SEOM-GEINO clinical guidelines for high-grade gliomas of adulthood (2022)
Pérez-Segura, Pedro 
(Hospital Clínico San Carlos (Madrid))
Vilariño, Noelia 
(Hospital Universitari de Bellvitge)
Martínez García, María 
(Hospital del Mar (Barcelona, Catalunya))
Del Barco Berrón, Sonia 
(Hospital Universitari de Girona Doctor Josep Trueta)
Gironés, Regina 
(Hospital Universitari i Politècnic La Fe (València))
García Gómez, Jesús (Complexo Hospitalario Universitario de Ourense - CHUO)
García Castaño, Almudena (Hospital Universitario Marqués de Valdecilla (Santander, Cantabria))
Navarro Martín, Luis Miguel (Complejo Asistencial Universitario de Salamanca)
Gallego Rubio, Oriol
(Institut d'Investigació Biomèdica Sant Pau)
Pineda, Estela
(Hospital Clínic i Provincial de Barcelona)
Universitat Autònoma de Barcelona
| Date: |
2023 |
| Abstract: |
High-grade gliomas (HGG) are the most common primary brain malignancies and account for more than half of all malignant primary brain tumors. The new 2021 WHO classification divides adult HGG into four subtypes: grade 3 oligodendroglioma (1p/19 codeleted, IDH-mutant); grade 3 IDH-mutant astrocytoma; grade 4 IDH-mutant astrocytoma, and grade 4 IDH wild-type glioblastoma (GB). Radiotherapy (RT) and chemotherapy (CTX) are the current standard of care for patients with newly diagnosed HGG. Several clinically relevant molecular markers that assist in diagnosis and prognosis have recently been identified. The treatment for recurrent high-grade gliomas is not well defined and decision-making is usually based on prior strategies, as well as several clinical and radiological factors. Whereas the prognosis for GB is grim (5-year survival rate of 5-10%) outcomes for the other high-grade gliomas are typically better, depending on the molecular features of the tumor. The presence of neurological deficits and seizures can significantly impact quality of life. |
| Rights: |
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| Language: |
Anglès |
| Document: |
Article ; recerca ; Versió publicada |
| Subject: |
Epidemiology ;
High-grade gliomas ;
Management ;
Molecular ;
Treatment |
| Published in: |
Clinical & translational oncology, Vol. 25 Núm. 9 (september 2023) , p. 2634-2646, ISSN 1699-3055 |
DOI: 10.1007/s12094-023-03245-y
PMID: 37540408
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Record created 2024-09-17, last modified 2025-08-13