Treatment options for recurrent high-grade gliomas
- PMID: 28001091
- PMCID: PMC6027924
- DOI: 10.2217/cns-2016-0013
Treatment options for recurrent high-grade gliomas
Abstract
High-grade gliomas are aggressive brain tumors encompassing Grade III and IV classifications. Of these, glioblastoma (GB) is the most malignant with a high rate of recurrence after initial resection. Although standard treatment does exist for newly diagnosed GBs, therapeutic strategies for recurrent GB are less solidified. However, mounting evidence describes the role of re-resection, bevacizumab, chemotherapy, targeted molecular therapies, immunotherapeutic approaches and radiotherapy in recurrent GB management. This review article provides analysis of the aforementioned therapies, through assessing their effect on overall survival. Because GB tumor heterogeneity is prevalent there is a constant need to investigate therapies targeting recurrence. Studies evaluating both therapeutic targets and strategies for high-grade gliomas are and will remain invaluable.
Keywords: glioblastoma; high-grade gliomas; overall survival; progression-free survival; recurrence treatment.
Conflict of interest statement
Similar articles
-
Treatment of recurrent high-grade gliomas.Curr Opin Neurol. 2009 Dec;22(6):657-64. doi: 10.1097/WCO.0b013e32833229e3. Curr Opin Neurol. 2009. PMID: 19770658 Review.
-
Reirradiation with concurrent bevacizumab for recurrent high-grade gliomas in adult patients.Cancer Radiother. 2018 Feb;22(1):9-16. doi: 10.1016/j.canrad.2017.06.013. Epub 2017 Dec 6. Cancer Radiother. 2018. PMID: 29217134
-
Effectiveness of Stereotactic Radiotherapy and Bevacizumab for Recurrent High-Grade Gliomas: A Potential Therapy for Isocitrate Dehydrogenase Wild-Type Recurrent High-Grade Gliomas.World Neurosurg. 2018 Jun;114:e1138-e1146. doi: 10.1016/j.wneu.2018.03.161. Epub 2018 Mar 31. World Neurosurg. 2018. PMID: 29614360
-
Recurrent malignant gliomas.Semin Radiat Oncol. 2014 Oct;24(4):289-98. doi: 10.1016/j.semradonc.2014.06.006. Semin Radiat Oncol. 2014. PMID: 25219814 Free PMC article. Review.
-
Re-resection for recurrent high-grade glioma in the setting of re-irradiation: more is not always better.J Neurooncol. 2015 Sep;124(2):215-21. doi: 10.1007/s11060-015-1825-y. Epub 2015 May 30. J Neurooncol. 2015. PMID: 26024653
Cited by
-
Re-irradiation for recurrent glioma: outcome evaluation, toxicity and prognostic factors assessment. A multicenter study of the Radiation Oncology Italian Association (AIRO).J Neurooncol. 2019 Mar;142(1):59-67. doi: 10.1007/s11060-018-03059-x. Epub 2018 Dec 4. J Neurooncol. 2019. PMID: 30515706
-
Immune microenvironment of experimental rat C6 gliomas resembles human glioblastomas.Sci Rep. 2017 Dec 14;7(1):17556. doi: 10.1038/s41598-017-17752-w. Sci Rep. 2017. PMID: 29242629 Free PMC article.
-
Transmembrane Protein TMEM230, a Target of Glioblastoma Therapy.Front Cell Neurosci. 2021 Nov 17;15:703431. doi: 10.3389/fncel.2021.703431. eCollection 2021. Front Cell Neurosci. 2021. PMID: 34867197 Free PMC article.
-
Integrin α10-Antibodies Reduce Glioblastoma Tumor Growth and Cell Migration.Cancers (Basel). 2021 Mar 9;13(5):1184. doi: 10.3390/cancers13051184. Cancers (Basel). 2021. PMID: 33803359 Free PMC article.
-
Homeobox B8 Targets Sterile Alpha Motif Domain-Containing Protein 9 and Drives Glioma Progression.Neurosci Bull. 2020 Apr;36(4):359-371. doi: 10.1007/s12264-019-00436-y. Epub 2019 Oct 23. Neurosci Bull. 2020. PMID: 31646435 Free PMC article.
References
-
- Apuzzo MLJ. Malignant Cerebral Glioma. American Association of Neurological Surgeons; Park Ridge, USA: 1990. pp. 79–89.
-
- Furnari FB, Fenton T, Bachoo RM, et al. Malignant astrocytic glioma: genetics, biology, and paths to treatment. Genes Dev. 2007;21(21):2683–2710. - PubMed
-
- Sathornsumetee S, Reardon DA, Desjardins A, Quinn JA, Vredenburgh JJ, Rich JN. Molecularly targeted therapy for malignant glioma. Cancer. 2007;110(1):13–24. - PubMed
-
- Stupp R, Mason WP, van den Bent MJ, et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N. Engl. J. Med. 2005;352(10):987–996. - PubMed
-
•• Seminal article describing the establishment of a standard treatment for glioblastoma (GB) consisting of concomitant chemoradiotherapy with temozolomide (TMZ) followed by 6–12 cycles of adjuvant TMZ.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical