ;
Quesnel, N ;
Eghbali, H ;
Bouabdallah, R ;
Coiffier, B ;
Wagner, JP ;
Le Mevel, A ;
Dramais-Marcel, D ;
Baumelou, E ;
Chauvin, F ;
Biron, P .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (03) :864-871